QAS Insight Magazine - Autumn 2018 edition by QAS Insight Magazine

SPECIAL GC2018 EDITION WITH FOLD-OUT CENTRESPREAD

Autumn 2018

TRADITIONAL WELCOME

FOR QUEENâ&#x20AC;&#x2122;S BATON

Also inside Boonah Station profile

Multi-agency exercise

AAO response protocols

Australia Day QAS honours

13 77 28 | qbank.com.au 6 Please see the Fees and Charges for a list of Standard Transaction Fees. Terms and Conditions and Fees and Charges apply. Current interest rates are available here and are subject to change at any time. The Federal Government’s Financial Claims Scheme (FCS) protects depositors in the event that a financial institution becomes insolvent. The FCS is administered by the Australian Prudential Regulatory Authority, APRA. For further information on the FCS, including limits on the protection level, please visit http:// www.fcs.gov.au. Rate current as at 12 January 2017. QPCU Limited T/A QBANK ABN 79 087 651 036 – AFSL / Australian Credit Licence 241413 – BSB 704052

For each Everyday Plus Account we’ll make a donation of 10 cents every month, paid quarterly, to support local charities, including The KJ McPherson Education and Research Foundation.

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It offers free standard transactions6 and no monthly account fees when you deposit at least $1500 a month.

ION OF THE UT IT TOMER-OWN Y

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The Everyday Plus Account is a transaction account that gives back.

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A transaction account that supports the community. Just like you.

D A Y B A NK

Contents

Features

Regulars Minister’s message

Commissioner’s message

Briefs 4 Paramedic registration

Thank yous

Innovations 24

WIDE BAY EXERCISE

BOONAH STATION PROFILE

GC2018 EXERCISE

FLUVAX 2018

AUSTRALIA DAY 2018

AAO INCIDENTS

HARU 25 Priority One

Happenings 30 Appointments and farewells

Movers and shakers

QAS INSIGHT is published quarterly by the QAS Media Unit, GPO Box 1425, Brisbane QLD 4001. Editorial and photograhic contributions are welcome and can be submitted to: QAS.Media@ambulance.qld.gov.au Autumn 2018 edition contributors: Jo Hales (editor), Michael Augustus, Michael Franks, Andrew Kos, Mel Lindeman, Monica Farrow, Darren Ferguson, Matt Stirling and Rebecca Hamilton. Designed by: Masthead Design & Creative Winter 2018 edition key dates: • Friday, May 18: advertiser bookings • Friday, June 1: supplied artwork received • Monday, June 25: edition released

L-R Chest Seals, Haemostatic dressings, salbutamol metered dose inhalers with spacers and digital nerve blocks.

Front cover: Adam and Karl from QAS are flanked by traditional dancers in Bamaga, following the traditional welcome of the Queen’s Commonwealth Games Baton on Cape York. Photo: supplied Back cover: Before the Commonwealth Games and school holidays comes Easter, as the visiting ‘Parabunny’ eggcitedly reminded staff. Photo: QAS Media

QAS INNOVATIONS

EMERGENCY CALL

Autumn 2018

Minister

Commissioner

I am honoured to take on the role as Minister for Health and Ambulance Services.

Following the 2017 election, I would like to extend a warm welcome to our new Minister for Health and Minister for Ambulance Services Dr Steven Miles. I look forward to working with Minister Miles to continue to deliver quality and timely ambulance services to the community.

Health is a priority for the Palaszczuk Government and I am committed to making sure our health services care for Queenslanders no matter who they are, what they do or what part of the state they live in – because everyone will need the health system at some point in their lives. I think ambos do the most amazing – sometimes difficult, sometimes dangerous – job. So I was proud to sign off on a pay rise that will bring QAS staff in line with the rest of Australia for the invaluable work you do. Our hard-working Queensland paramedics, medical dispatchers and patient transport officers are here for Queenslanders when we are at our worst, so I am pleased to see this well-deserved pay increase implemented.

Progress towards national registration for paramedics also continues. The Paramedicine Board of Australia finalised its consultation on mandatory registration and grandparenting standards in early February. The feedback received is now being considered as the Board prepares its submission to Australian Health Ministers. With the Gold Coast 2018 Commonwealth Games almost upon us, I would like to thank all QAS staff involved in preparing for what will be the largest sporting event held in Australia this decade. Organising the QAS response has been a major effort – with 460 paramedics, plus additional support staff, rostered on for more than 3,700 shifts across a range of venues. The preparations have been intensive. QAS has participated in over 70 readiness exercises and prepared more than 100 vehicles, 200 GWN radios and 750 response bags in the lead-up to the Games. The new Bicycle Response Team (BRT) will also be in action at GC2018. I was pleased to launch the Brisbane BRT at Parliament House this month. It’s a great new model of service delivery that will enable QAS to respond quickly to emergencies in the CBD and during major events, festivals and celebrations. Between July 1, 2017 and January 31, 2018, QAS received 492,825 Triple Zero calls (000) – that’s a record number of calls. Despite this increased demand, a record number of people are receiving treatment within clinically recommended timeframes in Queensland. I want to thank all of you, for your continued hard work day-in-andday-out. You provide an invaluable service to Queenslanders.

Hon. Dr Steven Miles mp Minister for Health and Minister for Ambulance Services

Autumn 2018

I also acknowledge the support for QAS by former Minister Cameron Dick, now serving as Minister for State Development, Infrastructure and Planning, and Minister for Manufacturing. The 2017-18 financial year has seen a number of achievements, which is a testament to the dedication and hard work of our staff. I extend my heartfelt appreciation to you all. The formation of the Queensland Ambulance Service Certified Agreement 2017 has enabled QAS to achieve fundamental change and improvement to the industrial landscape and classification structure. I am proud of the commitment, time and energy that went into the negotiations, that has now seen QAS operational staff among the highest paid paramedics in Australia. Approximately 100 additional officers have been recruited and deployed to enhance roster coverage for the 2017-18 financial year. Additional staff enhancement positions were announced for the South East Queensland Emergency Care Action Plan and for the Brisbane Metro North Bicycle Response Team. Professional training has also been delivered to more than 3,700 operational staff and we have distributed replacement iPads (32Gb iPad Pros) to operational on-road officers to improve staff mobility. We completed the statewide rollout of the new QAS electronic Ambulance Report Form and distributed 73 additional satellite press-totalk radios within rural and remote locations. Other achievements include over 90 per cent of our Triple Zero (000) calls answered within 10 seconds. Meanwhile, the use of Droperidol is resulting in the reduction of adverse effects for patients. Exciting staff initiatives include the delivery of the QAS Clinical Practice Manual update 2017 version 2, which ensures our service remains contemporary with pre-hospital care standards. Our zero tolerance approach to acts of occupational violence against staff is also paying off. Latest figures show an 8.8 per cent reduction in incidents compared with the same period in 2016-17. Finally, I wish all staff and their families a very Happy Easter. For those that are working, a special thank you for your ongoing dedication to the organisation. Please stay safe if you are travelling on the roads.

Russell Bowles asm QAS Commissioner

Foundation for the future

Certified Agreement heralds a new era The QAS Certified Agreement 2017 heralds a new era for the Queensland Ambulance Service and its employees.

Importantly, it was also achieved through an unprecedented collaborative process that will set the benchmark for future enterprise bargaining negotiations. Manager Industrial Relations Drew Peters said the Agreement delivered several key outcomes for QAS, United Voice Queensland (UVQ) and the workforce that would deliver benefits now and into the future. This included a new classification structure linked to wage increases and organisational standards for professional conduct, leadership and coaching. “The initial negotiation meeting set a tone of professionalism that continued throughout the process and the outcomes of the Agreement are evidence of this level of engagement by both parties,” Drew said. “There was a genuine commitment to conduct a mutually beneficial process that was evidence-based and underpinned by shared values and a shared information set. “One of the key outcomes is that the new wages will be among the most competitive in Australia in relation to our peers in other jurisdictions, and equally as important, the new classification structure will be reflective of the requirements of the service for the future. “We have seen new increments for staff to aspire to, as well as opportunities for new roles and growth within roles. “The movement towards national registration will see a shift in the level and expectation of professionalism for officers and the increase in remuneration resulting from the Agreement helps to align to this professional model.

“To fully realise the benefits of the additional pay points and progress further along the development structure, officers will be expected to meet a certain level of expectation in relation to supporting the organisation, through a commitment to professional conduct, leadership, and supervision and coaching of junior staff.” Central Queensland Local Ambulance Service Network Senior Operations Supervisor Alistair Vagg played a key role in the negotiation process on behalf of UVQ. Alistair said he and fellow UVQ delegates found the process incredibly positive in comparison to previous arbitration processes in 2009 and 2012. “We’ve never conducted a process in such depth before and with such a commitment from all parties to using evidence to inform decisions. It gave a us a good platform to start from and ensured there was no room for claims that weren’t supported by the evidence,” Alistair said. “Our aim was to ensure that our staff were remunerated and rewarded for the fantastic job they do on a day-to-day basis and I’m very pleased that we’ve achieved that outcome. “It also provided an opportunity to enact some structural changes with the new classification levels that will set QAS up for the next 10 years or more. “The genuine engagement between the people involved in the enterprise bargaining negotiations was complemented by a process of continued engagement with staff around the state. People became more and more engaged as the process went on.”

