QAS Insight Magazine - Autumn 2020 edition by QAS Insight Magazine

ASM HONOURS • INNOVATION • STROKE FEATURE • FIPN INDUCTION

Autumn 2020

Also inside Slithery Case

Day in the Life

Season YYYY

Ratings Success

Star Player’s Reunion

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CONTENTS • Autumn 2020

Features

Regulars Minister’s message

Commissioner’s message

News 3 Briefs 4 Inside the LACs

Innovation 12 OpCen Reports

LARU 26 Priority One

ISRE Report

Thank yous

PITCH PERFECT REUNION

PET PYTHON’S HISSY FIT

AMBULANCE TOPIC TITLE AUSTRALIA

NED’S DETERMINATION

00 14

MENTAL HEALTH FEATURE

BLOOD SYMPOSIUM

CCP GRADUATION

KINGAROY CENTENARY

Happenings 42 Movers and shakers

QAS INSIGHT is published quarterly by the QAS Media Unit, GPO Box 1425, Brisbane QLD 4001. Editorial and photographic contributions are welcome and can be submitted to: Joanne.Hales@ambulance.qld.gov.au Want to contribute? If you know of a QAS ‘quiet achiever’ or an event or program with a story worth sharing with our colleagues, please get in touch with INSIGHT editor Jo Hales by email (above) or phone 3635 3900. Autumn 2020 edition contributors: Jo Hales, Michael Augustus, Andrew Kos, Jo Mitchell, Melissa Mangan, Matt Stirling, Caitlin Lambert and Brigette Seymour. Designed by: Paper & Desk Winter 2020 edition key dates: • Friday, 15 May: advertiser bookings • Friday, 29 May: supplied artwork received • Tuesday, 30 June: scheduled release

Front cover: Proud as Peanuts! Kingaroy is famous for being the Peanut Capital of Australia, but all attention was on the QAS in February when locals from near and far turned out to celebrate 100 years of ambulance services in the township. Pictured are Kingaroy station paramedics and Darling Downs LASN officers with OIC Mei-Lin Dean and Acting AC Loretta Johnson with the obligatory birthday cake at the station’s hugely successful open day. Read more on pages 38–39. Photo: Mel Mangan

Autumn 2020

Minister

Commissioner

COVID-19 is not something we’ve ever seen before.

I would like to commend all staff for the professional way you are adapting to the constantly evolving coronavirus (COVID-19) pandemic.

I want to assure you that Queensland is well equipped to keep tackling this virus, slow its spread and keep as many Queenslanders as possible healthy. We have committed more funding and resources. Our $1.2 billion COVID-19 health response plan includes funding for more paramedics to deliver more ambulance services. We’re also increasing emergency department and intensive care capacity across all hospitals and we’ve opened fever clinics, purchased extra ventilators, medicines, gloves and masks to make sure we are well prepared. I would like to personally thank QAS staff around the state who have worked hard helping prevent the spread of the virus. Whether you’re taking Triple Zero (000) calls, dispatching or responding to COVID-19 cases or patients suspected to have the virus, thanks for doing your part. Your professionalism, calmness and vigilance in adhering to protocols and procedures is much appreciated.

Lastly on a lighter note, I would like to say how much my family and I have enjoyed watching the third season of Ambulance Australia featuring some of our dedicated EMDs and Ambos. The show makes clear what I already knew – Queensland has the best ambulance service in the country. The hard work, professionalism, care and compassion displayed made me extremely proud. Thanks for all you do.

COVID-19 has had an effect on the way we operate our day-to-day business and I am extremely proud of how you are approaching the challenges and the new procedures and responses. The QAS remains prepared and capable to respond to suspected and confirmed COVID-19 cases, with our continual focus on the health and safety of both our patients and our staff, particularly around the correct use of Personal Protective Equipment (PPE). We will continue to work closely with the government at federal, state and local levels, so we can provide early identification and real-time intelligence of suspected COVID-19 cases. Aside from COVID-19, the QAS and other first responding emergency services have recently attended some unthinkable tragedies, including the deaths of Brisbane mother Hannah Clarke and her three young children, Aaliyah, Laianah and Trey, at Camp Hill in February. My sincere condolences go out to the family. I would also like to recognise all of those impacted by this tragedy, making special mention of the first responders, including our paramedics and EMDs, as well as the Queensland Police Service and Queensland Fire and Emergency Services officers who were confronted with scenes beyond our comprehension. Whether working physically on scene or providing operational support behind-the-scenes, I am incredibly grateful to everyone. Please, if you need to talk about this case, or any others, or if you feel one of your colleagues has been impacted, I encourage you to reach out and contact Priority One.

Steven Miles Queensland Minister for Health and Ambulance Services

On the subject of Priority One, I would like to welcome two new executive managers to the team, Renee Treloar-Munro and Natalie Dunton. Both have a wealth of experience behind them. They are now in place at Priority One’s new base in Fortitude Valley.

Russell Bowles ASM QAS Commissioner

Autumn 2020

NEWS • Autumn 2020

Devastating house fire Ningi paramedics Rachelle Headley and Shane Herbert were left devastated on Saturday, 18 January, when their muchloved home burnt to the ground. It was a tragic blow for the couple who had been working tirelessly to renovate the historic Landsborough home. Built in the late 1880s, the house was the original police station of the then named ‘Mellum Creek’ township. A faulty laptop charger is believed to have started the fire. Thankfully, the couple’s pets were uninjured, and their house was insured. When colleagues heard about the fire, they rallied around the pair, raising more than $3,000 in a few days to purchase some much-needed supplies. QAS staff members also opened their homes to the couple, gave them vouchers and pet supplies and presented them with a donation from a local pet store. Caboolture Hospital staff also got behind the cause.

Rachelle said the couple would be eternally grateful for the compassion shown by the QAS and hospital staff. “Shane and I would love to thank everyone in our QAS and Caboolture Hospital family who generously donated towards our gifts,’’ Rachelle said. “We are incredibly grateful for the love and support.”

Fitting honour for much-loved OIC When Fraser Island Officer in Charge (OIC) Phil Switzer recently moved from the popular sandy tourist hot spot to take up a posting in the dusty soils of Blackall in western Queensland he received a ‘unique’ gift he was unable to take with him. As a farewell gift, the much-loved officer was presented with a sign for a recently created street at Happy Valley in front of the ambulance station. The Fraser Coast Regional Council named the street Switzer Place after an approach from the Fraser Island Association to the Deputy Mayor Cr Darren Everard. Switzer Place will never be open to vehicles and adds a 20-metre width to the land in front of the ambulance station which is used for emergency helicopter retrievals. Phil, himself, was airlifted from the emergency landing area in July 2016. He leaves Fraser after six years of exceptional service to the community and the island’s many visitors. Phil was presented with the sign by the president of the Fraser Island Local Ambulance Committee, Marion Anderson, in appreciation of his dedicated service and community support.

Autumn 2020

Briefs Cherished former officer snags leading role

Former QATB State Council Chief Training Officer Bob McDermant has been in demand since the launch of his debut book, The Ambo, in late 2019.

Bob recently landed a starring TV role, with the ABC’s 7.30 program keen to interview the 97-year-old following the successful release of his book. In February, a contingent of QAS staff, including Heritage and History Manager Mick Davis, joined Bob and his son Greg McDermant at Birtinya Ambulance Station for partial filming of the segment. The event allowed Bob to take a trip down memory lane, with Mick bringing along a 1970 Holden one tonner ambulance from the QAS Museum – the same type of vehicle Bob would have used in his day. The vehicle and old medical equipment were used as props for the filming.

When the camera started rolling paramedic Michael Okulov showed Bob through a new ambulance and talked about how the service has changed since Bob served. Bob also revelled at the chance to be taken for a drive by Mick in the Holden one tonner. Bob was the Chief Training Officer for the QATB State Council from 1973 to 1985. During this time, he was responsible for the training of almost all QATB officers. With his 2IC, Paul Scully, Bob worked tirelessly to improve the patient care knowledge and skills of the state’s ambulance officers. His book details the story of his incredible service from the Field Ambulance in World War II to his illustrious 39 years with Queensland Ambulance. Bob’s ambulance career at the Brisbane QATB started in February 1947 as an Honorary

Joint training session Palm Island paramedics recently were given an opportunity to train alongside their colleagues from Queensland Fire and Emergency Services during a range of mock-scenarios, including a two-vehicle crash with six injured patients and a vehicle and pedestrian collision. Working on an island provides unique challenges for local emergency services and undertaking these types of training sessions – in their own backyard – ensures our QAS staff and their QFES colleagues are well prepared for any situation that may arise.

Autumn 2020

Officer, having served with the Australia Imperial Force in the Pacific during World War II as a Nursing Orderly. Despite having never starred on the small screen – Bob was a natural and a true professional behind the camera – more than happy to participate in multiple takes for the story. A delighted Bob told Insight he had a great day filming and meeting the younger generation of QAS paramedics. Son Greg, who is incredibly proud of his dad’s many achievements, said the writing of the book, the book launch and subsequent filming had been a great way to occupy his dad following the sad passing of his loving wife Gwen in 2018 after 71 years of marriage. We salute you Bob!

BRIEFS • Autumn 2020

Grateful patient thanks his ‘heroes’

When Springwood father Urs Birrer set off on a regular bike ride it started out like any other for the keen cyclist. Urs cycled several times a week and was looking forward to his off-road ride in the Daisy Hill Conservation Park at Shailer Park on 10 March 2019. However, about two kilometres into the forest on a secluded dirt track, tragedy struck when Urs came off his mountain bike and suffered a critical head injury. Thankfully, two other cyclists came across the unconscious Urs, who also had a fractured collarbone, broken ribs and a punctured lung, and contacted Triple Zero (000), waiting with him until paramedics

arrived on scene. Urs was treated on-site for his multiple injuries before being transported lights and sirens in a critical condition to hospital with a High Acuity Response Unit officer on board. The 45-year-old spent four months in the Princess Alexandra Hospital and is still receiving rehabilitation. He had previously met with the two bystanders who assisted him, but it was also a desire for Urs to reunite with QAS paramedics involved in his treatment and transport that fateful day. Urs received his wish when he reunited with four of the QAS officers involved in his case on 29 January 2020.

“There are not enough words to describe what it meant for me to meet real heroes,” a grateful Urs said. “It was overwhelming and emotional, but so important for me. I wanted to say thank you because without their help, I wouldn’t be where I am right now.” QAS paramedics Jamie Lamont, Jamie MacPherson, Beau Thomas and Madeline Hillas, who attended the reunion at Beenleigh Ambulance Station, were just as eager to meet with their patient. Jamie Lamont said it was amazing to meet with Urs who had ‘come ahead in leaps and bounds’ since the last time they saw him.

Indigenous Scholarship program’s inaugural recipients The inaugural recipients of the new QAS Indigenous Scholarship program have been announced with students being presented with QAS School Based scholarships at ceremonies around the state. The QAS Indigenous Scholarship program aims to increase Aboriginal and Torres Strait Islander representation within the workforce. The QAS School Based Scholarship aims to support Aboriginal and Torres Strait Islander students to eliminate barriers to the completion of studies at school, increase student retention in Year 11 and 12 and assist with the transition from school to work and/or tertiary education. It is hoped these scholarships will give Indigenous students a helping hand to realise their dreams.

Autumn 2020

Star allrounder bowled over by life-saving actions of mates and QAS officers Elite cricketer and Sunshine Coast Scorchers star allrounder Alecz Day suddenly collapsed at a training session on Thursday, 9 January and went into cardiac arrest. Jo Hales reports on a story with a happy ending thanks to the fast and effective actions of his team mates who gave the 29-year-old lifesaving CPR until paramedics arrived on scene. Below

■ Alecz Day surrounded by the Scorchers members who helped save his life, team mates John Turnball and Ashley Renouf and Head Coach Ashley Holznagel. Right

■ CCP Dan Statham answering questions from reporters at the media op.

Photos: Jo Hales

Alecz, a talented dual-code sportsman, is still trying to come to terms with the events of that fateful afternoon, but one thing is for sure, he is optimistic about a return to cricket sooner rather than later.

The initial crew was followed by Critical Care Paramedic Dan Statham and ACPs Anna Balestrieri and Nicole Morris.

“Cricket is something I look forward to and love…I have been playing it since I was nine years old,’’ Alezc said. “My aim is to be back playing by next season, but that will be completely governed by what the cardiologist says and when I can come off the medication.” The Queensland Premier Cricket player of the year in 2018, who plays hockey in the offseason, is extremely fit and healthy and prior to his cardiac arrest he said he had no symptoms. Unbeknown to Alecz, he had calcification in one of his arteries and when a piece broke away during his high intensity training session at the Maroochydore Cricket Club – the situation turned deadly.

