Care in the Air Symposium

April 25, 2025

Agenda

Thursday, April 24, 2025

2:00 – 4:30 pm [Optional Tour] Canadian Forces Environmental Medicine Establishment
This escorted tour will include visits to the human centrifuge, hypobaric and dive chambers, thermal chamber, aerospace group, the CANadian Load Effects Assessment Program (CAN LEAP) mobility course and more
5:00 – 7:00 pm [Optional] Early Badge Pick-Up & Mingle (One King West Hotel lobby bar)
Bypass the morning rush! Come pick-up your symposium badge early and mingle with your fellow symposium attendees.

Friday, April 25, 2025

8:00 am Registration, Breakfast, and Networking
8:30 am Welcome and Opening Remarks
Homer Tien, Joan Saary
8:45 am Commercial Suborbital Spaceflight: Opening the Aperture
Duncan Hughes, Jameel Janjua
9:45 am Break, Exhibits, and Networking
10:15 am Developing Intelligent Medical Systems for Space and Austere Environments
David Musson
11:00 am The Sky is the Limit: The Drone Delivered Start the Breathe Project
Andrew Kirkpatrick, Wade Hawkins, Jessica Mckee
11:45 am Lunch, Exhibits, and Networking
1:00 pm High Reliability Through Collaborative Teamwork: Evolving Concepts in Managing Safety Culture, Teamwork, and Seeing Risk
Paul Lesage
2:30 pm Break, Exhibits, and Networking
2:45 pm Airway Management in Aeromedical Environments
George Kovacs
3:15 pm High Risk Pathogen Patient Transport in Austere/Aeromedical Environment
Patrick Auger
3:45 pm The Dawn of a New Era in Canadian Aerospace Medicine Collaboration and Innovation: Building on a Rich Legacy
MGen Scott Malcolm
4:45 pm Conclusion and Closing Remarks
Joan Saary
5:00 pm Networking Reception
Patrick Auger

Patrick Auger MEm MEd CCP
Critical Care Paramedic, Ottawa 7791
Special Operations Coordinator, Ornge

Patrick Auger has worked as a Critical Care Paramedic in Ontario for the last 30 years. Throughout his career, he has held operational and clinical leadership positions. He has experience teaching initial education in Ontario's Advanced Care and Critical Care Paramedic Programs. He is currently working as the Ornge Special Operations Coordinator and is helping Ornge develop specialized capabilities in the area of surge capacity and advanced clinical practice.

He is the Incident Commander for Ontario's Emergency Medical Assistance Team, a specialized medical field unit with a 56-bed capacity and mandate to provide surge capacity to complex emergencies. He has been a team member since 2004, initially starting as the CBRNE Team leader and then transitioning to leading the team as the Incident Commander in 2008.

He is interested in disaster management and is actively involved in Provincial and National emergency preparedness initiatives. He has experience in training and deploying highly specialized teams and is actively involved in organizing functional and full-scale exercises.

His education includes a Bachelor of Health Science, Master of Emergency Management and a Master of Medical Education. He maintains instructor status in areas such as CBRNE and Incident Command Systems.

Wade Hawkins

Wade Hawkins
Research Chair
Centre for Innovation and Research in Unmanned Systems (CIRUS)
Southern Alberta Institute of Technology (SAIT)

Wade Hawkins is an accomplished professional with an extensive background in Geospatial and Remotely Piloted Aircraft System (RPAS) technology, Education, and Research spanning over 28 years. Over the course of his career, Wade has been at the forefront of numerous groundbreaking applied research and development initiatives, collaborating closely with industry partners, as well as governmental and non-governmental agencies.

Currently serving as the Research Chair for the Centre for Innovation and Research in Unmanned Systems (CIRUS) at the Southern Alberta Institute of Technology (SAIT) in Calgary, Alberta, Wade leads a dynamic team of professionals. This team includes Principal Investigators, Research Technicians, Advanced Drone Pilots, and Geospatial Experts. Together, they focus on integrating drones, sensors, and analytics to address the applied research needs of clients.

Outside of his professional commitments, Wade is actively engaged in volunteering. He serves as a board member for both the Fernie Trails Alliance and the Western Sky Land Trust, demonstrating his dedication to environmental and community causes. Despite his busy schedule, Wade prioritizes spending quality time with his family, enjoying outdoor activities like mountain biking, wake surfing and skiing.