Autumn 2018

Briefs Krystal leading the way Krystal Smith commenced the Indigenous Paramedic Program (IPP) back in 2012, obtained her Certificate IV in December 2014 (pictured) and became a fully-fledged ACP2 in May 2015. From there, Krystal took it upon herself to study through university, recently obtaining a degree in Paramedic Science. Earlier this year, Krystal made merit through the Supervisory Recruitment Campaign and is the first Officer-inCharge (OIC) to have come through the IPP. She works at Normanton Station, North West LASN, where she continues to serve her community and be a role model for the up-and-coming Indigenous paramedics.

Samfordâ&#x20AC;&#x2122;s 15th birthday bash!

Congratulations to the Samford First Responders Group which recently celebrated its 15th anniversary! The Group formed in 2013 with 14 men and women from the Samford community. Over the years there have been 26 first responders, two of whom have gone on to become QAS paramedics. Both group and individual Samford First Responders have received numerous awards and certificates of recognition and appreciation, including the Australia Day Certificate of Appreciation on January 26, 2006. To date, the Samford First Responders have been dispatched to 8,628 cases and they have clocked up around 172,000 volunteer on-call hours plus training and meetings. The Group is dispatched to around 60 cases a month, with 60 per cent being life-threatening calls.

Autumn 2018

Briefs

BRT launched in Brisbane too Queensland Ambulance Service’s new Bicycle Response Team (BRT) made its debut in Brisbane City on February 26 following a successful trial on the Gold Coast. The team currently consists of five paramedics and is tasked with responding to incidents in the CBD, Fortitude Valley, Spring Hill, New Farm and South Brisbane – whether they be in parklands, shopping precincts or private residences – and providing assistance during major events, festivals and celebrations. The officers treat patients who don’t require transportation to hospital as well as provide initial care until other resources arrive for those who need further medical assistance. QAS Commissioner Russell Bowles said a successful trial of a BRT unit on the Gold Coast allowed for the expansion to Brisbane. “The team on the Gold Coast has come to know the area extremely well and has been able to respond to many cases within a matter of minutes by using bikeways, paths and malls to beat the traffic,” the Commissioner said.

“We expect the Brisbane team will be able to operate in a similar way – utilising the many bike lanes and river crossings like the Kurilpa Bridge and Goodwill Bridge to respond to cases.” QAS had received an overwhelming response from paramedics wanting to be part of the team and the five who were selected are keen cyclists, with a broad scope of clinical skills and experience. The BRT work in teams of two covering a 10-hour shift, seven days a week. They have hardtail mountain bikes with safety livery and lighting and they respond to jobs with a primary response kit that includes an automatic external defibrillator (AED), advanced airway kit and major/minor trauma kit. The team also has access to a customised support vehicle fitted out with extra equipment if they need to be deployed. The BRT trained with Queensland Police’s experienced Bike Squad, learning bicycle maintenance and riding techniques and skills.

Welcome, new EMD recruits!

Thumbs up to Group 108, our latest intake of Emergency Medical Dispatcher recruits. The members of this group come from a diverse range of backgrounds – such as defence, finance, government and entertainment – and are working in Operations Centres around the state.

Autumn 2018

Paramedic registration: National Paramedic Registration update

Article title

Queensland Ambulance Service is continuing to support its paramedics, the Department of Health, the Paramedicine Board of Australia and the Australian Health Practitioner Regulation Agency (AHPRA), in the transition for paramedics to a regulated environment. We outline here recent work in this transition. Recent events 1. October 2017 – the QAS project team began visiting regional LASNs to provide information sessions on the journey to regulation and registration. 2. November 2017 – the Paramedicine Board of Australia (the Board) decided on a two-phase consultation approach for the mandatory registration standards. The first phase would be a targeted distribution to key stakeholders. 3. In December 2017 the Board circulated consultation papers on the following mandatory Registration Standards, with a closing date of February 8, 2018:

• English language skills • criminal history • professional indemnity insurance arrangements • continuing professional development

QAS support actions for regulation/registration to include: •

LASN information sessions commenced in October 2017 and the latest presentation was delivered in Townsville on February 1, 2018. The project team found a high level of interest from all participants and will deliver further information at future workshops.

•

The AHPRA national project team has set up an interjurisdictional Employer Reference Group (ERG), which will explore issues relating to national regulation which may impact on paramedic employers across the country. The ERG will also consider ways to complement the registration validation process through provision of key data to the Board and AHPRA.

AHPRA/Board actions •

The AHPRA project team has designed a poster outlining key aspects of eligibility for registration which is now available online and will be distributed in hard copy to ambulance services around the country including QAS.

•

The AHPRA project team with members of the new Board conducted a webinar held on February 6, 2018 to provide information on the new registration standards and process. This webinar was attended by a large number of paramedics across the country and is available for download. The project team has also been providing regular e-news bulletins concentrating on the registration standards and the regulation process.

• recency of practice.

In addition the Board also circulated its proposed standard for grandparenting which is similar to other Boards’ standards used in earlier inclusions of professions to the scheme.

Am I eligible for registration?

4. On February 8, 2018, consultation on the mandatory registration standards was finalised and the Board began the process for seeking Ministerial endorsement.

The Paramedicine Board of Australia has issued a flyer mapping eligibility requirements under key ‘qualified’ and ‘suitable’ criteria. Please review the flyer and information opposite which provides further advice for QAS ambulance staff.

A brochure and poster containing further information can be found at: www.paramedicineboard.gov.au/Registration/Am-I-eligible-for-registration.aspx

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Bill passed by Queensland Parliament Legislation received Royal Assent

Paramedicine Board of Australia members appointed

Autumn 2018

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Department title / section / topic

Am I eligible for registration? The Health Practitioner Regulation National Law, as in force in each state and territory (the National Law) sets out eligibility requirements to be registered as a paramedic. In addition, the Paramedicine Board of Australia (the Board) has registration standards, which detail requirements of gaining and maintaining registration. While the final decision is with the Board, this is a good starting point to determine whether you are eligible for registration.

To be eligible for registration, you must be qualified and a suitable person The National Law requires that, in order to be qualified for registration, you must satisfy one of the following:

The National Law specifies that a suitable person to hold registration can meet all of the following criteria:

You must hold an approved qualification

You have no impairment that, when practising, would be a risk to the health and safety of the public.

These are compiled in a list determined by the Paramedicine Board of Australia (the Board).

or You must hold an accepted qualification This is a Diploma qualification issued by the NSW Ambulance Service.

or You must satisfy the Board that you are qualified or competent to be registered by: holding an adequate qualification or holding a qualification and have also completed further study, training or supervised practice required by the Board

You have no criminal history that the Board deems as making you unsuitable for registration. You don’t have outstanding regulatory issues including disqualification, cancellation or suspension as a health care practitioner in any jurisdiction. You have suitable English language skills. You satisfy the Board’s recency of practice requirements. You satisfy the requirements of all of the Board’s registration standards about suitability for registration.

or completing five years of acceptable practice in the last 10 years.

You are not for any other reason not a fit and proper person or not competent to practise safely.

Autumn 2018

Wide Bay ‘crash’ tests multi-casualty skills QAS joined with other emergency services and community organisations in mid-December 2017 to prepare and build capability to respond to multi-casualty incidents.

Background

■ The exercise was held in a semi-rural location but the scenario was an urban one. Opposite page

■ In both their ‘injuries’ and behaviour the ‘victims’ of the ‘crash’ certainly entered into the spirit of the exercise.

Photos: QAS Media

The joint training exercise mimicked a major traffic crash in the Bundaberg CBD involving a vehicle crashing into a café strip as a result of a cardiac arrest, and tested the effectiveness of how emergency services would expect to respond to a multi-casualty incident. QAS Clinical Support Officer Kylie Cooke said the objective was to create a realistic scenario to provide real-time training to professional emergency services crews. “We had six crews responding to this mock incident and our paramedics needed to assess, triage and treat 25 patients before transporting them to hospital,” Kylie said. “An incident of this nature requires us to activate our Local Ambulance Coordination Centre and practice forward command and control at the scene.

“We need to be ready for any range of scenarios, which is why it is so important to create realistic training exercises.

Autumn 2018

“In Bundaberg we are well versed in emergencies, particularly major weather events, but there’s also the potential for a multi-casualty incident given our outdoor lifestyle and the region’s industries. “Training like this allows us to practice and fine-tune the execution of our procedures and management of multi-casualty incidents.” The exercise also involved other agencies including the Queensland Police Service, Queensland Fire and Emergency Services and the Wide Bay Hospital and Health Service. “It’s vital emergency services work together during training exercises to ensure skills are tested and maintained and communication across all agencies is effective,” Kylie said. A debrief was held following the exercise to evaluate and review the execution of processes, procedures and operations.

Wide Bay multi-casualty exercise

Autumn 2018

Station Profile: Boonah Not only do the paramedics at Boonah Ambulance Station get to admire breathtaking country scenery each shift, they also experience a wide variety of call outs, many of which involve serious trauma. Boonah Ambulance Station Officer-in-Charge Russell Pavey said the station services parts of the Scenic Rim that includes the Cunningham Highway, rural roads and a motorbike riding park, resulting in crews responding to many serious trauma cases involving motorcycles, cars and truck crashes. “The incidents we attend range from rollovers to head-on crashes and vehicles going over the side of the road,’’ Russell said. Aside from the serious trauma, the Boonah crew has attended six cases involving decisionsupported fibrinolysis since December 17, 2016.

■ ‘Off road’ can mean many things to the Boonah team.