Dan said paramedics were required to defibrillate three times at the scene interspersed with CPR. Thankfully, on the third shock, Return Of Spontaneous Circulation (ROSC) was achieved. “From this point Alecz`s condition gradually improved with him becoming more responsive,’’ said Dan.

After Alecz collapsed face first on the ground, a Triple Zero (000) call was taken by EMD John Kesby with initial reports suggesting the star all-rounder was fitting.

“His respiratory rate was now 26 and he pushed the Oropharyngeal Airway out of his mouth. C spine precautions were taken along with critical airway manouveres.”

However, when QAS paramedics Joel Halsall and James Butcherine arrived on scene a short time later with Griffith University student paramedic Jess Green, Alecz had gone into cardiac arrest and was being given CPR by team mates John Turnball and Ashley Renouf and Head Coach Ashley Holznagel.

Dan said the initial 12-lead ECG showed no STEMI pattern at all. This led the crew to presume the potential cause was an intra-cerebral bleed.

Autumn 2020

“Alecz had unequal pupils, there was decerebrate posturing, he was becoming agitated post ROSC and had a PMHx of childhood epilepsy. A small incremental dose of midazolam was administered

Elite athlete’s pitch perfect recovery

and this settled Alecz so that care could continue as required,’’ Dan said. “A second 12-lead showed a Wellen’s Syndrome type change evidenced by the biphasic T waves in V2 & V3. Coincidentally, Wellen’s can also be associated with raised Intracranial Pressure.” Alecz was transported in a critical condition to the Sunshine Coast University Hospital where he was defibrillated a further two times, once in the ED and then again in the Cath Lab. A cardiologist later confirmed Alecz’s angiogram showed he had a 100% proximal occlusion of his Left Anterior Descending coronary artery. Alecz, who received a stent, cannot recall a large period of time surrounding his cardiac arrest, including his training session. When he awoke from his coma, it was more than a day and a half after he had gone into cardiac arrest. “They slowly brought me out of the coma 40 hours after I collapsed. The Saturday is still pretty hazy but by Sunday morning I had my memory back,” Alecz said.

Club, for a reunion that was attended by a large media contingent who were eager to interview the popular athlete. At the event, QAS Acting Assistant Commissioner Sunshine Coast LASN Ian Tarr, presented John Turnball, Ashley Renouf and Ashley Holznagel with Certificates of Appreciation for their CPR efforts. Alecz said it was so humbling to meet with the ambulance officers and student paramedic who assisted him and say thank you. As for the medical attention and treatment he received from his team mates, paramedics and the staff at the hospital, Alecz said there weren’t enough words to express how grateful he was for the gift of life. “It is something I will never be able to repay them for. I wouldn’t be here now if not for all their actions.” Student paramedic Jess Green, who was part of the first crew to arrive on scene, was delighted to meet Alecz. The Griffith University student, who took over CPR from Alecz’s team mates, said she would always remember his job.

“By Monday I was out of intensive care and taken to a ward and on Wednesday, I was discharged from hospital.”

“The QAS paramedics operate at such a high level, and everyone worked so well together to give Alecz the best possible care,’’ Jess said.

Alecz was placed on medications, including blood thinners and went on to receive cardiac rehab.

“He is also the first person I’ve done CPR on, so to learn he’d made a full recovery and have the opportunity to meet him in person – I don’t think it gets more rewarding than that.’’

“I am hoping I won’t be on the medication for too long – it is just being taken as precautionary measure at this point of time.” Amazingly, just weeks after his cardiac arrest, he was also back at his job as an estimator at a construction company. As he recalls the extraordinary events of the last few months, Alecz, who turns 30 on 1 April, said he is just so lucky ‘the cards fell into place when he arrested’. Alecz was able to thank his mates for their efforts shortly after his ordeal, and he was also given the opportunity to meet with the QAS officers, EMD and student paramedic who were integral in his chain of survival. On Thursday, 27 February paramedics and Scorchers members gathered at the Maroochydore Cricket

Below

■ Alecz was delighted to meet the QAS officers and student paramedic and thank them for their efforts. Background

■ Group photo with Catherine Duncan, Ashley Holznagel, Anna Balestrieri, Edlund Kent-Brown, Nicole Morris, Ashley Renouf, Dan Statham, Alecz Day, Joel Halsall, John Turnball, Jess Green, John Kesby, James Butcherine and Ian Tarr.

Photos: Jo Hales

Dan said it was also fantastic to meet with the former patient – the youngest cardiac response patient he has ever encountered in his more than 35 years of service. “Thankfully everything just lined up that day. It was a combination of perfect CPR by the Scorchers members, early defibrillation by the paramedics on scene and the hospital staff did a tremendous job as well,” Dan said.

Autumn 2020

Pet python’s desire to be attached to its owner results in attending crew having to think outside the square to solve the case Ipswich paramedic Rhys Warwick was left shaking his head while responding to a roommate dispute with a serpentine twist on 3 January, after a pet python struck its owner on the wrist and refused to let go. Matthew Stirling recently met with Rhys, patient Isobelle Slatter and Albert the eight-year-old olive python to uncoil the steps of the case. Problem solving is an ability most paramedics will be familiar with, however, not many can claim to do so while wrangling a nine-foot python stubbornly intent on constricting its owner’s arm. This was the situation presented to Rhys and his partner Bree King when they arrived at a Deebing Heights home to find Albert’s mouth attached to the entire posterior of Isobelle’s wrist, wrapping around to the edge of her anterior wrist.

8 Above

■ Albert the python is looking bigger and healthier. Opposite

■ Rhys with a more relaxed Albert and Isobelle.

Photos: Matt Stirling

Isobelle, 21, was completing a morning clean of the non-venomous snake’s enclosure when Albert struck. “He latched his jaw down and wrapped himself around his own neck to maintain the grip and then wrapped around and around,” she said. “His teeth, which are like 100 plus needles, are inverted so you can’t pull them off and by pushing forward the teeth were going further in. “After that my hand was not working.” After 25 minutes of futile attempts by Isobelle’s friends to untangle the reptile, concern for her arm set in and the decision was made to call paramedics. Albert had only been with Isobelle a few months since being rescued from an inadequate home. Malnourished and scarred, Isobelle said the python was also recovering from a systemic respiratory infection. “He went into a feeding response with my arm nearby, reacting to any warmth with a strike and any movement with aggression,” she said.

Autumn 2020

Rhys stated that although he doesn’t mind snakes, he wouldn’t normally touch one. “Usually they just bite and let go. We tried to remove Albert at the start but if we moved him too much he just constricted tighter and bit harder,” he said. “There were concerns the radial artery was involved as we couldn’t see much, and the constriction was cutting off blood flow to the hand. “We had to unwrap Albert a few times because he was getting too tight and Isobelle got briefly cyanosed in her fingers.” Realising that Albert wasn’t releasing his grip without some persuading, the crew called a local snake catcher to source a solution. The paramedics were advised to firstly try pouring cold water over the snake, to no avail. Next the crew began rubbing ice cubes along Albert’s jaw, but again he held firm through the discomfort. The suggestion of using alcohol or hand sanitiser was discussed, however, even though she was experiencing immense pain, Isobelle insisted against the idea due to Albert’s poor health. The bizarre reality of the situation was sinking in as the paramedics ran a bath and Isobelle hobbled across the house with the heavy python weighing down her wreathed limb. When submerging Albert under water also failed, the team conceded they were

Snake case involving pet python Albert

running out of options and requested back-up in the form of Critical Care Paramedic Nicholas Abussi and Critical Care Intern Sergio Gomes. During the paramedics attempts to tip the scales, so to speak, Albert would respond by tightening his constriction, resulting in increased peripheral cyanosis and a cap refill of four seconds. With a vet unable to respond and sedation appearing the only avenue, it was decided that the

intertwined duo would be heading into the ambulance. With Albert finally sedated by the veterinary clinic and taken home in a pillow case, the crew were able to inspect Isobelle’s injury. Thankfully, she retained function of her hand with minimal bleeding, and the wounds were cleaned before she was transported to Ipswich Hospital for further assessment.

Months later, Isobelle’s small scar serves as a reminder to slip on her motorcycle glove and jacket for protection when around the snake enclosure, with Albert’s strong recovery adding another half a foot to his length. “I struggled to open my hand for a few days afterward,” she said. When queried whether this was Rhys’ strangest case in his four years as a paramedic he replied, ‘It’s up there’.

Autumn 2020

INSIDE T

Local Ambulance LOCAL Committees AMBULANCE COMMITTEES instrumental in building community resilience

Our Local Ambulance Committees (LACs) provide valuable assistance and support to their local ambulance stations around the state. Whether it is undertaking CPR Awareness (CPRA) sessions or other community safety initiatives, our LAC volunteers are instrumental in helping build community resilience. LACs also provide invaluable community input back into the QAS which greatly assists in the ongoing delivery of ambulance services that are highly valued. This debut Inside the LACs report puts the spotlight on our muchloved LAC volunteers and showcases the many roles they undertake. Across the state, QAS has a presence in communities far and wide. Stations are located from the tip of the Cape, out to Mount Isa, and down to Goondiwindi: and many of these stations are supported by an LAC made up of dedicated volunteers. Currently there are more than 1200 volunteers making up 143 LACs, in addition, there are more than 290 operational volunteers who are either Volunteer Drivers, First Responders and Honorary Ambulance Officers such as Mick Davis, the QAS Heritage and History Manager.

But our volunteers will often say that while demonstrating CPR and encouraging community familiarity and use of AEDs is essential, it’s the conversations had on the sidelines that are the real treasure. Finding out about people’s needs, discovering opportunities to build resilience and cohesion in our communities and connecting community members with services are the real benefits.

Our volunteers take their roles very seriously, providing financial support to stations by way of infrastructure or equipment, or operational equipment for paramedics.

LACS raise funds through fundraising at events and CPRA sessions, as well as donations, bequests or sometimes through successfully applying for grants.

LACs have a prime role to engage with their community to promote the QAS, to build community resilience, and provide visibility on issues of community concern in relation to ambulance services. Many of our LACs use the opportunities presented by community events such as agricultural shows, events, and celebrations to offer CPRA sessions as a way of both engaging with the community while providing valuable training.

Since the start of the CPRA program in 2014, almost 150,000 Queenslanders have participated in CPRA sessions. These range from kindergarten-aged children, to those well into their elder years.

These funds are then used to purchase CPR manikins and equipment, promotional items to be used at events, or AEDs for community-based organisations without funds of their own. Our volunteers are a constant source of smiles, laughter, and engagement to both the community and our staff.

Autumn 2020

History LACs have their origin in the establishment of the ambulance service in Queensland. Ambulance services in Queensland were originally self-funded by communities and run by a local committee under the umbrella of the Queensland Ambulance Transport Brigade (QATB). With the introduction of the Ambulance Service Act 1991 which established a single state-wide Queensland Ambulance Service, and recognising the importance of the contribution of local community members in supporting their ambulance service, LACs were established.

Queensland Local Ambulance Committee Advisory Council (QLAC) QLAC is the peak principal volunteer and community advisory body to the QAS. It is made up of representatives from LACs located across Queensland. QLAC meet approximately four times a year, via teleconference and also at face-to-face meetings, with the QAS Executive. QLAC members represent the needs and requirements of LACs in their local areas to the Commissioner and the QAS leadership team to assist the ambulance service to better meet the needs of the community.

Introducing Inside the Local Ambulance Committees

If you have a story idea or would like to contribute to Inside the LACs email lacenquiries@ambulance.qld.gov.au

â&#x2013; This photo collage features LAC volunteers receiving awards, attending events or educating the public over the last few years. There are currently more than 1200 volunteers associated with ourÂ LACs.

Autumn 2020

Duress and location tracking a lifeline for our bush ambulance officers The Innovation Report showcases the ground-breaking pre-hospital care being delivered around the state by the QAS. This debut report focuses on the organisation’s investment in technology infrastructure services, including satellite push-to-talk radios with location tracking and duress capability. Left

■ Aramac OIC Dan Hovey says the innovative pushto-talk radios with location tracking and duress capability are invaluable for singleresponding officers. Right

■ Mapping showing the satellite push-to-talk devices around the state.

Clocking up two years in the job of Aramac OIC, Dan Hovey said life for the hundreds of single-responding officers across the state has gone from strength to strength thanks to the service’s investments in technology infrastructure, including satellite push-totalk (PTT) radios with location tracking and duress capability.

“That all changed with the introduction of the satellite PTT radios – truly a second pair of hands that connects us to Comms seamlessly – there’s no fiddling around, it’s press and go, saving precious time when we’re on the job. “It is an invaluable resource that has changed our operations. “It’s hard to believe – in the vastness of our LASN, extending from Aramac to Birdsville – a tiny satellite atop our truck pings our location to Comms every thirty seconds. It’s very reassuring to know that when you are hundreds of kilometres away from station, help is literally just a ‘blip’ on the radar away.

