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Exercise Canada Paratus Post-​Exercise Report

November 7/2025

Exercise Canada Paratus Lay Summary

Exercise Canada Paratus (ECP) was a pan-Canadian health security exercise that simulated the challenge of maintaining Canadians’ access to care while managing a high and sustained flow of casualties evacuated to Canada for treatment and recovery. This sort of exercise is essential for identifying gaps in our systems, improving crisis response, and building strong working relationships among the leaders that would need to collaborate during a major emergency like a war. Building on the success of Ontario’s Exercise Trillium Cura (ETC) held in 2024, ECP brought together from across Canada, experts from academia, federal, provincial, and territorial health systems, public sector agencies, private industry, and the Canadian Armed Forces (CAF). Together, they explored how to better prepare for the arrival of wounded and deceased individuals, while ensuring that the broader Canadian population continues to receive the care they need.

ECP highlighted the importance of clear governance, coordinated evacuation and triage procedures, scalable health workforce capacity, resilient supply chains (for items like tissue, plasma, blood, equipment, prosthetics, and antibiotics), unique challenges associated with chemical, biological, radiological, nuclear, and explosive (CBRNE) injuries, and tailored mental health and addictions (MHA) supports. ECP also revealed that surgeries will have a focus on reconstructive care and rehabilitation rather than trauma care. It emphasized the importance of addressing a wide range of practice and policy issues to improve civilian-military collaboration. ECP was a critical step toward strengthening Canada’s ability to respond to future large-scale emergencies and ensuring that our health systems are prepared to protect all Canadians in times of crisis.

Read the full report below.

Exercise Canada Paratus Report