“Each of the five officers at the station has been involved in at least one fibrinolysis case,’’ Russell said. “The most recent case involved a female patient at Lake Moogerah and the one before that was at the lower portals of Mount Barney late last year. “The paramedics had to leave the ambulance at the car park and then walk three kilometres to treat the patient. After they completed the fibrinolysis, the patient was airlifted to hospital.”

BOONAH

Right

■ The marker on this 2D Google Maps satellite view shows the coordinates of the Mount Barney fibrinolysis call out, 30km south of Boonah. Background

■ Boonah Station’s territory is bordered by the steep cliffs of Cunningham’s Gap and the Main Range National Park, here shedding its overnight low cloud and fog in the first light of the morning.

Autumn 2018

Russell said the Boonah team– including Mark Benstead, Paul Tiffany, David Greenwell and Tony Stubbings – are close-knit and have a wealth of experience between them. Four of the paramedics have over 20 years’ experience and one has more than 10 years’ experience. Russell has been a paramedic for more than 20 years. He joined the service after a successful career as a certified practicing accountant. He has served at Redbank and Oxley stations and has been the OIC of Boonah Station since November 2015. Below

■ OIC Russell Pavey on a picturesque roadside pause.

Left

■ In the field – literally – as Wayne Kirk and Paul Tiffany work with a flight paramedic on a trauma patient. Below left

■ ACP2 Tony Stubbings believes laughter is the best medicine for children with cancer. Below

■ At last year’s Rotary Emergency Officer of the Year Awards (left to right): Mark Benstead (Boonah), David Greenwell (Boonah award winner), Stephen Kliese (Ipswich award winner), Leigh Fowler (Ipswich), Drew Hebbron (former West Moreton LASN Chief Superintendent) and Boonah OIC Russell Pavey (award-winner).

Russell, who received a Humanitarian Overseas Service Medal for his work as a volunteer paramedic in East Timor in 2001, said all of the Boonah paramedics are, or have been, involved in community volunteering work in one way or another.

Photo: Adobe Stock / Janelle

Tony Stubbings is involved with Camp Quality work for children with cancer and Paul Tiffany and David Greenwell volunteer with their local Rural Fire Service brigade.

Meanwhile, last year Russell was awarded Community Ambulance Officer of the Year and David Greenwell was named peer-recognised Ambulance Officer of the Year at awards hosted by the Rotary Club of North Ipswich. Mark Benstead was also nominated for an award at the event which recognises outstanding work by emergency services throughout Ipswich and the Brisbane Valley. Russell said that Boonah also has a fantastic Local Ambulance Committee and First Responder Group.

Above

■ Some of the volunteers including LAC members and first responders who attended a training day at Boonah Station in 2017.

Rear left to right: LAC members Gregory Taylor, Marilyn Yarrow, John Brent, Barbara Allen-Guthrie, with first responders Beverley Wigginton , John Alexander, Jennifer Hanley and Ian Pask.

In front: OIC Russell Pavey and ACP2 David Greenwell.

Autumn 2018

Station Profile: Historical Boonah Information below extracted from History of the Queensland Ambulance, compiled by Ernest Bradley. In July 1906 the Boonah Progress Association wrote to the Brisbane Centre seeking information about the operations of an ambulance service having in mind the establishment of a service in Boonah. No further action by Boonah residents was taken until 29 August, 1922 when a public meeting was held in the Boonah Shire Hall to consider the question of establishing a local QATB Centre and to meet the General Secretary (Captain E R B Pike) and the Treasurer (Mr W D Grimes) of the QATB Executive who were present to explain the aims and objectives of the brigade and to offer assistance if needed. It was explained that the Executive Committee would lend the sum of £50 for current expenses and pay the deposit on a new ambulance vehicle. At a meeting held in the School of Arts Library on 19 September, 1922 supporters for a service decided to accept the generous offer of the QATB Executive and to take the necessary steps to establish an ambulance centre at Boonah.

12 Top

■ Boonah’s beautifully restored 1959-vintage Holden FC. Above

■ One of Boonah’s first ambulances, displayed at the annual Boonah parade last year to celebrate the 125th anniversary of ambulance services in Queensland.

At this meeting the following persons were appointed to a Provisional Committee to give effect to the wishes expressed at the meeting – Messrs J Daley (Chairperson), AEA McCahon (Treasurer), R Betts, R Gray, JE Hendry, A Korner, H Kruger, J Lawlor, H Watson, and Doctors Fraser and Lilley. The duties of the Provisional Committee terminated on 30 June, 1923 when in pursuance of brigade rules a committee of seven members was elected. Mr J Daley remained as chairperson until 1957.

Autumn 2018

Ambulance Officer Cyril Mills of the Mackay Centre was appointed superintendent and secretary at Boonah on 2 October, 1922 and took up duty on 27 October. One of his first tasks was to canvas the district for funds. He did this on horseback. The first ambulance vehicle arrived in December 1922 and the first transport call was to Mrs and Miss Roberts of Ayr who were holidaying in the district. The car had a bad start and collided with a train at the Park Street crossing. During the first year of its operations the committee established honorary centres at Kalbar and at Cossart and Sons Sawmill with Honorary Officers N Lavery and J Dixon in charge. Honorary Officer C Stubbin was also appointed and he became a member of the permanent staff in 1926. The longest serving honorary officer was Mr H Krause who for many years was attached to the honorary centre at Kalbar. He retired in 1977 after having been associated with the brigade for more than 50 years. The brigade was housed for about two years in a residence owned by Mrs Schiel in Park Street. In August 1925 the committee purchased the present building which has been altered considerably since then. Upon his death in 1963, Superintendent Mills was succeeded by Superintendent Bill Hendry of the Taroom Centre. Superintendent Hendry passed away in 1972 and Superintendent Allen Pitt of the Biggenden Centre was appointed. Superintendent Pitt resigned in 1985 and his position was led by Superintendent Noel Pegg of Charleville. Superintendent Pegg resigned in 1990.

Station profile: Boonah

BOONAH: FAST FACTS Location Boonah is located in the Scenic Rim and enjoys a breathtaking mountain and country backdrop. The Scenic Rim’s attractions include national parks such as Mount Barney, Main Range and Moogerah Peaks as well as Lake Moogerah and Lake Maroon. Boonah Station is on Coronation Drive.

LASN Boonah Station is one of nine permanent stations in the West Moreton LASN which covers 10,000 square kilometres and is managed by Chief Superintendent Tony Armstrong.

■ Little visual difference in the vehicles but the images show Boonah Station around 1929 (above) and at the end of the war in 1945 (below).

Complement OIC: Russell Pavey. He was appointed to this position on November 2, 2015. Four Advanced Care Paramedics: Paul Tiffany, David Greenwell, Tony Stubbings and Mark Benstead. Five first responders: John Alexander, Ian Pask, Anthony Hanley, Donald Young, Beverly Wigginton.

Vehicles

Photo: Adobe Stock / maytheevoran

• one double-stretcher ambulance • one single-stretcher ambulance • one 4x4 ambulance.

■ Much lusher surrounds for the present station (below), with expansive views from the carpark south across Boonah towards Mount Barney.

Additional information below supplied by Mick Davis from the QAS Wynnum Museum. On the formation of the Queensland Ambulance Service from the QATB on July 1, 1991, Boonah Station transformed from a ‘self-governing’ QATB Centre administered by an elected community-sourced QATB Committee to a station within the new QAS South-East Region under the first SE Regional Assistant Commissioner Barry Bryant (formally Superintendent Bryant of the Beenleigh QATB Centre). The new regional office was in Beenleigh. Boonah has had a number of Officers-in-Charge since 1991, with the current OIC being Russell Pavey.

Background

■ Panoramic view towards the rugged escarpments of the Scenic Rim from the popular lookout on Mount French (579m above sea level), 8km to the west of Boonah.

Autumn 2018

Below

â&#x2013; Senior executives from across the Queensland emergency services spectrum gathered at the end of the exercise with Health and Ambulance Service Minister Dr Steven Miles and Gold Coast 2018 Commonwealth Games Chairman Peter Beattie.

Photo: QAS Media

Y C N E G LTI-A

E S I ERC T

EXLD COAS GO

18 0 2 y ar u r b fe

GC2018

READY

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â&#x2013; Minister Miles joined by frontline team members from the various services as well as clinical staff from the Gold Coast University Hospital. Photo: QAS Media

Flu season ahead … With the wacky weather of Queensland’s late Summer spilling over into an equally unseasonal Autumn – bringing sapping heatwaves and flooding rains – it may be easy to overlook the next threat to personal and public health. How to protect yourself and your patients from the flu • Get your annual flu vaccination • Use your PPE (Standard + Droplet Precautions when patients have flu symptoms) • Maintain good hygiene (especially hand hygiene and cleaning equipment) • Do not attend work if you are unwell

Where can you access your flu vaccination • Medimobile Vaccination Clinic Medimobile has previously been used for flu vaccinations and will be used again this year. This is a clinic you can attend for your vaccination and will not have to pay as it is billed direct to QAS. • Your local GP clinic

Attend your local GP and get your flu vaccination. QAS will refund you the cost of your vaccination once a reimbursement form has been completed. Forms can be accessed via: https://qas.psba.qld.gov.au/finance/reimbursements/Pages/default.aspx • NEW in 2018! Nurse Immuniser Feasibility Pilot This year a feasibility pilot will be conducted in the Metro North, Metro South and Gold Coast LASNs. The pilot will involve vaccinations administered by dual-qualified Paramedic/Registered Nurses (Immunisation-Accredited) that will be stationed at key locations over a five-day period in May 2018. More information will be available closer to the date. • Other options Vaccination through local HHS emergency departments.