“As well, since late last year we’ve had duress buttons installed in our vehicles, which, when pressed, immediately signals an alarm in Comms, providing us with an extra level of safety – and when we’re travelling, Comms also make half-hourly welfare checks too, as an extra level of care.

“Coming from Brisbane a few years ago I was spoilt with the Government Wireless Network a digital radio network and all the mod cons that come with being in a Metro area…out here, it was a case of juggling a VHF, UHF and satellite phone to connect as Aramac 2495 with Rockhampton Communications Centre, nearby hospitals and Retrieval Services Queensland,” Dan said.

Autumn 2020

“We’re the first state in Australia to have this technology and it’s a real feather in the QAS cap. “I think one of the greatest things the service is doing is looking after those in the bush – us and our patients – whether it’s crucial fleet and infrastructure upgrades like these, or even clinical innovations like the roll out of decision supported fibrinolysis, it really does translate to lives being saved.

Introducing Innovation

Top

■ Location-based image displaying duress activation. Right

“Me and my peers out bush couldn’t be happier that so many safeguards have been put in place.” Acting Director Operations Frontline Services Group, Service Planning and Performance, Caleb Moore said the project’s SatPTT duress and location capability implementation was the result of rigorous testing in simulated environments and rural sites to ensure its reliability and functionality.

“Together, everyone who has worked on this project has helped deliver an extra level of certainty for these resourceful officers working in our most outlying areas.”

■ EMD’s such as Steven Boland from the Townsville OpCen are notified of an officer’s location every 30 seconds thanks to a transceiver on top of the truck.

QAS Commissioner Russell Bowles said when it comes to delivering innovative pre-hospital care, QAS has proudly set international benchmarks for decades.

“Providing enhanced safety to our paramedics working in some of the state’s most remote corners has been our primary focus,” Caleb said. “Our modest investment of just over a quarter of a million dollars has allowed our commercial partner, Wireless Innovation, to provide a connection between their server and our communications and CAD networks – bridging the gap to allow for real-time information transfer. “Borne from the findings of the 2016 ‘Paramedic Safety Task Force – Final Report’, many hands have had a part in making this major technological milestone a reality, from United Workers Union to the Public Safety Business Agency and far too many QAS champions to name… and I thank them for their time, passion and expertise.

“Like Dan said, whether it’s in the clinical sphere, with our innovations in the management of high acuity trauma, to providing this new technology to support our rural and remote officers, we’re on the front foot,” Commissioner Bowles said. “My goal is to have QAS synonymous with evidence based innovation and we will only continue to achieve this by investing in timely solutions for the changing needs of our patients and officers.”

“As an Australian first, everyone’s had a dogged determination to see the job through and we’ve done that – it’s a legacy everyone can be proud of.

Autumn 2020

QAS officers’ care and compassion strikes a chord with Ambulance Australia viewers leading to ratings high

The exceptional professionalism and skill of the QAS has been on display nationally after season 3 of critically acclaimed television program Ambulance Australia debuted on Network Ten in February. The care and compassion shown by QAS officers has been a highlight of this program which has made the audience laugh, cry and be inspired. The stories of our patients too have been both heartbreaking and uplifting – whether it be a cardiac arrest survivor brought back to life after half an hour of CPR from paramedics or a newborn helped into the world over the phone by our EMDs. Not only has this show placed a spotlight on our organisation, it has also helped educate the public on the importance of learning first-aid and when it is appropriate to call Triple Zero (000) for an ambulance. The show’s ratings have been a success with viewer numbers well up on the previous season and consistent wins in its timeslot and in key audience demographics. Thanks to everyone who has made it such a success.

Top

EMD Ben Turner and Roma St paramedics Kailtlyn Lange and Michelle Wallace appear on Channel 10 kids show Toasted TV. Middle

Lysis arrest survivor Kevin Hill reunites with the team who saved him and The Project presenter Lisa Wilkinson, with Facebook comments underneath. Bottom

Nathan paramedics Rachel Kluck and Ben Laws talk to Nova radio station about the show.

Autumn 2020

Right

Paramedics Ben Laws and Ash Panta take part in a publicity shoot for the Sunday Mail, with adjacent Sunday Mail article on Ben Laws and Ash Panta.

Ambulance Australia

Left

A palliative care case struck a chord with the audience, with Facebook comments underneath. Right

EMD Jaimi Layt reunites with baby Roman and his family after she helped deliver him on Ambulance Australia, with Facebook comments underneath. Below

Balmoral Paramedics Ash Panta and Armahn Kennedy film a segment for tv show Totally Wild about what it was like to be part of Ambulance Australia. Photos: Supplied

Above

Caboolture paramedics Jan Burdekin and Andrew Roberts appear in the Sunshine Coast Daily newspaper.

Above

EMD Harrison Searle appears in top rating digital news site Mamamia.

Autumn 2020

Teenage amputee’s desire to thank emergency service crews who helped save his life following serious machinery accident Ned Desbrow’s life changed forever when his leg needed to be amputated on scene following a workplace incident on a remote property in Tara last year. Holly Hamer reports on an emotional reunion involving the optimistic 19-year-old who wanted to thank the hard-working emergency services workers, including our QAS paramedics, who saved his life. “I felt very helpless, I just wanted to be there to help him and comfort him,” she said. A Tara paramedic crew comprising Dave Hornsby and Michael Hadj were the first responders to arrive on scene and it soon became clear they would need extra assistance. They were followed by Queensland Fire and Emergency Services crews and the LifeFlight crew which included QAS Critical Care Flight Paramedic Peter Scullett-Dean and Flight Doctor Martin Londahl.

Dave said when they assessed Ned, he was pale, sweaty and obviously in pain. Above

EMD Laurie Annan, QAS Critical Care Flight Paramedic Peter Scullett-Dean, Barry Parish, Ned Desbrow and mum Melita Carlyon, Gail Parish and QAS paramedic Dave Hornsby. Right

The accident scene.

Photo: Supplied

Below

At the reunion, teenage amputee Ned Desbrow revelled at the chance to chat with those who helped save his life including paramedic Dave Hornsby and the LifeFlight crew.

On 9 May 2019, the teenager was operating machinery on a remote Tara property roughly 265km from Brisbane. He was pulling logs out, but the winch kept on getting stuck. As Ned worked to free the line with his foot, it got snagged by the line. “The next minute, I noticed that half of my leg was wrapped around the winch…It kept on pulling. It basically got up to my hip and the leg was wrapped all the way around,” recounted Ned. With his mobile phone only having one bar of reception on the property, and with no one in shouting distance, Ned desperately rang his mother Melita Carlyon. “He said ‘Mum, you need to help me, my leg’s gone’. He was screaming, ‘Mum, you’ve got to help me’,” Melita said. Melita explained that while she didn’t want to, she had to hang up on Ned to call Triple Zero (000) and Ned’s friend and boss. They were in the area and she wanted to let them know he was stuck and that they needed to get to him straight away.

Autumn 2020

“His left leg was wrapped 360 degrees around the cable drum on the rear of the bulldozer, and consequently was crushed,” Dave said. “The leg had been pulled in all the way up to the neck of his femur, tearing the skin from the lower part of his pelvis.” Peter said he knew something big was going on when they got the job. “The paramedics out at Tara are very good at their job, and they usually can get by…so I knew this was a serious incident, because it was unusual for Tara to call for a local medevac assistance in addition to the request for our assistance,” Peter said.

Teenage amputee’s emotional reunion

He said when he arrived on scene, he was astonished by the severity of Ned’s injuries. “The brutal reality was that we would have to perform an infield amputation to free Ned and get him to hospital. There was no other way we could do it. “Due to the extent of the injury and the blood vessels which were involved, we were conscious of the fact that Ned could lose a lot of blood very quickly, so we had to be careful with how we managed him and how we controlled the bleeding and managed his pain.” Peter added that another aircraft was called in with extra blood products to prepare for a possible catastrophic haemorrhage, which fortunately, did not occur. Melita was soon informed of the plan over the phone. “When they told me that because of the blood loss there was a high chance Ned could die, I collapsed. It was a parents’ worst nightmare,” Melita said. Ned understood the gravity of the situation when he was told he was going to lose his leg. However, the brave teenager was determined to make it through his ordeal, even telling his mother and brother over the phone that he was ‘not going to die today’. “I just knew at that stage that that wasn’t my time to go out, I didn’t want to believe it, I just kept on fighting. To wake up in hospital the next day after such an extreme accident, I’m not bragging but I think that’s pretty cool.” LifeFlight Doctor Martin Londahl had the task of amputating Ned’s left leg. “His chances of making it through were very, very slim, Dr Londahl said. “We said that what we would do, is get everything set up and optimise it, as much as we can, give him the absolute best shot we can and we did.”

After the amputation, the wound was dressed and compression bandages were applied and Ned was airlifted to the Princess Alexandra Hospital. Despite the gruelling procedure, Dr Londahl said Ned’s survival came down to the amazing joint effort of everyone on scene. “It was the result of really good teamwork, I will be forever grateful to Dave Hornsby because he kept Ned stable for around three hours…He was next to him the whole time,” Dr Londahl said. Ned also agreed the teamwork that day was key to his survival which is why it was so important for him to reunite with the people who helped save his life. On 15 January 2020, he got his wish when he reunited with those who had assisted him at the scene, as well as an EMD involved in his case Laurie Annan. Fit with a beaming smile and full of gratitude, Ned had kind words for the people who helped save his life.

Above

Melita and Ned. Photo: Supplied Background

A large contingent of media attended the reunion at the RACQ LifeFlight Rescue helicopter base. Our QAS officers were joined by Dr Martin Londahl, Russell Bennett and Eddie Balarezo (RACQ LifeFlight Rescue) and Wade Burgess (QFES Tara).

He thanked every person individually, shaking their hands and explaining his road to recovery. Ned said the accident taught him that he can achieve anything he puts his mind to, which led to him starting his own physiotherapy, including building his upper body strength. He also was still riding his skateboard and dirt bike. Ned had also begun his journey for a bionic leg, ready to be back on two feet. Tears were shed, hugs were had, and relief was clear on the crew’s faces when they saw how Ned had recovered. Peter reflected on how this was the best part of his job as a paramedic. “It really makes us all feel good when we go out and do our jobs every day and when people come back and say thank you,’’ Peter said. “They have such gratitude and we can see the smile on their face…it’s very pleasing and satisfying.”

Autumn 2020

Australia Day Honours for three of our finest It was a proud moment for the QAS when three of our finest officers Wayne Sachs, Cary Strong and Tracey Eastwick, were announced as Ambulance Service Medal (ASM) recipients in the Australia Day 2020 Honours List. Wayne, the Officer-in-Charge (OIC) of Gympie, Cary, a Gold Coast Senior Operations Supervisor (SOS) and Tracey, the Mackay Executive Manager Operations, share an incredible combined 100 years of service to the people of Queensland. The prestigious ASM recognises distinguished and outstanding service by the men and women of Australia’s ambulance organisations. It is acknowledgement of their outstanding service to the community and as role models within the QAS. QAS Commissioner Russell Bowles said Wayne, Cary and Tracey were exceptional QAS role models devoted to serving the community each day they go to work. “All three officers continually demonstrate their outstanding dedication and commitment to the QAS and the community to make a positive difference to people’s lives, and it is pleasing to see them recognised for their efforts,” Commissioner Bowles said.

Wayne Sachs

Cary Strong

Tracey Eastwick

Wayne is celebrating 46 years of ambulance service in Queensland and began his career at the Queensland Ambulance Transport Brigade in 1974 as a Driver Bearer in Gympie.

Cary has diligently served the community at locations in Brisbane and the Gold Coast for more than 33 years.

Tracey, who is Mackay based, has diligently served the community for more than 25 years. Tracey commenced her operational career with the QAS in 1994 as an Honorary Ambulance Officer in Kingaroy and has worked as a Critical Care Paramedic and Flight Paramedic.

Throughout his distinguished career, Wayne has built a reputation for his exceptional clinical ability, leadership capabilities and for providing excellence in patient care. He has been based at the Gympie Ambulance Station for most of his career, where he selflessly helps his community by undertaking various volunteer roles. Wayne is also very active within the Local Ambulance Committee, assisting with community awareness projects. Wayne was humbled by the honour and said he couldn’t imagine doing any other job. “I adore being a paramedic. It is the best job and I can honestly say I don’t ever want to retire this is my life,’’ Wayne said. “What we do for people is quite special and I am so appreciative the QAS employs me to do this.’’

During his career with the QAS, Cary has provided a high level of leadership across multiple management roles including as an OIC and in various senior operations roles. Cary is known for his depth of knowledge of ambulance operations and management of large-scale events and incidents. In 2019, when a Gold Coast nursing home suddenly closed, Cary coordinated and supervised the evacuation of 70 aged care residents in a safe and orderly manner to numerous other aged care homes. The popular SOS said he was overwhelmed at being named an ASM recipient. “I am extremely humbled, especially considering there are many paramedics throughout Queensland who do exceptional work and tasks each day,’’ Cary said.