Duncan Hughes

Duncan Hughes MD MPH
Chief Medical Officer
Virgin Galactic

Dr. Duncan Hughes is the Chief Medical Officer at Virgin Galactic, where he collaborates with a team of experts to revolutionize access to space. With a comprehensive approach spanning spaceflight requirements, aeromedical standards, and human systems integration, Dr. Hughes draws on his experience in both the Armed Forces and the private sector to advance Virgin Galactic’s mission. Dr. Hughes spent 28 years as a physician and Chief Flight Surgeon in the United States Air Force supporting multiple aviation airframes and missions. He brings a unique mixture of experience and training (Aerospace, Occupational & Family Medicine) to bear on the novel challenges inherent in spaceflight provided by a publicly-traded, commercial start-up company where the astronauts more closely resemble the clientele in an Internal Medicine clinic waiting room than the graduates of a government-sponsored, professional astronaut selection process.

Jameel Janjua

Jameel Janjua OMM
Astronaut / Experimental Test Pilot
Virgin Galactic

Jameel has had a blast living life in the fast lane for most of his career. As a fighter pilot and experimental test pilot on high-performance fighter aircraft in Canada, the UK, and the US, he’s penned some pretty unique journal entries, including most recently when he became the tenth Canadian professional astronaut and the first one to pilot a winged rocket ship. As a
commercial spaceline pilot in Virgin Galactic’s spaceship Unity, Jameel flew as part of a crew that reached an altitude of 287,011 feet (54.4 miles) and a maximum speed of Mach 2.96. Looking back on this planet was profound and Jameel loves to share his experience with others.

At 16 years old, he had already begun his flying career in a glider in a Southern Alberta field. It took hard work, dedicaWon to excellence and a lot of Wme in the air, but some 30 years later, he has now exceeded 5,300 hours of flying experience in more than 65 different aircraZ and a spaceship.

In addition to his career as a test pilot, Jameel has been the grateful recipient of numerous honors including the Liethen-Tittle Award as the top graduate at the USAF Test Pilot School. In 2019, he was invested as an Officer in the Order of Military Merit, the second highest order administered by the Governor General-in-Council in Canada, in recognition of a career of
outstanding meritorious service in duties of responsibility. Jameel holds an engineering degree from the Royal Military College of Canada and a Master’s in Aeronautics and Astronautics from the Massachusetts Institute of Technology. He is currently pursuing an MBA from the Wharton School at the University of Pennsylvania and serves as an officer on the Board of Directors of the Society of Experimental Test Pilots.

Andrew Kirkpatrick

Andrew Kirkpatrick CD MD MHSc FRCSC FACS
Professor of Surgery and Critical Care Medicine,
University of Calgary
General, Acute Care, and Trauma Surgery,
Foothills Medical Centre

Professor in the Departments of Surgery and Critical Care Medicine at the University of Calgary and the former Director of Trauma Services.

Dr. Kirkpatrick graduated Magna Cum Laude from the University of Ottawa, with fellowships in Surgery and Critical Care at the University of Toronto and a Master’s degree in Epidemiology at the University of British Columbia.

He is past President of the Trauma Association of Canada and Abdominal Compartment Society. Dr. Kirkpatrick has more than 560 peer-reviewed articles and book chapters, mainly concerning telemedicine, intra-abdominal hypertension, and aerospace medicine. He is a past-President of the Trauma Association of Canada and the Abdominal Compartment Society, as well as past executive member of the Canadian Emergency Ultrasound Society and the Canadian Association of General Surgeons Evidence Based Reviews in Surgery Committees. He has consulted for the Canadian Space Agency and the National Space and Aeronautical Agencies. He retains a reserve commission in the Canadian Forces and has served oversees in both Gulf War One and in Afghanistan. He is a former Paratrooper and Flight Surgeon and currently maintains a private pilots license. He has completed over 500 parabolas of parabolic flight research. He is also the Global Principal Investigator for the Closed or Open after Laparotomy for Source Control or COOL Trial (https://clinicaltrials.gov/ct2/show/NCT03163095), and the Director of the TeleMentored Ultrasound Supported Medical Interventions (TMUSMI) Research Group.