Autumn 2018

QAS LEGACY

Zac Leto’s ‘awesome’ legacy “Yeppoon residents were left in a state of shock yesterday as news hit of the tragic passing of popular paramedic Zac Leto and his three-year-old daughter Ashley. His wife Louise survived the crash and has since discovered she is pregnant.” ~ The Rockhampton Morning Bulletin, May 13, 2005 Queensland Ambulance Service Legacy Incorporated is a charitable organisation that provides a range of services to QAS families, like Louise and Craig Leto, who have suffered the loss of a loved one. QAS Legacy is there to help the spouse and children who are left behind.

Other funding comes from bequests and taxfree donations, often from retired ambulance officers, Local Ambulance Committees or members of the public expressing their appreciation for work done by ambulance staff in the community.

Below

■ Cadet Craig Leto does his late father proud, in his naval cadet uniform on the Hobart docks, with the wooden brig “Windeward Bound” behind him.

Photo: Louise Leto, by permission

Craig Leto is a fun-loving, energetic 11-year-old who has just realised his dream of joining the Navy Cadets. He is also one of four QAS Legacy Scheme Legatees from three QAS families who receive annual Education, Technology and Extra-Curricular Activities Grants. “Oh my gosh, when he first walked up with his uniform on I had no words ... just tears,” said Craig’s mother Louise from their Tasmanian home where they now live.

“He is so excited, he gets to march in the Hobart ANZAC march this year, and next year he is hoping to be picked to march in the Canberra ANZAC march with cadets from all over Australia. “I am so proud of him; Zac would be beside himself if he could see Craig as he develops into such an awesome young man.” Louise, like the parents of the other QAS Legacy Scheme Legatees, is extremely grateful for the support they receive from QAS Legacy Scheme members and the connection it enables them to maintain with the broader QAS family. QAS Legacy Scheme provides ongoing support to ambulance family members across the state. The QAS Legacy Scheme is predominantly funded through fortnightly tax-deductible payroll contributions from current members.

To join or donate, visit the QAS Legacy Scheme website: www.qaslegacy.org For updates on QAS Legacy Scheme activities visit: www.facebook.com/QASLegacy/

Autumn 2018

Tip-top Baton welcome QAS IS GC2018 READY In April 2018 the Gold Coast Commonwealth Games (GC2018) will welcome more than 6,600 athletes and officials from 70 Commonwealth nations and territories.

Above

■ Assistant Commissioner Commonwealth Games Gerard Lawler asm Above right

■ QAS staff at the Kedron Emergency Services complex welcomed the Queen’s Baton on January 11. Below

■ Drone’s-eye view northeast spanning Southport (left) to Broadbeach (right) from above Carrara Stadium, ready to receive athletes and visitors for the CG2018 Opening Ceremony on April 4.

Behind the scenes at the QAS Emergency and Fleet Management Precinct at Geebung on Brisbane’s north side, a small team of staff has been quietly preparing the massive logistical effort which will underpin the operational GC2018 deployments, assembling thousands of individual items to equip the hundreds of QAS staff and dozens of vehicles ready to stand up for the Games. Students from Aspley Special School lent many a helping hand too, assisting with packing the 750 kitbags to outfit QAS teams

Adam and Karl from QAS were joined by their QPS colleagues and local Torres Strait Islands rangers for the arrival of the Queen’s Baton at the northernmost tip of Queensland and later attended the welcome ceremony given by the Injinoo community.

Visitors will descend on the Gold Coast, Brisbane, Cairns and Townsville to attend the largest sporting event Australia will witness this decade.

The Commonwealth Games program has QAS engaging with stakeholders from around the world. It is unique, dynamic, fast-moving and still evolving.

In 2017, I was appointed to the role of Assistant Commissioner Commonwealth Games, to operationalise the QAS response for the Games. In conjunction with GOLDOC, partner agencies and many non-Government organisations, we are working together to deliver pre-hospital health care and transport services to the Games and all associated events.

The Games provides opportunities for all paramedics responding, and those involved in the planning, to share experiences and build relationships with a diverse team in a fullyinclusive multi-sports program.

Throughout my career of over 40 years in emergency medical services, including senior roles at both LASN and state levels, I have seen great changes to our organisation and delivered many major projects; the Games response is the most dynamic project I have witnessed and of which I have been a part. With our vision- to deliver excellence in ambulance services, the QAS is committed to deliver the level of service the Queensland community expects and deserves. The additional challenges and expectations placed on the QAS to provide a safe and secure service during the Games are significant, and I am humbled by the dedication and determination of all involved as we work together to ensure the Games is a success for the QAS and the community.

The Games will leave a substantial legacy for the QAS, long after the Closing Ceremony has finished. We could not deliver a project of this scale without the commitment of the broader organisation. The support of our senior executives, management, teams from LASNs across the state, and Corporate Services has been outstanding. I am proud to be involved in such a dedicated response, I thank each and every one of you for your personal contribution to the success of the Games and I hope the experience is enjoyable and valuable for all involved.

Gerard Lawler asm Assistant Commissioner Commonwealth Games

QBR • Queen’s Baton Relay

GC2018

Day 68 / March 3 – arrives on Thursday Island

READY

QBR: 19 IAPs Incident Action Plans

tor c ire

d n a

Utilisation and storage requirements

r Se PLAN NING rvice Plann and ing and LOG Perform IST ance ICS

exercises planned; 65 completed* *as at March 6, 2018

(Day 7, April 10)

e ur ct

ru st fra

meals for staff in venues

320

most staff on single day

500+

750+

Kit bags

2,100+

Operational staff

em ur oc Pr

MCM Caches

+ HR

Staff movements to/from venues

Drug Management Schedule

HARU

response

BRT Officers

GWN radios

200+

Mobile phones

1,630 Games shirts

PRKs

Roving backpacks

Beach Volleyball

CUR • Currumbin Beachfront

BLB • Broadbeach Bowls Club

Athletics / Walking / Cycling (road)

Lawn Bowls

QSV • Anna Meares Velodrome, Chandler Cycling (track)

BURLEIGH HEADS

SBP • Southport Broadwater Parklands

GCE • Gold Coast Convention and Exhibition Centre

Marathon / Triathlon

Shooting

THE BROADWATER

20+

additional BAU support crews

COL • Coolangatta Beachfront

AEDs

+ Procurement + OSU assistance + ICS Programs (development of TEAMS APP and SWAY program with Microsoft) BEL • Belmont Shooting Centre

350+

rooms booked 5 different properties

+ Planning and Reporting + Audit and Risk Management

es ic rv

200+

270–300

staff transport to/from venues per day

tions

Event Plans completed including QBR

doctors, nurses + first-aiders

pera

60+

CE IGEN

2,800

Officers trained in AIIMS

Australasian Inter-Service Incident Management System

1,500+ Emergency

TELL

100–200

meals per day to BOO

NO LAS

Paramedics rostered

/ FCCPs

rd Ca

460

shifts planned

Aeromedical retrieval

te ra

107

Vehicles deployed

Laptops

3,700+

Com miss i on e

Syndromic Surveillance Dasboard

IN and

QAS engaged for QA

r Co

Deput y

Public health

iROAM

‘bed nights’ booked for staff

Officers accredited

Emmanuel College

IO AT

Base-of-Operations established

logistics hub established

2,100+

d an

140+

Officers trained as Commanders

Paul Hutchinson Manager Business Support Cairns and Hinterland LASN

ce an Fin

100+

630

BOO

Officers trained in Emergency Management Leadership

RE and Office of GO the Med VE ical D RN irec AN tor CE

tate er S ion iss mm Co ty pu De

GPIPs Gr 52 recruited

TAFE:

500+

Drug Safes for in-venue and BOO

liaison

TEN • Townsville Entertainment and Convention Centre

BATON-BEARER CAIRNS

staffed

Incident Action Plans

Basketball

JESCC/SIMR

Contracts and MOUs

CommGames

GC2018: 39 IAPs

Adam Marston OIC Bamaga

M D A

Basketball

S te

CLINI CAL CA

S C I T IS G LO

D ive t u ec x E

CCV • Cairns Convention Centre

BATON-GREETER THURSDAY ISLAND

ra rpo

s ice v r e

N O I T A R T S INI

Netball / Basketball (finals)

GAC • Optus Aquatic Centre Swimming / Diving

BATON-BEARER KINGAROY Noel Edmonstone ACP2

GHC • Gold Coast Hockey Centre

Hockey

QBR • Queen’s Baton Relay

Day 100 / April 4 – arrives at Opening Ceremony

CSC • Coomera Indoor Sports Centre Gymnastics (all) / Netball (finals)

OXN • Oxenford Studios Boxing / Squash / Table Tennis

CGV • Commonwealth Games Village GCUH • Gold Coast University Hospital

NER • Nerang Mountain Bike Trails

Cycling / Mountain Bikes

CAP • Carrara Stadium

Opening & Closing Ceremonies / Athletics

CSL • Carrara Sports & Leisure Centre

Badminton / Weightlifting / Para powerlifting / Wrestling

ROB • Robina Stadium Rugby Sevens

N Gold Coast background map scale approximately 50km from left (north) to right (south); venue locations are indicative only. Planning and Mobilisation data are correct at time of printing and are subject to operational changes. Graphics/infographics: Matt Tesch

THANK YOU :) I just want to say a big thank you Everyone has different levels of success. For me, success can never be achieved unless you have the desire to Just want to say a big thank you toto thethe ladiesparamedics in Gladstone and Brisbane – including Lauren Oates, initiate it. The amazing work and commitment from staff (Corinne Wilkes, Kate Olive and Candice that continuously results in appreciation letters we receive Samuel Boileau) that came to my house this morning Richardson, Bianca Commissioner’s thanks I would sincere from members of the public, makes me constantly aware like of to pass on my(July Robinson 19) for my little girl and the dispatch guy – for taking amazing thank you to the QAS staff (David again, 2017 saw another whatOnce accomplishments we have made as an organisation.