She has held multiple senior positions which include as an OIC and Acting Director of the Mackay Local Ambulance Service Network. Officer Eastwick, who was commended for how she has coordinated and led staff through tragic weather incidents in the Mackay area over the years, said she was thrilled to be on the Honours list. “It is important for me to acknowledge my family, friends and mentors who have supported me throughout my career,’’ Officer Eastwick said. “This really is the most fulfilling job and after almost 26 years in the ambulance service, I still absolutely love my job. It does have its challenges, but it is a privilege to be able to do what I do.”

“At the same time, I am also honoured my peers believe what I have contributed to the QAS is worthy of recognition.”

From left to right

Gympie Officer-in-Charge Wayne Sachs is celebrating 46 years of ambulance service in Queensland.

Gold Coast Senior Operations Supervisor Cary Strong has provided a high level of leadership across multiple management roles.

Autumn 2020

Mackay Executive Manager Operations Tracey Eastwick has coordinated and led staff through tragic weather incidents in the Mackay area over the years.

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A Day in the Life of a QAS Mental Health Clinician Co-Responder No two days are ever the same working on the Mental Health Co-Responder program. Paul Meehan, Clinical Nurse Consultant, a Metro South Health, Mental Health Co-Responder based at Beenleigh Ambulance Station, reports on the successful pilot program which involves a Mental Health Clinician pairing up with a LARU paramedic to provide specialist mental health assessments and treatment to people in their own homes. I have been a qualified psychiatric nurse since the mid-1990s, having trained and worked in the United Kingdom. I emigrated to Australia in 2000, married my lovely partner, began a family and continued my career in both acute psychiatric in-patient units and community based, homeless health care. I was honoured and proud to be able to join the Co-Responder team as a Mental Health (MH) Clinician, helping to shape and advocate for this amazing service.

Since July 2019, the QAS has trialled pairing a Senior MH Clinician from the local Mental Health team with a LARU paramedic to respond to people experiencing a mental health crisis situation in selected LASNs in southeast Queensland. I have the privilege of working with the skilled and dedicated professionals out of the Beenleigh Station. Every day is different, they all start the same way, but you never know what the afternoon and night will bring.

After arriving at station for our shift, my partner and I perform our vehicle and equipment checks and then we begin the task of scanning jobs looking for appropriate mental health cases. These include incidents involving minor self-harm/threats of suicide, emotional crisis/bereavement, anxiety/low mood/depression and acute psychosis. These are jobs which the co-responder can effectively assess, providing appropriate treatments and referral pathways, in most cases out of the hospital environment. The QAS Mental Health Co-Responder can spend time to support people through their difficulties and free up other crews to attend other jobs. And while this means we do have to decline certain jobs via the Communications Centre, we are always available for phone support to the attending crews. We perform the same assessment and referrals as would be performed in the ED department, however, we do this in the patient’s home environment, reducing the time required for transportation and ED waiting/ramp time. This results in a much improved and efficient experience of service for the patient. When we identify a job that potentially can prevent an otherwise involuntary transport to ED, we notify the Communications Centre and often request the attending crew to

stand-down. If the first crew is already on scene when we arrive, we receive their handover and then the clinicians introduce themselves to the patient and begins the assessment. Most often within the first five to 15 minutes there will be enough information to make the judgement call as to whether to stand-down the first QAS crew and any attending resources allocated, so that they are then freed to attend other matters. The LARU officer and the clinician then work together to complete the mental health assessment and the patient’s vital signs (if agreeing to same). The mental health assessment, including a mental state examination, can take anywhere between 20 minutes to one hour depending upon the complexities of the case. The MH clinician and LARU paramedic conducts a risk assessment and makes a plan accordingly, often involving supportive counselling and community supports via Non-Government Organisations, our MHCALL service or even simply to follow-up with a phone call from the MH clinicians. If appropriate, the MH clinician can book the patient directly into one of our Wellbeing Team Clinics which are available during the week providing an alternative pathway (from ED) for a comprehensive mental health assessment and safety plans with planned follow-up by that team. This is the great thing about being part of the Metro South Health and Hospital Service, that we can arrange local and appropriate follow up for people as required. We attend a huge variety of cases and following is an example of how this joint role of MH clinician and LARU Paramedic is effectively meeting the needs of the patient and saving resources for both first responders and emergency staff. Left

Beenleigh OIC Chris Rendall-Day and Mental Health Clinician Paul Meehan. Right

QAS photo shoot for the Mental Health Co-Responder program with a mock patient.

Autumn 2020

QAS Mental Health Co-Responder program

In Brief

Case involving a refugee with a complex history of trauma We were called to an Iranian lady who had arrived in Australia as a refugee with a complex history of trauma. She had expressed suicidal intentions to the Department of Child Safety (DoCS) following a phone call with them. Her two youngest children were removed by DoCS two days prior over concerns for their welfare. Her ex-husband was involved in domestic violence with her. The picture of how the children were unsafe was not apparent at the time of assessment, however, this wasn’t relevant to the assessment. The main issue was the lady’s distress over her children being removed and her belief that she wouldn’t get them back. This was overwhelming for her which led to her expressing to DoCS her desire to die as “I cannot live without them!”

The Mental Health Co-Responder program is designed to better support people experiencing a mental health crisis, who access services via Triple Zero (000). It involves Mental Health clinicians working collaboratively with LARU paramedics in the field to provide specialist mental health assessments and treatment to people in their own homes. The clinician and paramedic are able to facilitate short-term management and utilise existing resources for those experiencing a mental health crisis, which results in QAS resources being used effectively and efficiently. The program also provides more optimal use of the broader heath system.

After the LARU paramedics did some brief physical observations and we were satisfied that she was not physically compromised, we could conduct an assessment of the woman’s needs. When I assessed her, the focus was on determining whether she was significantly impacted by mental illness to the point of no longer being able to be supported at home safely. It became apparent, quite early in the assessment, that this was clearly not the case. With supportive therapy, gentle challenging of her negative perceptions of not being able to cope without her little children, and offering support services, I was able to confidently send the emergency crews away. Reassurance and a space for the lady to safely vent her distress was provided and she responded when she was offered hope of having her family back together. I reminded her that she needed to focus on being strong for her children and work with DoCS to satisfy them that her children would be safe to come home. The lady was booked into the Wellbeing Clinic and the following day there was a follow up phone call in which she sounded much brighter and hopeful expressing sincere gratitude for all the support provided. Providing support, education and advice is an important part of our role and integral to our daily business, both informally and formally. In addition, we are very happy to be approached by any paramedics with questions related to mental health, treatment options, symptoms etc. Quite often, we are approached by the other attending crew with questions in relation to a previous job they attended, and we will gladly offer support and advice. If any crew needs to contact the CoRe team, please contact us via COMMS.

Below are figures for the first six months of the Mental Health Co-Responder program, operating in south-east Queensland since July 2019.

2,560

Mental Health Clinicians and paramedics have spent 2,560 hours on road

76% of cases have avoided EEA

70% of patients were not transported

657

There have been 657 referrals

The QAS Mental Health Co-Responder pilot program operates seven days a week, afternoon shifts, from Beenleigh and Southport stations and in West Moreton four afternoons a week. The success of the pilot program is a direct reflection of the collaboration between the dedicated staff from the local Mental Health Services and the QAS.

Extra Resources Lifeline 13 11 14 4636 Beyond Blue 1300 22 1300 659 467 vice ser k bac l cal e cid Sui 84 25 43 13HEALTH 13 0 789 978 Mensline Australia 130 vice 1800 177 833 Ser Info Alcohol & Drugs 1300 364 277 Relationships Australia 800 551 0 180 Kids Helpline 890 650 0 180 e pac ads He

Autumn 2020

Fair and Inclusive Practice Network Induction Program a resounding success The QAS continues to progress its commitment to providing a contemporary and professional workplace, which fully meets the needs of each of our valuable and diverse employees. In December last year, Commissioner Bowles authorised the introduction of the new Fair and Inclusive Practice Network (FIPN). This was followed in late January with the inaugural Induction Program for the first cohort of FIPN Officers.

The FIPN was established under the revised QAS Diversity and Inclusion Strategy and Action Plan 2019-2022. The Office of the Commissioner was overwhelmed by the positive response to this initiative, receiving 72 applications from across the state from staff to join the Network. Eighteen of these applicants have been initially chosen to support each of the 16 LASNs and Central Office. In addition to the LASN representatives, the Network will be overseen by a Coordinator sitting within the Office of the Commissioner and reporting directly to the Executive Director, Office of the Commissioner. Flexible work arrangements, transition to retirement, parental leave and working whilst caring are often viewed as areas unique to others. Nonetheless, throughout our employment lifecycle, it is very likely that each of us will fall into one or more of these categories at different times. As an organisation, if we not only accept but, indeed, fully embrace supporting our employees no matter their stage of life or individual requirements, we will ensure that our workplace thrives with our employees able to contribute their best each and every day. Sometimes supporting employees will look the same, however, sometimes it may look different as the organisation strives for equity. Individualised consideration of employees is something that can sometimes be seen as onerous, yet it is entirely in keeping with contemporary management practice with much research highlighting the vast benefits of such a management style both to society, as a whole, and to the individual organisations. The 18 new QAS Fair and Inclusive Practice Officers will assist us in reforming the area of fair and inclusive practice by providing an additional channel for feedback and concerns to reach management and by contributing to a ‘brains trust’ to guide changes at a state level. Furthermore, these officers will be provided contemporary

education on organisational policy, procedures and strategy related to the area, thereby allowing them to operate an extra avenue of support and advice for managers, supervisors and operational/administrative staff. This is anticipated to particularly support those who would rather have an

informal discussion with somebody they know in the first instance. For any questions regarding this Network, please reach out to the Coordinator at QAS.FIPN@ambulance.qld.gov.au

Fair and Inclusive Practice Network Officers Name

LASN

Richard Jones

Cairns and Hinterland

Richard.Jones@ambulance.qld.gov.au

Deborah Stoker

Central Office

Deborah.Stoker@ambulance.qld.gov.au

Stephen Turner

Central Office

Stephen.Turner@ambulance.qld.gov.au

Matt Macann

Central Queensland

Matt.Macann@ambulance.qld.gov.au

Paul Griffiths

Central West (Mackay)

Paul.Griffiths@ambulance.qld.gov.au

Wendy Aitken

Darling Downs

Wendy.Aitken@ambulance.qld.gov.au

Grant Gamble

Gold Coast

Grant.Gamble@ambulance.qld.gov.au

Rebecca Whiteley

Gold Coast (Metro North)

Rebecca.Whiteley@ambulance.qld.gov.au

Alison Kearney

Mackay (Central West)

Alison.Kearney@ambulance.qld.gov.au

Caroline Richardson

Metro North

Caroline.Richardson@ambulance.qld.gov.au

Ian Macaulay

Metro South

Ian.Macaulay@ambulance.qld.gov.au

Paula Marten

North West

Paula.Marten@ambulance.qld.gov.au

Claire Pass

South West

Claire.Pass@ambulance.qld.gov.au

Carissa Owens

State Operations Centre

Carissa.Owens@ambulance.qld.gov.au

Benjamin Phipps

Sunshine Coast

Benjamin.Phipps@ambulance.qld.gov.au

Stephen Willdin

Townsville

Stephen.Willdin@ambulance.qld.gov.au

Christopher Fulton

West Moreton

Christopher.Fulton@ambulance.qld.gov.au

Ilona Lefevre

Wide Bay

ILona.Lefevre@ambulance.qld.gov.au

Fair and Inclusive Practice Network Coordinator Kelly-Anne McGruer

(Acting) Central Office

QAS.FIPN@ambulance.qld.gov.au

Above

FIPN officers are all smiles as they line up for a group photo with Commissioner Russell Bowles at the debut induction program at Brisbane International Virginia in late January.

Autumn 2020

Operations Centre Reports

OpCen Reports Insight’s OpCen Report highlights examples of outstanding responses to Triple Zero (000) calls by our dedicated staff at Operations Centres around the state. Lyn Bassett

Rachael Gibbs

Jess Sullivan

Within nine seconds of answering the call, Cairns Senior EMD Lyn Bassett knew the situation was dire. The family members of a 73-year-old man were shouting “cardiac arrest, cardiac arrest!”

Staying on the line with a caller who is threatening self-harm is one of the most challenging calls an EMD can receive. With no script to follow, some EMDs find it difficult to know the “right thing to say”.

In another call involving self-harm, Brisbane EMD Jess Sullivan, used the perfect combination of technology, negotiation, active listening and intuition to help save the life of the first party caller threatening suicide.