George Kovacs

George Kovacs MD MHPE FRCPC
Professor of Emergency Medicine,
Dalhousie University
Emergency Physician and Trauma Team Leader,
Halifax Infirmary
Medical Director, LifeFlight

Dr. George Kovacs is a full-time professor of Emergency Medicine and is cross-appointed in the Departments of Anesthesia, Medical Neurosciences and Continuing Professional Development and Medical Education at Dalhousie University. He works clinically as an Emergency Physician and Trauma Team Leader at Charles V. Keating Emergency and Trauma Centre in Halifax, Nova Scotia, Canada and is Medical Director of LifeFlight, the Provincial Critical Care Transport Program. Dr Kovacs is Medical Director of Dalhousie’s Human Body Donation Clinical Cadaver Program. He has made significant contributions as an author and editor of textbooks and peer reviewed publications including multidisciplinary National and International Guidelines related to his area of interest, airway management. He is an award-winning educator recognized by receiving the Canadian Association of Emergency Physicians (CAEP) President’s Award and was a recipient of the Queen’s Platinum Jubilee Medal for his work during COVID. Dr Kovacs co-developed the internationally recognized airway education program, Airway Interventions & Management in Emergencies (AIME). He has four children and 2 grandchildren and in addition to his passion for airway management education he loves being at the cottage he built on the Medway River spending time with his two loves of his life, his family and his Massey Ferguson tractor.

Paul LeSage

Paul LeSage EMT-P Flight Medic AS MIS
Assistant Professor, OHSU School of Medicine
Asst. Fire Chief, TVF&R (Ret)
Founding Partner & Analyst, SGCS

Paul LeSage worked for 29 years as a Firefighter/Paramedic in Portland, Oregon, serving several years on the Technical Rescue and Dive Team and as a Helicopter Flight Paramedic with Life Flight Network. He retired from the fire department as the Assistant Chief of Operations in January 2010, has over 36 years of experience in emergency services as a provider and executive, and has received many awards and commendations, including the prestigious State of Oregon EMS Impact Award, several Lifesaving Awards, and the OFCA’s
Golden Trumpet Award. He spent two years as the Interim Director at Oregon’s second-largest 911 Center, implementing a unique Quality and Performance Program.

Paul currently works as a Founding Partner and Senior Analyst with SG-Collaborative Solutions, where his work centers on creating reliable and resilient systems with high consequence customers. His current clients are primarily centered in commercial aviation, healthcare, and EMS. He also leads teams charged with deconstructing and analyzing aviation and healthcare incidents, and conducts Probabilistic and Predictive Risk Analyses that are designed to improve performance, sustain quality, and better manage risk.

Paul and his teams at SG currently conduct this work across the United States, and in Canada, Central America, and Australia. He holds degrees in Organizational Communications, Human Factors Analysis, EMS, and Fire Science, and is an instructor at the Oregon Health Sciences/OIT School of Medicine.

Paul has authored a popular book on Crew Resource Management in Emergency Services, and was also the founder of Informed Publishing, which created Nursing, Medic, and Emergency Service mobile apps for frontline care providers.

MGen Scott Malcolm

MGen Scott Malcolm CMM MSC CD MD
Surgeon General
Canadian Armed Forces

Hailing from Cape Breton, Nova Scotia, MGen Scott Malcolm joined the Canadian Armed Forces in 1999 through the Medical Officer Training Plan. Upon completion of his residency in Family Medicine he was posted to Canadian Forces Base Petawawa where he completed an operational tour to Bosnia and a mission with the Disaster Assistance Response Team to Sri Lanka. He completed two subsequent tours to Afghanistan, one to Kandahar as the Officer Commanding the Role 1 and the other to Kabul as physician team lead for the OPERATION ATTENTION training mission.

Trained as both a Flight Surgeon and Advanced Dive Medical Officer, he held positions as Base Surgeon at the clinics in both Kingston and Halifax. Following his role as Regional Surgeon (Atlantic) he was posted to Ottawa as medical advisor to the Commander of the Royal Canadian Navy. Upon promotion to the rank of Colonel in 2015, MGen Malcolm became the Director of Force Health Protection and was subsequently posted to Canadian Forces College to complete the National Security Programme. Posted to Edmonton in June of 2018, he took Command of 1 Health Services Group.

He was then appointed as the Director of Health Services Operations upon posting back to Ottawa in October 2019, just in time for the SARS CoV-2 pandemic. In July of 2020 he assumed the position as Deputy Surgeon General. He was subsequently seconded to Public Health Agency of Canada from November 2020 to March 2021 as the Medical Advisor to the Vice President of Logistics and Operations, in support of the national roll-out of COVID-19 vaccine to Canadians. In June of 2021 he became the Commander of Health Services Division. On December 13, 2023, MGen Malcolm was appointed as the Surgeon General.

Committed to lifelong learning and designated a Canadian Certified Physician Executive, MGen Malcolm’s interests include leadership training, quality improvement, change management and design thinking.