(Jamaine Prieditis) who helped meprofessional stay very care of me over the last year of patients, patient’s relatives, Curtis, Kellie Baker, Peter Hill and friends or associates taking the time calm. They do an amazing job and I really during my health journey. This month has seen an influx of thank you letters, with Anderson) who attended week Mathew to share with us the high level appreciated them being so fantastic. 304 letters received to date and 609 letters and of service they this haveyear received my husband, Nicholas, after he Wade, South Gladstone emails of thanks sentfrom to staff our members. staff. suffered a cardiac arrest at home. Kristie, Morningside 454enough emails for / letters Duringthank 2017 1you I cannot all your hard work. They were absolutely amazing of appreciation were received and with their service and their care of emails Russell1,091 Bowles ASMof thanks were sent to staff members who Nick. They did everything to help Massive shoutout and a huge thanks QAS Commissioner attended these incidents. him and worked tirelesslyI to wantget to send a quick thank you toto thethe crew (including Our service is often required during him to hospital. Sadly, he paramedics passed (Chantal Greaney and paramedics Nicholas Burgess and Melissa an extremely stressful time for those away 16 days later. we are attending and for them to Dajic) who assessed my son and took him Parkinson and critical care Robert want to share their excellent patient I would just like to praise to the staff hospital on Wednesday night (July 12). It I would like to take the time to express our thanks paramedic Ian Tucker), that came care experience story is proof members for their wonderful work was the first time I have ever had to the on Monday night. to various QAS officers for their attendance you are continually striving tocall me toand achieve our at excellence in home birthand professionalism. Thank you toand I was quite nervous in doing so ambulance assistance our unplanned Fast and aggressive treatment for ambulance services vision. them again. – worried I was overreacting and wasting the on 4/9/2017. I commend the Triple Zero officer a severe asthma attack by the team This year is also off to a great start time. The two ladies who attended (Julie Ricardo) for her efficiency and ability to Lola and family, Logan paramedics Reserve with 75 emails / letters of thanks meant I have just been discharged 2 our home were so calm and reassuring. They reassure us received that help was on the way and clear so far.

hospital (around 48 hours quickly assessed my son and took from us to Lady

instructions in the meantime. Tammy (Olsson) I take this opportunity to thank you on scene approximately forarrived your continued support in 5 minutes achieving our Queensland following the birth of our son Woody and I would Ambulance Service vision. like to commend her professionalism, calm in Russell Bowles the situation and ability toasm treat me as a fellow QAS Commissioner being rather than just a patient. She was caring,

Cilento, all the while distracting myahead son withof usual recovery).

Wiggles videos and calming a nervous and so much! I’m forever Thanks panicked mum. Thank you for suchgrateful excellent to all the guys who service and care!!! I don't believe this service

attended.

gets the recognition it deserves for all the work your paramedics do.

compassionate and efficient. I appreciate Tammy

Katrina, Nerang

arranging for our transfer through to Hervey Bay Hospital. Arto31, (Hirsimaki) 1 Data from JanuaryI1believe to December 2017. 2

Hi! My name is Terra and IAmanda, just Wellington Point and another

wanted to say a big thank you (Andrew Rach) assisted Data officer from January 1 to February 28, 2018 with my transfer

to the two paramedics and first from Hunters Hut through to Hervey Bay and responder who rescued me after I found Arto to be very attentive to my needs I would like to personally thank Just want to give a shout out to the LARU officer ankle at this time considering I was having much breaking and dislocating my QAS paramedics who who attended my home on Monday the (August difficulty. I hope our message can reach theduring my solo walk around attended my hubby and His Coast name was Steve (Kliese) and we are Australia last year on the 21). Gold individual officers involved. Thank you to QAS for

him to hospital at in the Ipswich caring, Hinterland great walk between the area. He was prompt, transported the important work you do I know we certainly Dayboro (Peter Fletcher, Louis Numinbah Correction Centre and compassionate, empathetic, funny and the list needed the service on this day! Our little man Binna Woody is doing great settling in at home with his Burra.

goes on. He had me reassured withinRoza minutes. and Maryanne Szwinto).

If my thanks could be passed to his OIC that older sister Anna, feeding and sleeping well. They needed the 4WD ambulance They were so wonderful to myself would be appreciated. from Springbrook. and my hubby and I just wanted Darren and Kate, Lakeside Terra Roam to let them know James is doing Des, Silkstone more than s wa really well. am Ro , Terra a In August 2017 around Australi lk wa lo so r he So thank you for being amazing halfway into ed, fell and tunately slipp 36 QAS Insight SPRING 2017 when she unfor and compassionate and e. g her ankl she was and badly injurin ew exactly where understanding. You all did a kn e sh ) te, 00 rou ero (0 ped out her to call Triple Z Terra had map vice to be able QAS_Insight_Magazine_SPRING_2017_DRAFT3.indd 36 11/10/17 8:43 pm We both deeply marvellous job. ser . e ed on ed ph ne d if ha B e IR thankfully sh she had an EP s out of service, s rie wa appreciate it! e ju sh in r if he en t ev ou - but, enough ab she understood first aid training, Peta, Dayboro S Springbrook QA With her first e id gu to d an lm d Andrew ca an ss ain Ro rem ew dr An ics to be able to ed m para ere she was Livermore and responder Guy 4WD vehicle wh to ation with their loc r d transported he an to d ce bulan McClellan back to the am n ke ta e, en sc treated on the ndition. l in a stable co ing but, Robina Hospita d weeks follow in the days an ery on rg su ck ba red tten s requi has recently go Terra’s injurie ound ilitation, Terra ar ab lk reh wa d r an he d ery inue after recov boots and cont tly on her hiking areas. She recen her feet, slipped pes or slippery , slo on re ca extra she calls them as ng ki s’, ta roe a, he l ali r ‘loca Austr ast to thank he Co ld Go e th returned to orning. her aid that m for coming to

Autumn 2018

Thank you

I would like to pass on my sincere thanks to the crew (Andrew Cahill and Brenda Robinson) that helped me on Saturday evening 3 February. My husband and I had just started a week’s holiday at Sunrise Beach when I slipped in the rain outside, injuring my ankle very badly. I’d never been hurt that badly before or had an ambulance called for me, and I was scared, cold and in a lot of pain. The two officers who arrived promptly from Noosa Heads were so kind and helpful - their caring yet businesslike manner really helped me start to feel calmer, and I cannot thank them enough.

Hi there! I had two amazing paramedics out last night (Julia Harrison and Emma Dale) and I just wanted to express my thanks. They were incredible and really, really deserve the thumbs up. Dal, Eagleby

Getting in touch Messages collated on these pages are derived from a range of QAS contact points, including: via Facebook facebook.com/qldambulanceservice by email QAS.Media@ambulance.qld.gov.au

Thanks to the paramedic team (Emily Whitaker and Sarah McLean) who attended and stabilised me before transport to Mackay Base Hospital.

by post QAS Media Unit, GPO Box 1425 Brisbane QLD 4001

Great service, very professional. Peter, Mount Pleasant

Elizabeth, Taigum

19 To the Triple (ZERO) 000 operator (Billy Kelso) my partner and I thank you so very much for your guidance via phone call that led to the successful birth of our second son.

Left and below

■ Donny with partner Eboni and newborn Nate and his older brother Chance.

Photo supplied by Donny

Especially guiding me to untangle his umbilical cord that was wrapped around his neck. Mum and bub are doing absolutely fine. Many thanks again and kindest regards! Donny, Kallangur

Autumn 2018

Australia Day 2018 Honours and Awards It was a proud day for the QAS when two of our staff were recognised in the Australia Day 2018 Honours list as recipients of the national Ambulance Service Medal (ASM). Established in 1999, the Ambulance Service Medal is a meritorious award to individuals who have displayed distinguished service as a member of an ambulance service.

20 Yarrabah OIC Claine Underwood asm is viewed as an inspirational role model within the QAS not only with his peers but also within the local community by working closely with schools, sporting clubs and youth groups. Claine visits local high schools to discuss and provide a perspective on a career within the QAS as a frontline officer. He commenced his operational career with the QAS on January 16, 1995 as an Ambulance Officer at Yarrabah until his appointment as the Officer-in-Charge at Yarrabah on November 28, 2016. During his QAS career, he has undertaken a variety of supervisory and managerial positions within operations and education, including Area Manager, Regional Ambulance Educator and Clinical Support Officer. Claine was a driving force behind the establishment and development of the QAS Indigenous Paramedic Program and is highly respected among his Indigenous peoples, the people of Yarrabah, and his peers in the QAS.