Maroochydore Senior EMD Rachael Gibbs said all the right things when she used the perfect combination of compassion, care and situational awareness when staying on the line to support the first party caller who was threatening to stab herself. Rachael was able to keep the caller engaged through a normal conversational tone, as well as obtain additional details about potential scene safety issues until the paramedics arrived and transported the patient to hospital.

The male patient called and told Jess he was feeling sad but would not provide Jess with his location other than he was on a service road. Utilising Mobile Location Information (MoLI) in CAD, Jess was able to get a rough idea of the incident location, but it was not close enough for responding crews to locate the patient. Even though the caller was no longer communicating with Jess, she was able to hear sirens in the background. Jess immediately scanned her map and saw an ambulance close by proceeding code 1 to another case. Jess determined the most likely location (the patient had mentioned he was on some form of service road) and was able to narrow down the patient’s probable location enough to allow the QAS and QPS responders to search and subsequently locate the patient.

The family had already commenced CPR prior to calling Triple Zero (000). Lyn used a very effective combination of Repetitive Persistence, Action and Reason, and active listening with reassurance to ensure the CPR already being delivered, was being delivered effectively. Because of Lyn’s abilities to get the job into the queue and “hands on chest” quickly, the Dispatcher was able to have a crew on scene within four minutes and 42 seconds of receipt of call. All involved in this incident played their part with the crew transporting the patient with ROSC.

Call Lesson Call Lesson Priority Dispatch Corporation research identifies the survival for Out of Hospital Cardiac Arrest decreases by 10% for every minute treatment is delayed. It is therefore essential to get “hands on chest” as quickly as possible. When it comes to an unconscious patient, if the caller does not give a clear yes to Case Entry Question 6 – Is s/he breathing, you should utilise the appropriate answer to Q6 and initiate the ECHO response. Give the PDIs required at Case Entry and then follow the applicable PAI pathway and start resuscitation. Remember, “If they don’t say yes, you must compress!”

Protocol 25 Critical EMD Information reminds EMDs to keep a first party violent or suicidal patient on the line. Staying on the line with a suicidal caller may keep the caller engaged and can assist in postponing the suicide attempt. It may also allow the EMD to identify any potential scene safety risks. Often, EMDs are concerned that talking about suicide with a suicidal patient might push them over the edge. The fact that the caller is talking about suicide indicates they already have suicidal ideations in place. The following tips may help you when talking to a suicidal caller. • Remain calm, • Use open questions, • Be non-judgemental, • Do not attempt to use “Reverse Psychology” as it does not work, • Establish a rapport with the caller, • Be yourself. The ‘right words’ are unimportant - if you are concerned, your voice and manner will show it, and

With the information provided to QPS via ICEMS, their officers arrived on scene first and were able to cut down the patient. QAS then transported the patient ‘in good condition’ to hospital.

Call Lesson This patient’s survival comes down to Jess’s ability to think outside of the square and to continue to advocate for her patient. While much of what our EMD call takers do is scripted, a good EMD needs to be able to adapt and react to each situation as it presents. Our Protocols will take us so far, but it is our thinking and adaptive EMDs that often are the difference between life and death.

• The goal is to postpone the action rather than change the feeling. If you need any further information about any of these topics, please discuss with your PDO.

Autumn 2020

Symposium showcases latest perioperative patient blood management findings The Perioperative Patient Blood Management Symposium presents the latest research and practice for Patient Blood Management (PBM) and is an opportunity for any health professionals interested in the implementation of blood products in the field to keep up to date with the latest PBM findings. Caitlin Lambert reports on the 2020 symposium which took place on 14 and 15 February at the Royal Brisbane and Women’s Hospital. The symposium was run by Professor Kerstin Wyssusek, the Director of the Department of Anaesthesia and Perioperative Medicine at the Royal Brisbane and Women’s Hospital. Kerstin is also a longtime supporter for QAS paramedics clinical placements, so it was only fitting that the QAS Clinical Director Tony Hucker helped to facilitate the event.

Others facilitating at the symposium included our High Acuity Response Unit (HARU) officers, Critical Care Paramedics and Doctors. Top right

■ QAS Clinical Director Tony Hucker and Professor Kerstin Wyssusek, the Director of the Department of Anaesthesia and Perioperative Medicine at the RBWH.

Tony said 30 people registered for the pre-conference workshop and they were placed in small groups which rotated through five dynamic skill stations.

Left

■ Clinical Educator Drewe Davidson and Professor Kerstin Wyssusek. Bottom

■ Clinical Educator Brett Rogers and HARU officer James Wylie providing an overview of HARU equipment and procedures.

Photos: Michael Augustus

Autumn 2020

“Friday involved a day of workshops, including a pre-hospital workshop on bleeding; this focussed on what to do when you are treating a patient on scene when they won’t stop bleeding,” Tony said. “The first station involved basic first aid and incorporated pressure points, bandaging, pro coagulant dressings and also heating blankets; which are very important because the colder you are the more you bleed.” Other stations covered the use of tourniquets, how to look after amputated body parts, facial packing for serious bleeding and how to maintain an airway. A HARU vehicle was part of the set up and displayed blood products and other advanced trauma equipment the officers take into the field.

Blood Management Symposium

Tony said the symposium showcased how Queensland was one of the leaders in pre-hospital bleeding and blood loss management in the field. Our HARU carries blood at all times and is the first service in Australia (and perhaps the world) to use additional specialised blood components to stop bleeding.

“There’s not many places in the world doing this, we’re taking not only packed red cells, we’re also taking other blood components such as extended life plasma and fibrinogen concentrate,’’ Tony said.

Top left

“These are all important components which are given to people, particularly those who are bleeding severely outside of hospital, so that they have the best chance at survival.”

■ CCP Jon Wells demonstrating tourniquet application to control a lifethreatening haemorrhage.

■ CCP Tash Adams was one of the QAS officers involved in the haemorrhage control workshop. Top right

Bottom

Tony said the symposium struck a chord with attendees. “It was a very, very busy event…It was received very well by those attending and there was some wonderful feedback once it had finished.’’

■ Bronte Fussell was one of our QAS officers taking part in the pre-conference workshop on bleeding which demonstrated different aspects of emergency pre-hospital haemorrhage control.

Photos: Michael Augustus

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Autumn 2020

Simple suture procedure at home makes life easier for patient and his family Out-of-hospital suturing jobs are making life easier for patients and their families. Brigette Seymour reports on the positive flow on effect of LARU officer Kerrie Fissenden’s first suturing case involving a young boy. Background

Matt’s laceration required seven simple interrupted sutures. Opposite

LARU officer Kerrie Fissenden with her young patient Matt.

At the start of the school holidays in December 2019, 10-year-old Matthew was at his neighbour’s house with his sister, playing around the pool, with not a care in the world… until disaster struck when he slipped over and fell onto a sharp, broken pool tile. Matt sustained a cut to his leg and his sister recognised he needed some help from the Ambulance Service. A Triple Zero (000) call was made and LARU Officer Kerrie Fissenden was dispatched to the job. When Kerrie arrived on scene she observed that Matthew had sustained a 5cm laceration running vertically along his anterior mid lower right leg.

Kerrie, who had recently completed her LARU Wound Care Course and placements, said the isolated laceration was straight and clean with no damage to the underlying tissue. “The wound wasn’t over any joints and it was easily approximated therefore I believed it was appropriate for simple interrupted suturing,’’ Kerrie said. As per QAS protocol, Kerrie consulted Medical Director Dr Stephen Rashford via the QAS Consult line, he reviewed photos of the wound and gave her approval to suture. Kerrie administered lignocaine and flushed and cleaned the wound site before performing seven simple interrupted sutures under sterile conditions. She then placed an island dressing over the wound. After providing advice to Matt’s father Kevin about wound care and how to look out for signs

Autumn 2020

of infection, Kerrie left the youngster in the care of his family. Reflecting on her first suturing case, the LARU officer said it was a very rewarding job. “There were multiple family members on scene and they were really supportive and trusting of the QAS and our treatment,’’ Kerrie said. The LARU officer said she was confident undertaking the procedure because of all the QAS placement hours she had spent in the ED and with General Practitioners (GPs) and multiple other clinicians. “I was extremely motivated to gain this skill as I wanted to use it and help contribute to lowering unnecessary presentations to hospitals and GPs,” she said. Kevin said he was delighted that the procedure was able to be performed in the comfort of the family home. “Anyone would rather not go to hospital if given the choice, so it was a great relief to keep Matthew at home,’’ Kevin said. Matt’s stitches were taken out six days after his accident. “There were no complications or infections. It was a really good end result and wasn’t a scary experience for Matt which was great,” said Kevin. “In addition, Matt’s GP was very impressed with the quality of Kerrie’s stitches. “He was also very impressed that the procedure was now within the scope of the QAS.”

Local Area Assessment and Referral Unit report

Since the inclusion of simple interrupted suturing into the scope of practice of LARU officers, there have been almost 20 patients receive this care from QAS officers. Dr Rashford said ‘the patients we suture must have simple uncomplicated wounds’. “We currently use consultation before and after to provide live professional development to our officers until such time as we have a much higher level experience base,’’ Dr Rashford said. “Our patients appreciate receiving care in their homes where appropriate. Importantly, the GP is brought into the subsequent management early as part of wound checking and continuity of care.”

Indications

Contraindications

• Adult patient ≥16,

• Wounds unable to be easily approximated

• ≤4 hours from injury AND

• Wounds caused by animal/human bites or marine injury (e.g. coral cuts)

• Easily apposed wound edges with non-ragged edges

• Wounds with evidence of infection • Wounds over joints, the face (including chin), scalp, hands, ears, armpit, genitals or feet

Could your patient be a candidate for simple interrupted suturing?

• Obvious tissue defect or cavity (dead space) under the wound

Paramedics are encouraged to make themselves familiar with the current indications and contraindications for this procedure as per the current Clinical Practice Procedures, so patients can be referred to LARU care when appropriate.

• History of keloid scarring • Potential damage to underlying structures (i.e. tendons or bone on view) • Skin flaps or tear

Autumn 2020

Priority One Humanity at Work – A little bit of empathy goes a long way Supervisors and managers who display kindness and compassion to staff following a traumatic case can make a huge difference to the way they deal with the incident. Priority One Executive Manager John Murray reports on the importance of empathy. I walked out of the ED ‘holding it together’ only to find the Operations Supervisor (OS) cleaning our car. He had gathered up the mess, emptied the bins, and was mopping it out. “There’s some water over there for you,” directing us to a bench seat on the adjacent lawn. “I’ve taken you off-line, so just sit down and rest: that sounds like a nasty job! Above

Priority One Executive Manager John Murray

But what was helpful was the OS. His cleaning out the car and finding some down time for us helped so much. Not only was it wonderfully acknowledging of the experience of this case, it gave me time to ‘catch my breath’ so to speak and the opportunity to reflect with colleagues. I was fine to get back to work after this break and I actually slept really well that evening – unlike some past confronting cases.

“I’ll finish the car.” It was nasty. Not from the perspective of graphic trauma (which has never bothered me) but because it personally resonated with me and I sensed all of us who had attended. You see we were all parents of teenage children. The patient, who was now deceased, was a young teenager who had overdosed herself secondarily to bullying – not that we knew all that then. A friend of hers had called the ambulance after she had posted a message indicating she had overdosed. She was in cardiac arrest when we arrived on scene. Our resuscitation efforts to hospital had been ultimately futile. But none of that was as hard to witness as the child’s mother coming to the hospital to find her child had died. Vicariously, we all felt deeply for her – we could not feel any other way unless to feel nothing. This was a psychologically traumatic case, because of the witnessing of intense and acute grief, amplified perhaps by the personal proximity to our own lives and loves.

We felt valued and had a sense of ‘belonging to our tribe’ and therefore safe. Thank God for the OS. Not only did he clean the car and make up the stretcher, etc, he also contacted Comms to ensure we were not dispatched for the next hour or so, unless there was absolutely no other option. I will never forget how his actions helped me get through this case. I came out of the ED still on task, still holding it together because I had to be ready for the next response. The very moment we were invited to sit down and have a break I allowed myself to shed a few tears; I know I needed to. All three of us on the case just sat, sipped the water and let our conversation and emotions gradually meander to where they needed to go. I called my daughter at school during her lunch break. “Mum what are you calling for?” I just needed to assure myself that my world was still okay. That helped also.

