June 3, 2013Dear Physicians & Surgeons:Please be informed that EHS paramedics will be in a legal strike position by theend of this week.While we respect the rights of unionized employees to take this action, ourresponsibility now is to plan for a possible disruption in services provided byparamedics. Government’s commitment is always to deliver the safest carepossible under given conditions.In the event of a strike, services delivered by paramedics will be impacted andthis in turn will affect your operations.During labour action, the EHS system will be at 28% capacity, with distributionbased on historic call volumes. EHS contingency teams will respond only to time-critical emergencies reviewed by Dr. Andrew Travers, EHS Provincial MedicalDirector and Jeff Fraser, EHS Director of Provincial Operations.For public safety, all patients must be accepted immediately when an EHScontingency crew arrives at emergency departments. There cannot be any off-load delay. The Medical Communications Centre will notify emergencydepartments in advance of any arriving ambulance with ETA, working diagnosis,and any other pertinent information. In the 6 hours leading up to a labourstoppage, EHS will be scaling back transfers in order to have resources torespond. Please communicate with the EHS Communication Center in advanceto attempt to arrange for necessary transfers during this time.All routine transfers will cease and for transfers triaged as critical, DHAs/IWK should work with their staff physician and this will likely involve arrangingappropriate staff to travel with patient and EHS contingency crew en-route todefinitive care.In addition, there will be no EHS LifeFlight adult critical care response duringlabour action. Trained ALS providers will provide care via fixed wing airplane.However, IWK teams are not part of this bargaining unit, so they will beoperational per normal barring any unforeseen delays.