Autumn 2018

Wynnum Paramedic Neil Hobbs asm has more than 40 years of service with the QAS as a frontline officer. Neil shares with his peers his knowledge and experiences and provides a mentorship role to new operational staff at his station, including new graduates. He began his operational career with the former Queensland Ambulance Transport Brigade (now the QAS) on October 31, 1977 at Balmoral as an Ambulance Officer, until his appointment as a paramedic on June 21, 1999. Neil transferred to Wynnum Station on March 24, 2014, where he is still serving as a paramedic with the QAS. Throughout his frontline career, he has responded to varying requests for pre-hospital emergency medical care and has been involved in a number of large-scale operations including the 2010-11 Queensland floods.

Australia Day 2018

Above

■ Roseann (‘Rosie’) McEachern was recognised in the ‘Customers First’ category. as was Kevin Elliott (above right).

Three QAS Officers received Australia Day Achievement Medallions at the Department of Health Australia Day Awards Ceremony.

Below

Photo: Adobe Stock / olly_plu

■ Dee Taylor-Dutton asm, Deputy Commissioner Service Planning and Performance, with Brendan Bell, acknowledged in the ‘Empowering People’ category.

Autumn 2018

QAS training and preparedness protocol

Active Armed Offender Incidents (AAOIs) “Escape, Hide, Tell … in 2018 these are three words paramedics and the public must know, and could mean the difference in outcome in the event of a sudden attack by an Active Armed Offender (AAO).” – QAS Medical Director Dr Stephen Rashford “Like many government agencies across the world, the QAS is working hard to ensure we have robust community safety frameworks in place to respond to the ever-present threat of terrorism,’’ Dr Rashford said.

■ QAS Medical Director Dr Stephen Rashford. Photo: QAS Media

“Accordingly, police and emergency services agencies in our states and territories have responsibility for preparing their personnel to respond in the event of terrorist attacks, including those perpetrated by coordinated groups and those carried out by so-called ‘lone wolves’ or AAOs.”

“I’m confident the experience we have gained by building our response capacity and developing close ties with other agencies on the ‘frontline’ will ensure we are prepared — and while Queensland is yet to experience attacks such as those carried out in recent years in Sydney and Melbourne, we are not immune and must stay alert,” Dr Rashford said.

Photo: Adobe Stock / vchalup

Above

“The Australian Government is responsible for controlling the National Terrorism Threat Advisory System, which currently estimates the threat to our country as ‘probable’, below ‘expected’ and ‘certain’.

Over the decades, the QAS has developed and implemented strong preparedness policies and procedures such as the State Major Incident and Disaster Plan and has carried out dozens of exercises to test these, often involving our counterparts in the Queensland Police Service and the Queensland Fire and Emergency Services.

Autumn 2018

AAOI responses and protocols

QAS training and preparedness protocol

Responding to Active Armed Offender Incidents

Lachlan Parker, Executive Manager Clinical Policy Development, reinforced the need for all paramedics to develop and utilise keen situational awareness skills. “As part of the QAS presence at an AAO incident, vigilant situational awareness will help you anchor your thoughts and assist you in communicating the threat as accurately as possible, as it progresses, between the incident site and controlling agency,” said Lachlan. “When an AAO incident occurs, QAS and QPS will establish respective forward command posts, where the Tactical Emergency Casualty Care (TECC) model will be put into practice – which is based on defence battlefield operations applied to civilian pre-hospital environments, and helps manage the risk to emergency services personnel, police and the public. “Based on the AAO’s location and movement, three distinct zones are made, including the Hot (active threat), Warm (indirect threat) and Cold (no threat/ secure area) zones. “All QAS paramedics must follow the direction of the QAS Forward Commander, and stay within the Cold zone only. Specially trained paramedics are allowed – with protective escort from QPS operatives, and while wearing ballistic Personal Protective Equipment (PPE) – in the Warm Zone. “These officers will provide only lifesaving interventions, including applying chest seals and haemostatic dressings and can withdraw at any time at their discretion. Any QAS paramedic who finds themselves in the Hot Zone must immediately attempt to find cover and move to the Cold Zone safely.”

Lachlan said staff will see new guidelines and treatment options indicated for this model rolled out via education packages. “Complementing the TECC zones is the Australian and New Zealand Counter Terrorism Committee (ANZCTC) suggested response protocol of ‘Escape, Hide, Tell’, also designed to protect emergency services personnel, police and the public when a suspected AAO incident is unfolding,’’ he said. “This protocol aligns with our very first concern for all cases paramedics attend – protecting yourself, other officers and people from danger first. “Be aware that when AAO incidents occur, they are sudden, violent and undefined by any one weapon, tool or device. Tragically, in the wake of incidents both here in Australia and around the world, we have seen the horror these criminals have caused using knives, firearms, vehicles and explosives to kill and keep killing while they still have access to victims.”

Above

■ Lachlan Parker, Executive Manager Clinical Policy Development. Photo: QAS Media

Lachlan said the very real threat of lethal force used by AAOs means paramedics must follow the above-mentioned model and protocol.

“There is absolutely no room for heroics, as any action taken outside of the TECC model and ANZCTC protocol could result in death or multiple casualties involving the public, police and emergency services,” he stressed. “Terrorism should not impede our way of life, or for that matter cause paramedics undue fear or unease in carrying out their duties; but knowing the potential threat, and what must be done at an individual and service level to help respond to it effectively is of critical importance.”

The three distinct TECC zones Hot Zone (Active Threat) – a dynamic area of operations where there is an active threat of harm (safety risk to patients, bystanders and emergency personnel). Warm Zone (Indirect Theat) – a dynamic area of operations where a potential threat exists, however the threat is no longer considered direct or immediate. Cold Zone (No Threat / Area Secure) – an area of operations where there is no threat present and the scene is considered to be an area of absolute safety.

Hot

Active Threat

Warm Indirect Threat

Cool

No Threat / Area Secure

Movement direction of Offender

At a glance … QAS Terrorist Attacks and Active Armed Offender Incident (AAOI) Response Protocol: All QAS paramedics Will only ever enter the Cold Zone and must follow directions from the QAS Forward Commander (except for specially trained QAS paramedics). Specially trained QAS paramedics Will only ever enter the Warm Zone while wearing ballistic PPE and accompanied by QPS. Limited interventions can be applied if safe to do so. These paramedics can withdraw at any time at their discretion. Any paramedic mistakenly in the Hot Zone must immediately find cover and safely retreat to the Cold Zone as soon as possible.

■

ESCAPE as a primary option. If safe to escape, remain calm and evacuate the location whilst maintaining appropriate cover where possible.

■

HIDE if escape is not possible. Locate a secure room or area, blockade doors, turn off lights, place phones on silent and cover windows for concealment.

■

TELL if it is safe to do so. Information should be provided immediately to police via Triple Zero (000).

Consideration should always be given to providing information and advice to others who may be unfamiliar with the site, the nature and extent of the threat, and what they should do to remain safe.

“Protecting yourself, other officers and people from danger first is key.”

Autumn 2018

Evolution and innovation @ QAS From the cardiac reperfusion strategies to the successful roll out of Droperidol for patients with acute behavioural disturbance, the QAS is continually evolving when it comes to equipment and clinical innovation for those on the frontline. Lachlan Parker, Executive Manager Clinical Policy Development, said the addition of chest seals, haemostatic dressings and Salbutamol metered dose inhalers with spacers would enable paramedics to better carry out their duties. “Whether it’s in the back of a Sprinter or on scene with a Bicycle Response Team (BRT) paramedic, this equipment will ensure all operational personnel are well prepared for the full range of cases they may be called to,” Lachlan said.

“In terms of major trauma, chest seals and haemostatic dressings will be very helpful alongside arterial tourniquets for use in uncontrolled extremity haemorrhage. “This equipment is life-saving and is ideal for paramedics especially when operating in the multi-casualty incident environment.”

“Their training also includes the use of the IMIST acronym which will standardise the handover of clinical information between police and paramedics. “With respect to the addition of Salbutamol metered dose inhalers with spacers, these items will be issued to both roving paramedics assigned to the Commonwealth Games and BRT members and are a safe and lightweight method of administering Salbutamol without requiring oxygen cylinders.

“Extending the scope of practice to include this intervention will allow paramedics to treat patients in their homes with General Practitioner follow-up without the need for immediate transportation to an Emergency Department or doctor’s surgery.” Lachlan said the service appreciated and considered the dynamic and diverse nature of cases paramedics attend throughout the state in the development of this new equipment and extension of scope of practice.

“Lastly, the QAS has recently developed a clinical practice procedure to assist specifically trained paramedics in performing a digital block prior to the removal of an embedded fishhook or dressings, salbutamol metered dose inhalers with spacers and digital L-R Chest Seals, Haemostatic nerve blocks. placing sutures.

Lachlan also commended the recent statewide Tactical First Aid Training rollout for all Queensland Police Service (QPS) officers. “Our counterparts in the QPS will have access to chest seals, arterial tourniquets, modular bandages and trauma shears to render immediate first aid to patients requiring care,” he said.

Right

■ (Top row, left to right): chest seals, haemostatic dressings, Salbutamol metered dose inhalers with spacers and (below) digital nerve blocks.