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The denial of psychological safety and lack of acknowledgement and validation are now understood as major contributors to adverse trauma outcomes. This case highlights the importance for all in managerial or supervisory positions, to understand the potency they carry in supporting their staff secondary to confronting cases. What the OS did to support staff in this case was exemplary. It was not just the acknowledgement, demonstrated in cleaning the car, but his efforts in ensuring the crew were not dispatched straight away to another case, critically provided space for calming of the nervous system and some processing of the job to commence. In fact, he also dropped into the station later in the day to have a cuppa with the officers and see how they were getting on. From a neuroscience perspective the sooner the emotional parts of the brain (the limbic brain) can be down regulated, the sooner people can process their experience and return to work. That is resilience – the bouncing back readily after being ‘knocked over’. Prolonged up-regulation of the limbic brain is associated with less favourable outcomes, including PTSD. When a manager or supervisor can recognise and acknowledge the potential psychological impacts of a case for the EMDs and Paramedics involved, the more safe and valued people feel and so the easier to process it and move beyond the emotional and cognitive up regulation the case causes. In essence, the manager enables a psychologically safe space where, in a self-controlled, self-titrated manner staff can start to find answers to some of the fundamental questions that usually arise out of traumatic experiences. Questions like;

What actually happened? Why did it happen? How can this be? Why did I act as I did?

Priority One

Why am I acting as I am? Will I be okay if this sort of thing happens again? The evidence to support such interventions by managers and supervisors is becoming more and more apparent. Due to the position of power that managers and supervisors have within a workplace, their supportive actions are often more potent to staff in these situations than the supports of other colleagues, but the latter are still valuable. A qualitative study involving 60 staff in a large Canadian ambulance service looked at what was important for ambulance staff post critical incidents and found “ambulance workers wish in particular for their supervisors’ support in the aftermath of a critical incident, and this is likely at least partly because they see supervisors as the arbiters of professional competence. If these mechanisms are unavailable or insufficient, the ambulance worker may become angry, sad, dissatisfied with work or plagued by intrusive or avoidant symptoms”1. The study went on to recommend two key components in the early aftermath of trauma 1) emotional support offered by supervisors and 2) a brief 30-60min timeout period which serves to decrease emotional hyperarousal and enables a self-titrated start to processing the experience1. More recently the Beyondblue National Survey into the mental health and wellbeing of Police and Emergency Services surveyed over 20,000 staff and concluded, “Workplaces that provided sufficient opportunity to recover after stressful events, and had lower levels of gossip, stigma and bullying and higher levels of support and inclusiveness had lower levels of psychological distress and PTSD and higher levels of resilience. In agencies with higher levels of resilience, more employees were able to take time off after experiencing a traumatic event at work”2.

Painful events per se don’t necessarily cause trauma. It is often the break in, or absence of empathic connection to others that causes the trauma3. Similarly, work done in Victorian emergency services noted “In those industries where workers often ‘give much’ of themselves, it may become particularly important for management, not only to support, but to be seen to support their staff in critical times. Too often, the negative results of perceived/actual lack of management support has been described, and this may be more distressing to a worker than the traumatic incident itself4. The qualitative understandings that come from these studies are now being underpinned by neuro scientific research and are consistent with key principles of psychological first aid being: • Ensuring people feel safe and secure. This assists in reduction of hyper arousal and provides a psychological climate wherein psychological processing may commence. Immediate response to another case may potentially compromise this by keeping the nervous system too up regulated and thus consolidating traumatic memories. For EMDs a short period ‘out of the room’ may be important.

• Provision of practical assistance as needed. This might be as simple as starting to clean up the ambulance or providing a meal for the impacted staff. Practical assistance is an acknowledging and validating action which further helps people feel safe and secure and thus further adds to reduction of hyperarousal. • Provide information about the current and potential reactions that the paramedic/EMD may be experiencing. This is normalising, validating and prepares the person for the potential of irritability, anger, restlessness, sadness etc. that they may experience over upcoming days. This education enables more self-compassion, a factor shown to be important in recovery, as self-compassion also serves to down regulate the limbic brain. • Promote use of normal social supports. This means encouraging (not forcing) staff to talk about the incident but only as they feel ready and to the degree and depth they feel comfortable. Anything forced brings about a sense of loss of control and upregulation of the nervous system – i.e. the threat responses intrinsic to the trauma, are again activated.

Where do I find help? 24-hour telephone counselling  1800 805 980 QAS Priority One Director  0419 707 397 QAS Staff Counsellors  0408 191 215 or 0417 079 679 or 0409 056 983 QAS Priority One State Office  3635 3333 LGBTIQ+ support service  3830 5888 Chaplaincy service  0 439 788 485 or Office 3835 9923 Local Priority One Peer Support Officers or Counsellors  See list in each QAS Station or on QASPortal

• Provide information on how and where to access further help. Peer Support Officers, internal QAS counsellors or the many external counsellors across the state are great resources. Contact details are available on the QAS Portal under the Priority One tab. These professional support services should be accessed if symptoms remain for more than a week, but may be accessed earlier for any reason. While we all have a responsibility to be aware of our own mental health and wellbeing status, to recognise when our ‘cage has been rattled’ and to be intentional in how we care for ourselves and our colleagues in such difficult moments, the potency of empathic and responsive managers/supervisors at such critical times is not to be underestimated. Conversely, absence of such empathic responses and understandings from colleagues and supervisors can complicate the recovery process.

29 Priority One has moved.

1. H alpern, J.,Gurevich, M., Schwartz, B., and Brazeau, P., (2009) “Interventions for critical incident stress in emergency medical services: a qualitative study” Stress and Health, 25, 139-149. 2. B eyond Blue Ltd. (2018) Answering the call National Survey: National Mental Health and wellbeing Study of Police and Emergency Services – Final Report http:// resources.beyondblue.org.au/prism/file?token=BL/1898 3. F irman,J. & Gila, A., (1997) The Primal Wound: a transpersonal view of trauma and addiction. New York. State University of New York Press. 4. R obinson, R., (2000) “Debriefing with Emergency Services: Critical Incident Stress Management” in Raphael, B. & Wilson, J.P. Eds (2000) Psychological Debriefing: Theory, practice and evidence. Cambridge University Press.

Autumn 2020

T he new address is Terrace Office Park, Ground Floor, South Tower, 527 Gregory Terrace, Fortitude Valley.

New CCPs delighted to receive hard-earned gold epaulettes at graduation ceremony There were smiles all around when the latest group of Critical Care Paramedics swapped their red Advanced Care Paramedic II epaulettes for shiny, new, hard-earned gold ones at their Graduation Ceremony at Kedron’s Emergency Services Headquarters in February. Congratulations to our newest CCPs – Megan Brown (Cairns LASN), Reece Thomas (Townsville LASN), Nathan Jorgensen (Mackay LASN), Kirsty Berger (Central Queensland LASN), Brad Clarke (Darling Downs LASN), Gene Hughes (Sunshine Coast LASN), George Ohan (West Moreton LASN) Svetlana Lakic and Samuel Smith (Metro South LASN), Blake Karas (Gold Coast LASN) and Sam Brind (North West LASN). We thank you for the hard work you’ve put in to attain this highly coveted and respected qualification and wish you all the best as you head back to your respective communities and continue to do the QAS proud as leaders within our organisation.

Autumn 2020

CCP Graduation Ceremony

Opposite page

Brad Clarke was one of the graduates swapping red epaulettes for gold ones. Left

A beaming Megan Brown with Deputy Commissioner Craig Emery. Middle

New CCPs Svetlana Lakic, Reese Thomas and Nathan Jorgensen have plenty to smileÂ about. Right

Gene Hughes was delighted to receive his gold epaulettes. Background

Group photo of the new CCP graduates at Kedronâ&#x20AC;&#x2122;s Emergency Services Headquarters in February (Sam Brind from North West LASN is absent in the photo).

Photos: Amy Churchman and Philippe Vipathkun

Autumn 2020

Comprehensive pre-hospital clinical assessment of acute stroke patients leads to better outcomes Thorough clinical assessment and history taking is critical to the delivery of acute stroke care reports Critical Care Paramedic Wayne Loudon. Historically, the assessment of acute stroke by pre-hospital providers has relied on the use of simple assessment tools that identify the most common physical signs of stroke such as limb weakness, speech difficulties and facial palsies. The emphasis was on maintaining a highly sensitive tool to avoid missing any potential stroke sufferers and although this remains very important the evolution of paramedic practice, education and training provides a platform for more nuanced and complex decision making to ensure that every patient, even with atypical symptoms, is identified and provided with early definitive care.

What is the benefit of a stroke severity score such as NIHSS-8? Stroke is not a static disease process and it is not unusual to see waxing and waning of stroke symptoms as the complex physiology of the brain attempts to improve perfusion of ischaemic areas by opening of

collateral circulation. It is when these physiological responses to insult are overwhelmed that we see symptoms present. The severity of these symptoms can guide the decisions on reperfusion therapies in hospital but what is equally important is the entire clinical picture. There is no aspect of medical practice that relies on a single symptom or sign to make a diagnosis or guide treatment (we don’t assume a patient has a STEMI just because they have chest pain). The NIHSS-8 was developed as a stroke severity tool and as such has the capacity to identify all stroke from milder syndromes, which may not be eligible for reperfusion therapies but would benefit from risk factor management (antiplatelet therapy, blood pressure management etc) to large vessel occlusive strokes that may benefit from endovascular clot retrieval.

Should the NIHSS-8 be used in isolation? The NIHSS-8 is a decision support tool that has been shown to be reliable in identifying those patients harbouring a large vessel occlusion to the middle cerebral artery (Demeestere et al., 2017), however, it is

Background

■ Critical Care Paramedic Wayne Loudon is passionate about neurocritical care research and has been undertaking the Stroke Prehospital Informed DecisionMaking Using EEG Recordings (SPIDER) pilot study to investigate how EEG data may better inform the pre-hospital care of acute stroke patients. The pilot study was co-developed with a multidisciplinary stroke team from the Royal Brisbane and Women’s Hospital and QAS.

Autumn 2020

not designed to be used in isolation. The assessment of any patient presenting with neurologic symptoms should have a full neurologic assessment whenever possible since neurologic symptoms can be easily missed if the clinician does not perform a thorough assessment. Along with a more thorough neurologic assessment, there should be a consideration of risk factors that increase the likelihood of stroke such as the presence of atrial fibrillation, mechanical heart valve, sickle-cell disease, smoking, past stroke etc. Also, most pre-hospital stroke tools focus on identifying the more common presentations (stroke involving the middle cerebral arteries, lacunar stroke etc) that would benefit from thrombolysis or endovascular clot retrieval and neglect those to the posterior circulation given their infrequency, vague symptomology and minimal acute treatment options. The NIHSS-8 is a decision support tool and is not there to take away from good clinical assessment, experience and judgement.

Pre-hospital acute stroke care

So how do we identify posterior circulation stroke? Stroke to the posterior circulation is notoriously difficult to diagnose clinically and accounts for 20 per cent of ischaemic stroke. Therefore, a high index of suspicion is required along with a consideration of risk factors and presenting history. In any assessment the clinician should ask “what can’t I afford to miss?”

Clinical Features

Anterior Circulation

Posterior Circulation

Visual Field defect

Pupillary changes

++ (may be bilateral)

Dysarthria

Bilateral sensory/motor symptoms

+++

Double vision

+++

Vertigo

May or may not be present

+++

Dysphasia

Altered Level of Consciousness

Unusual unless there is raised intracranial pressure or mass effect

Common in thalamic and brain stem stroke

Ataxia

(Merwick & Werring, 2014)

The NIHSS-8 is a reliable tool to indicate the likelihood of a severe stroke syndrome and, therefore, the presence of a large vessel occlusion or haemorrhage. The tool can then help communicate, using a common language, to receiving facilities or retrieval services that this patient may require early secondary transport to an endovascular centre.

What other critical information do receiving hospitals need? • Time of symptom onset or last seen well time – this is critical to guiding thrombolysis treatment which is limited to four and a half hours after onset (though some patients may still be eligible up to nine hours) and endovascular clot retrieval which has most benefit within six hours (though some patients may be eligible up to 24 hours).

• Anticoagulation status – patients who are anticoagulated increase the possibility their syndrome is due to a haemorrhage and they will require reversal of the agent (where available) or this will impact their eligibility for thrombolysis. • Presence of family member or substitute decision makers – if possible, they should accompany the patient as they will be required to consent for any reperfusion therapies the patient may be eligible for. • Prenotification – early notification of acute stroke reduces delays to imaging and treatment.

What groups are at risk of being under triaged? • Given the heterogeneity of symptoms in stroke and its effect of patient perception of disability clinicians can become misled. • Vulnerable groups – mental health conditions, different cultural and

language backgrounds and intoxicated/ alcohol abuse are at increased risk of misdiagnosis and missed diagnosis. • Stroke to the non-dominant hemisphere (usually right) – may lack the perception of their disability and downplay their symptoms. • Young patients – 30 per cent of stroke presentations are those under 65 years.

(National Stroke Foundation, 2017). • The assumption of intoxication, mental health presentation or ‘exaggerating’ symptoms should be a diagnosis of exclusion in the pre-hospital setting and should not bias clinical assessment.

What if I’m still not sure of my diagnosis? It is always safer to err on the side of over triage than under triage. The impacts of missing a treatable stroke are always far more significant than the embarrassment of over diagnosis.

