||The COVID-19 pandemic has tested Canada's readiness capacity as emergency health needs continue to exceed some communities' capacity to respond. To address this variance, the Canadian Red Cross (in collaboration with local, provincial, territorial, national, and Indigenous partners) have leveraged international experience in humanitarian response and preparedness, developing innovative new response services, delivery modalities, and protocol through which to mitigate and manage risk. This approach breaks down emergency management into two main streams – health interventions and disaster management – to innovatively and effectively cope with increasingly complex and frequent requests for support. Using internal data from within the Canadian Red Cross, this paper presents and discusses the services, roles and expectations of this two-stream approach which has been designed to (i.) support COVID-19 testing and vaccination, (ii.) support outbreak crisis management, especially through epidemic, prevention, and control interventions, and (iii.) support traditional emergency management responses in the midst of a pandemic. It concludes by reporting on the successes of the two-stream approach to date while scoping further the potential evolutionary track of some of these services, their underpinning methodology, and appetite for recovery operations in the near future. This approach may therefore be of value to other organizations or practitioners coping with emergency management challenges during a pandemic.