Autumn 2018

High Acuity Response Unit Report

on i s o l p x e e l t t o Gas b rd en Rashfo

trauma from a major me distance so e, ttl ) crew bo s CP ga Paramedic (A plosion of a vanced Care llowing an ex Ad fo s ng rie di ju on in sp severe The initial re ale suffered lower limbs. An elderly m ). s were to the Hg rie m ju m in y 80 ar = prim (500ml), tensive (SBP service. The rated saline who was hypo cannulas, tit nt us tie no pa ve e ak tra found an aw of bilateral in en, insertion leg wounds. lemental oxyg pp su ed ud ns cl te ive lower ing to the ex Initial care in ag nd ba d an t occurred. fentanyl reassessmen analgesia with and HARU, a ) CP (C ic ed l Care Param n. of the Critica s to phonatio Upon arrival but no change ir ha al ci fa ss. airway, singed iratory distre A: patent t but no resp anterior ches e th legs with to er s w rn lo cial bu ounds to the ardia. B: superfi macerated w e erline tachyc iv rd ns te bo a ex , loss 00 mmHg with >1 P ,000ml blood >1 SB . es C: ndag ng through ba some bleedi . in pa nt arm. d in significa e right upper D: alert an d loss. ceration to th la a ed ud cl ction and bloo juries in tissue destru nt ca ifi E: other in gn si nd. left leg, with ove the wou s were to the ment. ately 5cm ab rie im ju in ox y pr ar ap im fu h, e rther treat ig The pr ed to facilitat e left upper th id th ov to pr d ie as by w pl tely ap nd followed mine (20mg) was immedia pack the wou l dose of keta other A tourniquet , was used to ding. A smal RU ee bl HA er t identify any on no rth d d fu te lo any ultrasound, di was being pi ST at This stopped th FA a ng g si in es ud emostatic dr g sedation. ssment, incl iring ongoin Quikclot, a ha A repeat asse stressed, requ e application. di ag ly nd ng transport. si ba d ea ve an cr compressi sia, sedation patient was in ge e al Th an . fe ng sa di e at or blee ken to facilit source of maj was underta hospital. ce induction to e en ut qu ro se d en pi on A ra ood transfusi bl a ed iv ce The patient re

or Dr Steph Medical Direct

U R A H

Photo: Adobe Stock / Mikhail Ulyannikov

Audit findings: 1. All patients who are involved in explosions should be assumed to have inhaled the hot gases. The extent of the inhalational injury varies.

4. The decision to anaesthetise the patient was based upon multiple indications – inhalational injury, projected clinical course, increasing sedation requirements and distance to hospital. No one indication met threshold, but combined the decision was judged appropriate.

2. Not all burn patients require early intubation. The clinician should assess for signs of severity of the burn and inhalational injury. In this case, the decision to anaesthetise the patient related to other management issues.

5. If direct pressure does not stop critical bleeding, the early application of a tourniquet is appropriate. Note the new advice to apply as distal as possible to the thigh or upper arm. Ideally 5–7cm above the bleeding point.

3. Always treat burn patients as multitrauma patients – look for other significant injuries.

6. The use of Quikclot assisted with haemostasis. This treatment option will be expanded to all officers in the first quarter of 2018.

Autumn 2018

Salutogenesis and sustainability Post-Traumatic Stress Disorder (PTSD) has been so widely discussed in academia and the media for decades, that there would be few in the general population who have not heard of the disease. From an organisational and individual perspective focus upon such a disorder is akin to closing the gate after the horse has bolted: far better to focus on preventive strategies. There has been great effort go into understanding PTSD in emergency services since 1980 when the condition was first categorised diagnostically. But this is a pathological focus rightly in the realms of psychologists and psychiatrists tasked with helping those with the disease. In our ambulance culture we need what is termed a ‘salutogenic’ focus. ‘Salutogenesis’ (meaning the origin of health) was coined by medical sociologist Aaron Antonovsky in 1979 to reflect that the study of how people manage stress and stay well is equally if not more important than the study of the origin of disease – that is, pathogenesis. Paramedics, Patient Transport Officers and Emergency Medical Dispatchers are occasionally exposed to circumstances that could readily lead to PTSD, yet this is a rare outcome. Instead, Post-Traumatic Growth (PTG) and resilience more commonly manifest, 5 and looking at why and how this comes about is key to understanding sustainability in ambulance practice. A traditional model of trauma looks something like this (below) wherein a specific event disrupts (traumatises) the assumptions one has about the world and the self, with PTSD being the outcome.

Absence of symptoms

CRITICAL INCIDENT/S

PTSD

Memory with reactivity distress and dysfunctionality

Yet it is well known that after a critical incident and before a diagnosis of PTSD can be made, there is a normal symptomatic period indicative of post-traumatic stress (PTS), lasting days to weeks wherein an individual tries to come to terms with and make acceptable meaning of their traumatic event. From the perspective of salutogenesis, and a building body of research 1,2,3,5,6 we know that how a person copes with this PTS phase determines whether PTG and resilience, or PTSD and other post trauma pathologies may be more likely to evolve. Absence of symptoms

CRITICAL INCIDENT/S

PTS symptoms Hyperarousal intrusions avoidance

PTG / Increased resilience

Processing

Memory without reactivity or distress

Attenuation of symptoms

PTSD

When people are self-aware and self-monitoring, and can acknowledge that an event has ‘rattled’ them, they can become more intentional about processing it well. Processing means using strategies to help come to terms with the experience, make acceptable coherent meaning of it, and moving to a point wherein memories of the event do not bring distress, anxiety and avoidance.

Autumn 2018

Priority One

Such strategies include talking, writing or other expressive activities pertinent to the event, allowing emotional and other symptomatic aspects of memory to be expressed and dissipate, and otherwise tending to healthy hygiene such as adequate rest, sleep, exercise and recreational activities. The processing is not straightforward but a time of struggle, with oscillating emotions and meanings that can take days to weeks to resolve. But it is the fact of leaning into this struggle, instead of avoiding or suppressing emotions, that is key to post-traumatic growth. The struggle is due to the fact that traumatic events disrupt our senses of safety, security, predictability, fairness, coherence and meaning in the world. When these factors are threatened there is a natural adrenergic response, which causes many of the PTS symptoms. This outpouring of adrenaline impedes the brain’s ability to create an acceptable narrative of the event for the individual. It may take days for the adrenaline and other stress hormones to subside and an acceptable narrative to be formed about oneself in the experience of the trauma. But it is this period of oscillating emotions and thoughts that is the ‘grist to the mill’ of resilience-building and PTG.

Where do I find help? 24-hour telephone counselling  1800 805 980 QAS Priority One Manager  0419 707 397 QAS Staff Counsellors  0408 191 215 or 0417 079 679 or 0409 056 983

“… if we can’t make sense of the event we keep replaying it in our minds, though bits may be missing because of the disjointed experiencing of the adrenalised brain …”

QAS Priority One State Office  3635 3333 LGBTIQ+ support service  3830 5888

The below model differentiates the salutogenic approach to trauma with the accepted struggles of processing the experience, versus the avoidance of processing that can more readily be adopted if one feels that Post-Traumatic Stress symptoms are abnormal or a sign of pathology.

Assumptive beliefs and meanings (Emotional)

Appraised beliefs and meanings (Cognitive)

Chaplaincy service  3835 9923 Local Priority One Peer Support Officers or Counsellors  See list in each QAS Station or on QASPortal

Minimal emotional reaction, intrusion or rumination

Does appraisal of situation violate your assumptive beliefs?

NO PTG and Resilience Building Process

27 Constructive coherent meanings made … Resilience and PTG

Facing and working through distressing emotions and memories

YES Emotional reactions, intrusions, ruminations, avoidance behaviours

Pathological Process

Avoiding distressing emotions and memories

Destructive, self-critical, pessimistic meaning made … Depression and/or PTSD

Left

■ Larner, B. Blow, A., (2011) “A Model of Meaning-Making and Growth in Combat Veterans”

Review of General Psychology Vol 15(3) 187-197

References: 1. Calhoun L.G. & Tedeschi, R.G., (2006) Handbook of Posttraumatic Growth: Research and Practice. Lawrence Erlbaum Associates. New Jersey. 2. Halpern, J., Gurevich, M., Schwartz, B., Brazeau, P., (2009) “Interventions for critical incident stress in emergency medical services: a qualitative study.” Stress and Health Vol 25 139-149 3. Kirby, R. Shakespeare–Finch, J., (2008) “Understanding Coping Strategies in relation to post trauma outcome with the Queensland Ambulance Service.” Unpublished Honours Thesis.Queensland University of Technology. Access via j.shakespeare-finch@qut.edu.au 4. Larner, B. Blow, A., (2011) “A Model of Meaning-Making and Growth in Combat Veterans” Review of General Psychology Vol 15(3) 187-197 5. Shakespeare-Finch, J.E, Smith,S.G., Gow,K.M., Embelton,G., Baird,L., (2003) “The Prevalence of Post-traumatic Growth in Emergency Ambulance Personnel” in Traumatology Vol9(1) 58-70 6. Shakespeare-Finch, J., Wehr, T., Kaiplinger, I., Daley, E., (2014) Caring for emergency service personnel: Does what we do work? Australia and New Zealand Disaster and Emergency, Association for Sustainability in Business Inc., QT Hotel Gold Coast, Surfers Paradise, QLD

Autumn 2018

Emergency Call The Brisbane Operations Centre hosted a Channel Seven film crew for five weeks in late 2017 to shoot an observational documentary program called “Emergency Call” – the first of its kind in Australia. Four Brisbane EMDs featured in the program which followed the day-to-day operations of call-takers and the types of calls we receive. Channel Seven also filmed with Emergency Services Telecommunications Authority in Victoria and the program is due to air later in 2018.