References Demeestere, J., Garcia-Esperon, C., Lin, L., Bivard, A., Ang, T., Smoll, N. R.,... Levi, C. (2017). Validation of the National Institutes of Health Stroke Scale-8 to Detect Large Vessel Occlusion in Ischemic Stroke. Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association. doi:10.1016/j.jstrokecerebrovasdis.2017.03.020 Merwick, Á., & Werring, D. (2014). Posterior circulation ischaemic stroke. 348, g3175. doi:10.1136/ bmj.g3175 %J BMJ : British Medical Journal National Stroke Foundation. (2017). No postcode untouched: Stroke in Australia 2017. Retrieved from Melbourne, Australia: http://maps.strokefoundation.com.au/wp-content/themes/dlstroke/downloads/ NoPostcodeUntouched_FullReport_2017.pdf Left

■ Brain perfusion scan Photo: From Y.W. Lui, E.R. Tang, A.M. Allmendinger and V. Spektor. American Journal of Neuroradiology October 2010, 31 (9) 1552-1563; DOI: https://doi.org/10.3174/ajnr.A2026

Autumn 2020

Photo: Adobe Stock / Dschwen

What is the role of the NIHSS-8 in areas without endovascular centres?

Older patients requiring QAS assistance set to triple in the next fifty years This Information Support, Research and Evaluation (ISRE) Report reveals that based on current patterns of ambulance usage, demand for QAS services generated by patients aged 65 and over is set to triple within five decades. With this in mind, it is important that service planning for the future is explored. Background

Demand for QAS services from patients aged 65 and over is set to triple within five decades.

Did you know within fifty years, demand generated by persons aged 65 years and older will exceed the total number of cases attended by QAS paramedics last year?

“Broadly, our older patients are using the service at a rate of 2.45 times the state average, with our most common call outs being to the home – accounting for more than 70 per cent.

Currently accounting for more than 36 per cent of our caseload, this cohort in our population is set to triple in size to almost 2.4 million people by the year 2066.

“The majority of these cases were priority code 1C or 2, and from a definitive care perspective (where linked emergency department data was available) almost three quarters were triaged as category 3, 4 or 5, with nearly 70 per cent of these patients being admitted to hospital.

This raises important questions for the service of tomorrow. Operationally, these projections pose significant challenges for our service as we transition into the future. Insight spoke to QAS ISRE Clinical Research Coordinator and research lead Dr Denise Bunting PhD to explore its impacts.

“From a personal perspective ageing is a privilege not a predicament, but from a service planning point of view – preparedness is key,” Dr Bunting said. “As a service with finite resources it can be daunting to know demand from one of our most high-needs cohorts will more than triple across the next five decades…it certainly highlights the importance of planning early on. “To do that effectively we’ve had to look ‘back’ to the future, reviewing trends in ambulance use for these patients over time to forecast for impacts to come. “Currently the 65 year plus age group only make up 15 per cent of the population – this is predicted to increase to 25 per cent by 2066. “Assuming current rates of utilisation by this age group remain stable, we will see an increase of 500 patients per day from this cohort. “This disproportionate use only increases as age progresses, with concerning overrepresentation seen in the 75 and 85 plus age groups, with chronic and complex illness a major driver behind this demand.

Autumn 2020

“That’s a huge impost on our health system as a whole. That’s been especially apparent in the Gold Coast, Sunshine Coast and Wide Bay Local Ambulance Service Networks – where workload for this ageing cohort accounts for more than 40 per cent of all cases.” This work was completed to ensure that our prehospital system is well-equipped to manage this increasing level of demand. Deputy Commissioner Service Planning and Performance Dee Taylor-Dutton said analysis is integral with respect to developing an adaptive and responsive service in coming decades. “We can’t develop blueprints for future demand without informed, expert advice on-hand examining quantifying trends over time,” Deputy Commissioner Taylor-Dutton said. “In order to continue to meet the needs of ageing Queenslanders, whilst managing all other patient groups, we must continue to frankly assess what we are doing well and where improvements can be made – alongside keeping pace with emergent technology and establishing close partnerships with our hospital and health service peers. “This work provides us with invaluable modelling and demand projections to better plan for the future.”

ISRE report: Older patients increasing

Predicted 2066 figures for 2066 9.5 million

2020

Total Queensland population in 2066

65+ = 15%

65+ = 25%

of the Queensland population

QAS Caseload 65+ = 911,000+

84% Transported

Autumn 2020

Supporting Pre-Hospital Care, Research and Education

Foundation simplifies and modernises logo The KJ McPherson Education and Research Foundation (KJM) is proud to be supporting QAS uniformed officers with their research and development projects. KJM exists to contribute to the ongoing development of Queensland Ambulance Service staff through strong support for research and education. Going forward, KJM aims to evolve as a vibrant and dynamic research and education foundation supporting contemporary needs of Queensland Ambulance staff. It is in this context that KJM has modernised and simplified its logo. This will be the KJM logo going forward. The logo has evolved to support the KJM values going forward which are:

Compassion for our patients, for QAS staff and for each other

Exploration through stringent research to maintain currency and relevance

Knowledge gained through ongoing education and personal development

Scholarship driven by individuals’ professional approach to career and lifelong learning

Equity underpinning our actions and decisions

In a symbolic way KJM has adopted these icons to represent the values above and these will appear from time to time on our KJM documentation on the web and other places.

The white dove-encircled logo of the KJ McPherson Education & Research Foundation has been a familiar image in Queensland since 1988. This logo has been a strong component of the KJM “brand”. Recently options for a new KJM logo design were sought with the aim of modernising the logo whilst aiming for it to represent what KJM is and how it supports QAS uniformed personnel in their research and development.

Back in 1988, when the Foundation began as a Trust it was founded as a memorial to Kenneth James (Jim) McPherson and now operates as a Foundation which commemorates all Queensland ambulance officers who have given their lives in the call of duty. The Foundation is a not-for-profit entity working to identify research and development opportunities through the allocation of grants for uniformed QAS officers.

Sonja Harvey and Amy Churchman from the QAS Education Centre produced a diverse set of design options which were reviewed by the KJM Board. The process also involved clarification of the primary values of the KJ McPherson Education & Research Foundation and the selection of symbols that best represented these values.

This evolution over time became an important motivation for the KJM Board to retain the core image of the KJM logo due to its historical prominence in the day-to-day identification with the work of the foundation. The final choice of KJM Logo design resulted from a preference for retaining the familiarity of the original logo-based image while in that process modernising and simplifying the KJM logo.

Autumn 2020

Rural and Remote Interoperability Project

Strengthening rural and remote health care for special events and mass gatherings In a bid to strengthen and support the safety and healthcare of those attending special events and mass gatherings in rural and remote Queensland, a working group was formed to ensure the collaborative chain of survival link between the Hospital and Health Services (HHSs) and the Queensland Ambulance Service (QAS). Late last year, QAS State LASN Operations established a project team to identify opportunities to work with Queensland Health more collaboratively in response to day-to-day operational challenges and planning in the emergency management field, including special events and mass gatherings in rural and remote Queensland. Torres and Cape, Central West, South West and North West HHSs and LASNs each have models of services and adaptive delivery models in place in response to community demand. The QAS have well established processes to coordinate mass gathering and disasters. An opportunity exists to share QAS knowledge and processes with Rural and Remote HHS through existing frameworks. The ‘Rural and Remote LASN/HHS Interoperability Project’ was formed in October last year and is made up of key rural and remote stakeholders, including four of our rural and remote LASNs and Queensland Health Hospital and Health Services. The QAS Project Manager for this working group, Superintendent Central West Gavin

Farry, said the aim is predominantly all about ‘collaboration’. “In rural and remote Queensland, resources operate in different environments and this working group is focussing on resources working together and collaborating to ensure we can maintain our business as usual activities and have the flexibility to escalate that response as required,” Gavin said. One of the project’s early outcomes was the QAS Emergency Management Unit developing a framework to assist the event planning process and communication in rural and remote Queensland. That framework was presented to Queensland Health which approved and recommended that joint training be undertaken between the four rural and remote HHSs and their partnering LASNs. Some of the other key aims of the project are: • The facilitation of emergency

management training and exercising • Promoting the dual degree

Above

Training in the South West LASN. Inset

Training in the North West LASN.

• Enhancing rural and remote

communications and safety enhancements • Contemporising pre-hospital

equipment in hospital-based ambulance response sites • Formalising hospital-based

ambulance training and support • Support volunteer drivers and

volunteer engagements in rural remote Queensland Gavin said planning for special events and mass gathering in rural and remote Queensland uses the same risk-based approach as in other more urban settings. “Attention to the specifics of the rural and remote environment ensure the chain of survival is in place whether you are in Birdsville or Brisbane,” Gavin said. “The rural and remote interoperability project will continue to seek out what works best within the existing frameworks, what can be learned, always planning for future innovation through a collaborative network.”

paramedic/nursing model in rural and remote Queensland

Autumn 2020

Kingaroy station enjoys massive turn out as people from near and far come together to celebrate township’s proud centenary of ambulance services In the small country community of Kingaroy, the history is as rich and ripe as the soil that the region is famously known for. Mel Mangan grew up in the South Burnett and writes about 100 years of ambulance services in Kingaroy. Background

Kingaroy, Nanango, Murgon and Proston LAC members, supporting the Kingaroy Centenary celebrations. Opposite, top left

Manager QAS Heritage & History Mick Davis shows the newest generation of paramedics the first case book for Kingaroy. Opposite, top middle

Acting Assistant Commissioner Loretta Johnson and Manager QAS Heritage & History Mick Davis take the old girl for a spin. Opposite, top right

A paramedic in the making? Nanango Local Ellie Mangan is enjoying all kidfriendly activities the station open day had on offer.

Making the centenary celebrations that little bit more special, the station open day and ceremony took place on a leap year day – Saturday, 29 February 2020, exactly 100 years and two days after the first meeting was held at the Kingaroy Town Hall to initiate the Kingaroy Ambulance Service. Seven years later in 1927, the Kingaroy station was officially affiliated with the Queensland Ambulance Transport Brigade. The turn out to the station open day was overwhelming. The reasonably-sized plant room floor offered few gaps between people and products as current and past locals and paramedics, along with their families, reminisced about the history that had made up the past 100 years.

Autumn 2020

Acting Assistant Commissioner Loretta Johnson couldn’t speak more highly of the paramedics who have serviced this community, crediting them and the support they’ve received from the Local Ambulance Committee (LAC) volunteers. The strong comradery and volunteer support were evident with LACs from Nanango, Murgon and Proston attending the event to support their Kingaroy counterparts. You can’t beat that small-town community feel and after speaking with some of the newer paramedics to the area, it was evident that the country spirit had really rubbed off on them. With so many changes to pre-hospital care over 100 years, one thing hasn’t changed, and that is the impact the Queensland Ambulance Service and volunteers have had on the generations of families in Kingaroy and surrounds.

LAC Kingaroy State Conference Centenary

Middle left

QAS Retired Officers Association and Heritage and History researcher Greg Eustace and a member of the public admiring the 1930s heritage vehicle which was originally based at Kingaroy station. Middle right

This group of former and retired paramedics have plenty of stories to tell about their time at Kingaroy station! Bottom left

Paramedics from around the South Burnett supporting Kingaroy’s centenary celebrations. Background

You can’t go past an original recipe ‘Lady Flo’ pumpkin scone. OIC Mei-Lin Dean, Acting AC Loretta Johnson and LAC president John Box enjoying scones baked the famous Bjelke-Petersen way!

