2013 Community-Based Emergency Care
This interdisciplinary working group focuses on Community-Based Emergency Care (CBEC), an innovative strategy to delivery first response emergency care to ill and injured patients in remote First Nation communities without formal paramedical services. Our vision is that “People in remote and isolated First Nation communities should have access to excellent community-based first response emergency care.”
This webpage provides links to a selection of this group’s published works and knowledge translation products. These works have emerged from two initiatives:
The CBEC Roundtable
A multi-jurisdictional meeting held in October 2013 in Sioux Lookout, Ontario. The purpose of this meeting was to discuss and address pre-nursing station emergency care needs in remote and isolated communities of the Nishnawbe Aski Nation. Representatives of First Nations’ governance and community organizations, Ontario Provincial and Canadian Federal governments, nursing and paramedical services, and non-governmental organizations joined together to develop shared understandings and a vision for the future of emergency care in remote and isolated settings.
Community-Based Emergency Care: An Open Report for Nishnawbe Aski Nation
Graphic Facilitation Murals Created at Roundtable, October 29-30, 2013
The Sachigo Lake Wilderness Emergency Response Education Initiative (SLWEREI)
A unique community-based program that involved the development, delivery, and evaluation of intensive first response training courses for lay community members in Sachigo Lake First Nation between 2009 and 2013. Training centered on delivering essential life-support in emergency situations, with a focus on patient transport, evidence-based interventions, and the provision of adaptive care in low-resource settings. Course curriculum and pedagogy were based on community priorities, needs, and feedback received through community consultation.
Knowledge Translation Tools
Peer-Reviewed Publications
- Where There is No Paramedic: The Sachigo Lake Wilderness Emergency Response Education Initiative – Published in PloS Medicine, 2012
- Teaching Wilderness First Aid in a Remote First Nations Community – Published in the International Journal of Circumpolar Health, 2012
- Community-Based First Aid – Published in the Rural and Remote Health Journal, 2013
- Community-Based Participatory Research with Indigenous Communities – Published in Health and Place, 2013
- Push Hard, Push Fast, if you’re Downtown – Published in the Scandinavia Journal of Trauma, Resuscitation and Emergency Medicine, 2013
- Building Capacity and Resilience – Unpublished Masters Thesis, 2014
- Health Effects of Training Laypeople to Deliver Emergency Care in Underserviced Populations: A Systematic Review Protocol – Published in BMJOpen, 2016
Academic Conference Poster Presentations
- Sachigo Lake Wilderness Medicine Program – Family Medicine Forum, 2010
- Building Capacity and Resilience – Rendez-Vous, 2012
- Three-Pronged Approach to Address Gaps in Northern Ontario First Nations Emergency Services and Health-Related Data – Northern Health Research Conference, 2016
- Emergency Response Systems and Services in Remote First Nations Communities in Northern Ontario: An Environmental Scan – Northern Health Research Conference, 2016
For more information please contact:
Aaron Orkin, MD, MSc, MPH, CCFP
Email: aorkin@nosm.ca
David VanderBurgh, MD, CCFP(EM)
Email: david.vanderburgh@nosm.ca
Stephen Ritchie, PhD
Email: sritchie@laurentian.ca