Autumn 2018

Emergency Call

Autumn 2018

Happenings Helensvale mum Megan Semmler, 47, was all smiles when she reunited with the QAS staff who helped save her life after she went into cardiac arrest on New Year’s Day. When Megan collapsed at her home it was the quick-thinking actions of her teenage son and husband who helped keep her alive. Her 14-yearold son called Triple Zero (000) and her husband performed CPR until the paramedics arrived. On scene, paramedics delivered nine shocks and nearly 26 minutes of CPR which allowed Megan to regain a heartbeat. Megan was transported in a critical condition to hospital where she spent almost three weeks recovering, three of those days in intensive care. At the reunite, the Semmler family was presented with a Certificate of Appreciation from QAS to acknowledge their part in the life-saving chain of events that night.

Great Leaping Ladies! QAS Senior Operations Supervisor Jo Rogers was one of 10 leaping ladies – along with Minister for Health and Ambulance Services Steven Miles – who abseiled down the Kangaroo Point cliffs on the Brisbane River opposite the CBD to raise funds and awareness for the White Cloud Foundation on March 5. The event will benefit women suffering from perinatal depression.

In January, paramedics at Giru Station, together with the Giru Local Ambulance Committee, held a CPR Awareness session (at left) and a sausage sizzle at Brolga Park. This gave participants an opportunity to refresh their skills on CPR and first aid. In December, Dimbulah Station (right) also held an Open Day where locals could learn CPR skills.

Congratulations to Trevor Lymbery from the Mackay Local Ambulance Committee (LAC) and June Nielsen from the Logan and Districts LAC who have been elected to the Queensland Local Ambulance Committee Advisory Council (QLAC) for the remainder of its current term. Trevor is the new QLAC representative for the Mackay Local Ambulance Service Network and June is the new Metro South representative, following the resignation of the previous QLAC representatives for these two LASNs. Trevor began as an LAC member in 2003 and is currently the President of the Mackay LAC. June (pictured, right) has been a member of the Logan and Districts LAC since 2008 and has been teaching community CPR as a volunteer since 2003. As well as her new role as a QLAC representative, June is a very active CPR Awareness leader, is the Secretary of the Logan and Districts LAC and has been a first aid instructor for the QAS since 2009.

Autumn 2018

Happenings

Senior Operations Supervisor Chris Perera attended a Hug the Helper event at John Paul College with other emergency services on February 14, 2018. The event was created by school student Maddy Birt, who has been selected to take part in the Queen’s Baton Relay for the Gold Coast 2018 Commonwealth Games. Seven News Queensland filmed the event for a segment which is planned to appear with live coverage of the Queen’s Baton Relay on April 1, 2018.

More than 150 staff gathered from around the state to share ideas and build towards the future of the QAS at the first staff forum for the year In March, with the event coinciding with International Women’s Day. Women make up 46 per cent of our service and QAS will continue to strive towards gender parity in the future.

QAS recently welcomed the newest graduate paramedics to the family. After finishing their study, these 60 eager graduates have been deployed across the state to begin their careers.

QAS was visited recently by Juiced TV from Children’s Health Queensland and the Lady Cilento Children’s Hospital, along with host Shelley, to get a closer look at what to expect if a paramedic is needed. Paramedic Jason Keen gave Shelley a tour of an ambulance and some tips on what to do if a person is involved in an emergency.

Autumn 2018

Appointments and farewells Notes Reflects activities during the period from December 1, 2017 to February 28, 2018.

NAME

Position Title

Ronald Smith

Paramedic

Years of Service

Division / Location

Townsville LASN

Alan Blair

Patient Transport Officer

Gold Coast LASN

Christopher Hodge

Senior Clinical Educator, QASEC

Service Planning and Performance

Gordon Smith

Paramedic

Central Qld LASN

Wayne Prowse

Paramedic

Central Qld LASN

Robert Fitch

Patient Transport Officer

Metro South LASN

Ashley Wessels

Paramedic

Central Qld LASN

David Wood

Paramedic

Darling Downs LASN

Sally Carroll

Paramedic

Sunshine Coast LASN

Peter Aworth

Paramedic

Townsville LASN

Jason Patterson

Officer-in-Charge

Mackay LASN

Kelly Ottrey

Paramedic

Gold Coast LASN

Susan Hend

Resource Production Officer, QASEC

Service Planning and Performance

Douglas Fenwick

Patient Transport Officer

Metro South LASN

Donna Philipson

Emergency Medical Dispatcher

State Operations Centre - Toowoomba

Helen Woods

Paramedic

Townsville LASN

Jessica Storch

Paramedic

Central Qld LASN

Movers and shakers 32

Notes Appointments made during the period from December 1, 2017 to February 28, 2018.

NAME

Position Title

Appointed date

Location

Claire Minett

HR Consultant

04-12-17

Kedron Park

Paul Shaw

Executive Manager Operations

11-12-17

Caloundra

Jennifer McCormick

Learning Management System Administrator

18-12-17

South Brisbane

Brendan Reilly

Principal HR Consultant

18-12-17

Kedron Park

Austin Cummins

HR Officer/Health & Safety Advisor

18-12-17

Mackay

Lara Jedyn

Manager OpCen

20-12-17

Townsville

Mathew Anderson

Critical Care Paramedic

25-12-17

Nathan

Tracey Shaw

Manager Equipment

30-12-17

Geebung

Sallyanne Lawson

Senior HR Consultant

08-01-18

Townsville

Danielle Walton

Manager Business Support

08-01-18

Roma

Julian Wren

Principal Business Analyst

11-01-18

Kedron Park

Catherine Austin

Comms Support Officer (CQI)

15-01-18

Kedron Park

Kadi Osborn

Comms Support Officer (CQI)

15-01-18

Kedron Park

Laura Finnie

Health and Safety Advisor

22-01-18

Spring Hill

Derrick Jones

Principal Accountant

22-01-18

Kedron Park

Michelle Mayes

Health and Safety Advisor

29-01-18

Townsville

Dean Jones

Principal HR Consultant

08-02-18

Kedron Park

Brett Rogers

Project Officer

12-02-18

Kedron Park

Rebecca Pyke

Health and Safety Advisor

12-02-18

Spring Hill

Peta Kelly-Powell

Senior HR Consultant

14-02-18

Kedron Park

Stacie Ramanah

Senior HR Consultant

14-02-18

Kedron Park

Julia Deeth

Senior HR Consultant

14-02-18

Kedron Park

Autumn 2018

Workplace Health and Safety

Quit smoking … for life! QAS and Queensland Health staff, students, volunteers and contractors who are ready to quit smoking can access the Quit smoking … for life! program. It’s free, confidential and tailored to your needs. Who is eligible for the program?

How does the program work?

The program is available to all current Queensland Health and Queensland Ambulance Service staff (permanent, temporary and casual), students, volunteers and contractors. It is also available to partners, spouses or family members living in the same house as any staff member.

1. Complete the program’s registration form – available from the QHealth portal at https://qheps. health.qld.gov.au/smoke-free/html/ quitsmoking – and please note the days and times that are best to contact you when you complete your registration.

What does the program offer?

We use SMS and email to confirm we have received your registration, and to book and confirm appointment times.

The program is based on evidence that counselling support, along with nicotine replacement therapy (NRT), increases the likelihood of a person being more successful with quitting smoking. People who enrol in the program will receive:

2. A Quitline counsellor will call you at a convenient time to talk about your smoking and help you develop a plan for quitting.

• a comprehensive assessment of their nicotine dependence and smoking behaviours

3. The counsellor will assess your level of nicotine dependence and determine if NRT is suitable for you.

• a course of free NRT — patches or gum — for up to 12 weeks (if suitable)

If it is, they will post you a four-week supply along with other helpful information.

• regular over-the-phone support sessions from trained Quitline counsellors.

4. Quitline counsellors will also:

Will the program help me? Since 2005, Quit smoking…for life! has helped more than 5,350 Queensland Health and QAS staff. For participants who registered during the last 2.5 financial years, 71 per cent had quit smoking completely by the end of the program, and 52 per cent were not smoking six months after completing the program.

• contact you to provide ongoing support and further NRT as required •

follow up with you three, six and 12 months after the program is completed to see how you have progressed and to get your thoughts on how we can continue to improve our program.

What if I start smoking again or I lapse? If you get into difficulty with your quit attempt while on the program, you can discuss this with your Quitline counsellor. All counsellors are trained to help you at every stage of quitting – including if you lapse to smoking again. Quitting is difficult and Quitline counsellors provide support no matter what. Lapsing does not make you ineligible to continue the program – sometimes it will take a few attempts to quit completely. The program allows you 12 weeks of NRT and the Quitline is available to you at any time.

What if I am not ready to quit? To discuss options for quitting smoking, you can call and speak with a Quitline counsellor at any time. Gathering information about what it might be like to try and quit smoking, or talking about the changes you could make now, will help later when you are ready to quit.

How to register Read and complete the registration form and return via fax to 07 3259 8217 or by email to 13QUIT@health.qld.gov.au For more information about promoting the Quit smoking…for life! program, email: ATODSWEB@health.qld.gov.au

More info: www.qld.gov.au/health/staying-healthy/atods/smoking

‘Parabunny’ calls in

Top row

Above right ■ HARU Andrew Colen Main image ■ HARU Steve Walsh and Andrew Colen

Summer 2017–18

2775QAS

■ EMDs Naomi McCann and Kathryn Wright; Amanda Mileham, Lachlan Weatherstone, Annette Venmans, Steph Vanden Hurk and Ray Kennett