Jessica Mckee

Jessica Mckee MSc
Clinical Study Manager
ZOLL Medical

Jessica McKee is an accomplished Clinical Study Manager at ZOLL Medical, where she leads the design, execution, and oversight of complex clinical research initiatives. With over two decades of experience in clinical research, she brings a deep and multidisciplinary expertise, particularly in the fields of trauma care, telemedicine, austere environment medicine, diagnostic ultrasound, and hemorrhage control technologies.
Jessica has held academic appointments at both the University of Calgary and the University of Alberta, where she contributed to the advancement of clinical innovation through research and mentorship. Her academic background includes a Bachelor of Arts and a Master of Science in Clinical Psychology, providing a unique foundation for patient-centered research and evidence-based clinical trial design.
Throughout her career, Jessica has authored more than 50 peer-reviewed publications and has delivered over 50 invited lectures and conference presentations at national and international levels. Her work has significantly influenced emergency medicine practices, particularly in resource-limited and high-acuity settings.
Known for her leadership, scientific rigor, and collaborative spirit, Jessica continues to drive clinical excellence while fostering innovation in life-saving medical technologies. Outside of her professional endeavors, she is a dedicated mother and a devoted dog lover.

David Musson

David Musson MD PhD
CEO, Lunar Medical
Former Associate Dean, MD Program
Northern Ontario School of Medicine

David Musson is Chief Executive Officer and co-Founder of Lunar Medical Inc. He is a medical doctor and cognitive psychologist whose interests span spaceflight and aerospace medicine, medical education, artificial intelligence, and cognitive neuroscience. He studied astronomy and physics before receiving his MD at the University of Western Ontario, and after graduation joined the Canadian Airforce where he served as a Flight Surgeon (aeromedical physician) in Canada, Europe and the Middle East. Returning to the civilian world he practiced general medicine, urgent care and mental health medicine in Toronto, Canada. In 1998, Dr. Musson began graduate studies at the University of Texas at Austin where he completed a PhD in Psychology with a minor in Aerospace Engineering. Studying under noted aviation Human Factors pioneer Robert Helmreich, his work in Texas focused on human personality structure and high performance teams in aviation, space and medicine. Returning to Canada in 2005, Dr. Musson joined the faculty at McMaster University where he founded the Centre for Simulation Based Learning. In applying aviation training models, he developed simulation programs to improve Patient Safety and reduce medical error for the MD program and medical specialty training programs. From 2014-2019, Dr. Musson served as the Associate Dean of the MD Program at the Northern Ontario School of Medicine, Canada's newest medical school.

Dr. Musson has conducted studies on medical care delivery in remote and isolated environments, including studying those environments as terrestrial analogs for spaceflight. These projects have been funded by Canadian Space Agency (CSA), NASA, and the National Space Biomedical Research Institute (NSBRI). These have included summer expeditions to the Haughton Mars Project Research Station (HMP-RS) on Devon Island in the Canadian Arctic (2009), the NASA-CSA-DLR In Situ Resource Utilization (ISRU) program on Mauna Kea in Hawaii (2010) and at the Eureka Weather Station on Ellesmere Island in the Canadian high Arctic (2012). While at McMaster, Dr. Musson began working with Dr. Thomas Doyle, a fellow McMaster faculty member with expertise in Computer and Biomedical Engineering. Together, he and Dr. Doyle founded Lunar Medical Inc. in 2012 and completed a series of technology assessments and concept studies in medical technology for the Canadian Space Agency. In 2016-2017 Dr. Musson served as co-PI on the NASA NSBRI project to develop the first purpose-built space medical bay simulator at Harvard's Brigham and Women’s Hospital in Boston, MA, along with collaborators Steven Yule at Harvard and Thomas Doyle at McMaster.

Joan Saary

Joan Saary MD PhD
Director, Division of Occupational Medicine,
University of Toronto
Chair, Aerospace Medicine,
Royal College of Physicians and Surgeons of Canada

Dr. Joan Saary is the Director of the Division of Occupational Medicine in the University of Toronto’s Department of Medicine. With unique expertise in aerospace and dive medicine she consultants to various organizations including the Canadian Armed Forces and the Canadian Space Agency. She is spearheading Aerospace Medicine training initiatives.

Bruce Sawadsky

Bruce Sawadsky MD
Chief Medical Officer
Ornge

Dr. Bruce Sawadsky is the Chief Medical Officer at Ornge and has over 20 years of experience within the Ontario provincial air ambulance program. His primary focus is clinical care provided in austere environments, such as transport and disaster medicine, as well as the measurement of quality of care and simulation-based training.

Homer Tien

Homer Tien MD FRCPC
Chief Executive Officer
Ornge