Autumn 2020

THANK YOU :) Everyone has different levels of success. For me, success can never be achieved unless you have the desire to initiate it. The amazing work and commitment from staff that continuously results in appreciation letters we receive Commissioner’s thanks d to say a huge I just wante from members of the public, makes me constantly aware of I would like we to take you to James (Caputi) what accomplishments havethis made as anthank organisation. opportunity to commend

and Lilyan (Kay) at the Ayr

I am very grateful for the two wonderful paramedics Amy (De Bortoli) and Gabrielle (Pawley) Just want to say a big thank you to the ladies who ‘came to my rescue’ at 1am (Corinne Wilkes, Kate Olive and Candice at our home in Logan Central. Boileau) that came to my house this morning I am very grateful for their (July 19) for my little girl and the dispatch guy professionalism and compassion. (Jamaine Prieditis) who helped me stay very Eugene, Logan Central

the outstanding that calm. They do an amazing job and I really This month has seen anservice influx of thank you letters, with Queensland Ambulance for being so kind, appreciated them being so fantastic. lance Ambu 304Service letters received this year to date and 609 letters and (QAS) officers are able caring, warm, friendly and for emailsto ofprovide thanks sent staff members. to thetocommunity. Since 1 December 2019 to 29

Kristie, Morningside taking such amazing care of me. Michelle, Mount Low, Townsville

February 2020 the QAS has I cannot thank you enough for all your hard work. received 151 letters/emails/

cards Russell Bowles ASMof appreciation. QAS Commissioner As we can all anticipate,

2020 is shaping up to be a busy year, therefore I encourage you to continue to provide a positive approach and exceptional care. I would likepre-hospital to take the time to express our thanks to various QASyour officers forand their attendance Thank you for effort commitment, together we can home birth and assistance at our unplanned make a difference. on 4/9/2017. I commend the Triple Zero officer asm Russell (Julie Ricardo) forBowles her efficiency and ability to QAS Commissioner reassure us that help was on the way and clear instructions in the meantime. Tammy (Olsson) arrived on scene approximately 5 minutes following the birth of our son Woody and I would like to commend her professionalism, calm in the situation and ability to treat me as a fellow being rather than just a patient. She was caring,

compassionate and efficient. I appreciate Tammy arranging for our transfer through to Hervey Bay Hospital. I believe Arto (Hirsimaki) and another officer (Andrew Rach) assisted with my transfer from Hunters Hut through to Hervey Bay and I found Arto to be very attentive to my needs at this time considering I was having much difficulty. I hope our message can reach the

My seven-month old son had a seizure, it was the first time this has happened and the first time I I want to send a quick thank you tohave the seen anything like it. I called 000 and spoke to Lachlan (Brown), paramedics (Chantal Greaney and Melissa he was fabulous. He was very, very Dajic) who assessed my son and took him calm and provided clear, easy to to hospital on Wednesday night (July 12). It follow instructions and was very was the first time I have ever had to call the Just wanted to give a huge reassuring. He was outstanding as ambulance and I was quite nervous in doing so shout out and thanks to 000 our first point of contact. I had Amy I was overreacting and wasting the call centre worker– worried Tamara (De Sylva) and Adam (Rossborough) paramedics time. The two ladies who attended (Warner) and paramedics attend our property. I can’t begin to our home were so calm and reassuring. They Laura (Kirby) and Rhys describe how caring they both were. (Greedy) who attended our my son and took us to Lady quickly assessed They went, I feel, above and beyond, house after our eight-monthCilento, all the while distracting my son with to obviously ensure the safety of my old baby Mia developed Wiggles videos and calming a nervous sonand and reassure me. I was in the Croup. They werepanicked very kind mum. Thank you for suchback excellent with Amy on the way to the and competent paramedics service and care!!! I don't believe hospital this service and she was just absolutely and transported us quickly gets the recognition it deserves forfabulous. all the work Upon arrival they both to hospital for treatment all your paramedics do. stayed with us until the hospital staff while reassuring us along the had it under control. They made sure way. We couldn’t Amanda, have asked Wellington Point to find us and to say goodbye. I was for better care and help in a a total mess when they arrived, but very scary situation. Thank their calming and caring nature really you very much for all the helped and even though ‘it’s their job’ wonderful work you do. were brilliant with us and I truly Just want to give a shout out to the they LARU officer Laina, Warner so grateful for their assistance. who attended my home on Mondayam (August

individual officers involved. Thank you to QAS for

21). His name was Steve (Kliese) andCarly, we are Jimboomba

the important work you do I know we certainly

in the Ipswich area. He was prompt, caring,

needed the service on this day! Our little man

compassionate, empathetic, funny and the list

Woody is doing great settling in at home with his

goes on. He had me reassured within minutes.

older sister Anna, feeding and sleeping well.

If my thanks could be passed to his OIC that would be appreciated.

Darren and Kate, Lakeside

Hi, on Thursday night (20 February) Bob (Vandyk) and Alexander (May) attended my house in Victoria Point for my two-year-old son (Aaron). I just wanted to say what am amazing job they did. I just 11/10/17 8:43 pm wanted to let them know we really appreciate the help they provided. Thank you once again. Candice, Victoria Point

Des, Silkstone

36 QAS Insight

SPRING 2017

QAS_Insight_Magazine_SPRING_2017_DRAFT3.indd 36

Above

Baby Mia – Laina from Warner had nothing but praise for QAS staff involved in her daughter Mia’s case.

I would like to say a massive thank you to your paramedics Luke (Harrison) and Megan (Wallis). They recently assisted me after I broke my leg when I was at Shelly Beach on the Sunshine Coast. They were absolutely lovely and I’m very grateful for their efforts. Jak, Dayboro

Autumn 2020

Above

Young Aaron received wonderful care from QAS officers said his mum Candice from Victoria Point.

Department title / section Thank / topic you

I would like to pass on my heartfelt thanks to Kelly (Ward) and Brittany (Smart) who attended to me at the Miami Family Medical Centre (29 November 2019). Both were amazing, the compassion and understanding they showed towards me was truly above and beyond. The communication between them and with me regarding how my heart was travelling throughout the trip to the GCUH helped ease my mind and I felt like I was, ‘in the loop’. Also, I have never experienced low blood sugar and Bree’s explanation as to why I may have had such a low result also reassured me whilst I was experiencing chest pain. My sincere thanks to them both and to QAS as a whole. I also sadly needed another transfer, this time from Robina to GCUH (3 March 2020) and I have to pay a sincere compliment to the two wonderful ladies (Victoria Munn and Virginia Burke) who assisted with this transfer. The officers were so empathetic to my situation, helped me try and see the lighter side. I was nervous about the possibility of a third operation and Victoria was calming and helped me even find some humour during our transfer. There wasn’t a need for any medication, it was just the transportation from one hospital to another, but the dedication, care and attentiveness shown to me was beyond reproach. QAS has some absolutely amazing staff down here on the GC and please make these paramedics superiors aware of how well they performed their job last night with me. Thank you once again. Jayson, Miami

I want to say a huge thank you to the ambulance staff (Beth Kalies and John Scrimgeour) who helped me on the bike track near Nudgee golf course. I am grateful in how quickly you got to me and to my aid in such a blocked off area. I can’t thank you enough for the care and pain relief you gave me. I don’t rem ember much from my accident, but I do rem ember your amazing care. Thank you! Dominique, Northgate

Getting in touch Hi, we would like to send a message to paramedics Callum (Smith) and Kylie (Gerrard) and the other officers (Anthony Orreal, Matilda Phillips and Kylie Moore) who were on duty on Saturday 15 February, 7pm. You attended our home in Peregian Beach and saved the life of my husband Andy. He had a cardiac arrest and was treated at SCUH. You didn’t just save his life, you saved mine as well. With all my heart, than k you. Andy also sends his gratitude and appreciation. Anouk and Andy, Peregian Beach

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

Thank you to Robbie (King) and Tony (Hucker) for their amazing assistance and the way they treated and transported me today (28 February 2020) from Upper Mount Gravatt to the QE II Hospital. Amazing service here in Brisbane. I also have so much respect for the person on the phone to the ambulance officers. I took a painful fall and was grateful for the care. Jeannette, Capalaba Right

Jeannette was extemely grateful for the expert care provided by Clinical Director Tony Hucker and LARU officer Robbie King following a painful fall.

Autumn 2020

Happenings QAS Advanced Care Paramedic Brigette Seymour leapt into action and abseiled down the Kangaroo Point Cliffs on 5 March in aid of the White Cloud Foundation’s Leaping Ladies campaign to raise awareness and funds for perinatal depression. The White Cloud Foundation was formed to improve access to treatment and increase awareness for depression in its many forms. Brigette amassed more than $500 for the campaign, with all the money raised by her and the nine other Leaping Ladies going directly to the foundation’s Mums program.

Townsville paramedics were able to spread the message that early CPR saves lives when they attended the opening of the new Queensland Country Bank Stadium in February. It was locals first look at the new stadium which is the home of the North Queensland Cowboys. Despite the high humidity, nothing got in the way of the public learning important CPR skills.

Yandina Station was a hive of activity when Operational Supervisor Suzette Dakin held a CPR Awareness Peer Trainer workshop in January. The workshop ensured that 40 local volunteers received up-to-date accreditation to head out into the Sunshine Coast community and teach CPR and Automated External Defibrillator awareness. Attending the event was a mix of university students, emergency services volunteers, teacher aides and Local Ambulance Committee members.

Around 18 months ago, young Serenity suffered major burns to approximately 10 per cent of her body when she accidentally fell into a campfire on a family camping trip. Paramedics Jason and Kerrin treated the then nearly two-year-old for significant burn injuries until the rescue helicopter arrived. After undergoing 17 surgeries, Serenity, along with her parents David and Kerrie, visited Jason and Kerrin at Warwick Ambulance Station to say thank you. Serenity will need to have more surgeries, but there was little evidence at the reunion to suggest this nasty accident has slowed this little lady down.

Autumn 2020

In February, His Excellency the Honourable Paul de Jersey AC, Governor of Queensland stopped by to say a big thank you to our local Crows Nest officers for all their hard work during the bushfires and a subsequent local nursing home evacuation.

HAPPENINGS • Autumn 2020

Sibling affection was on full display at Mount Tamborine Station as Zoe, 5, and baby brother Oscar reunited with paramedic Garry. When Oscar began choking on his mashed food in November 2019, father and Registered Nurse Ken immediately began trying to clear the young child’s airway. Displaying maturity beyond her years, Zoe asked her father whether she needed to call the ambulance and proceeded to make a Triple Zero (OOO) call that resulted in Garry attending. Oscar made a full recovery thanks to his father’s quick response, while Zoe’s actions confirmed he was in the best hands should things take a turn for the worse.

During the Queensland floods in February 2019, patient Seth was forced to abandon his bogged vehicle due to rising floodwaters near Winton in Central West Queensland. Days later, he came across an empty homestead where he was able to contact emergency services through the QAS Facebook messenger. Mel Mangan from QAS Media and SOS Col Allen from State LASN Ops were involved in communicating and working behind the scenes to assist Seth. They recently reunited with him for a Courier Mail story.

In January, Ravenshoe officers were visited by mum Kayeleen and new baby son Dylan. Paramedics Gibson and Darrell helped bring Dylan into the world on the side of a quiet country road on 16 December 2019. Gibson, who is in the Indigenous Paramedic Program, was very excited, as this was his first delivery. He is also friends with Kayeleen and partner Anthony!

Charleville paramedics Nicole, Shannon, Jed and OIC Russ spread the paint and the message ‘it’s OK to not be OK’ to raise awareness for the Blue Tree Project. The project aims to help spark difficult conversations and encourage people to speak up when battling mental health concerns.

Paramedics attended the Survive Alive Victim Expo (SAVE) at Keebra Park State High School in February. The event included Year 11 and 12 students from around the Gold Coast learning about road safety and driver awareness. Guest speakers who had been affected by road traffic crashes spoke about how their lives had been impacted. Students then witnessed a mock crash scenario which involved emergency services responding in real time.

In February staff came together at Capalaba Ambulance Station for the inaugural, “Trauma by the Bay” event. It was a day of scenarios designed to help prepare CCP interns for their assessments. The paramedics rotated through several challenging scenarios, with the day culminating in a multi-casualty incident, where interns were joined by QFES officers.

Autumn 2020

Reflects activities during the period from 1 December 2019 to 15 March 2020.

Notes Notes

Appointments made during the period from 18 NovemberÂ 2019 to 9 March 2020.

Appointments

Farewells

Movers and Shakers

NAME

Position Title

Joel Powlesland

Patient Transport Officer

Years of Service 39

Division / Location Redcliffe

Michael Stevenson

First Responder

Imbil

Glen Matinca

Emergency Medical Dispatcher

State OpCens

Kenneth Crowley

Patient Transport Officer

Nambour

Julie Johnson

Emergency Medical Dispatcher

Maroochydore OpCen

Ronald Flint

First Responder

Kenilworth

Isadora Greenfield

Paramedic

Chermside

Carley Clapson

Paramedic

Cleveland

Daniel Clarke

Paramedic

Caloundra

Steven McElroy

Paramedic

Cairns

Heather Murphy

Local Ambulance Committee Member

Ravenshoe

Emma Keenan

Paramedic

Eatons Hill

Mark Ashcroft

Patient Transport Officer

South Brisbane

NAME

Position Title

Appointed date

Location

John Murray

Executive Manager Staff Support

18-Nov-19

Priority One

Teri-ann Spence

Executive Manager Staff Support

18-Nov-19

Priority One

John O'Shea

Clinical Support Officer

25-Nov-19

Central West LASN

Jarath Cobcroft

Officer In Charge Support

25-Nov-19

Central Queensland LASN

Andrew Wills

Exec Manager HR Partnerships

28-Nov-19

HR Administration

Jason Ploeg

Officer in Charge

02-Dec-19

Cairns and Hinterland LASN

Tracey Eastwick

Executive Manager Operations

09-Dec-19

Mackay LASN

Richard Tenthy

Executive Manager Operations

09-Dec-19

Wide Bay LASN

Arantxa Stevens

Officer in Charge

09-Dec-19

Darling Downs LASN

Richard Leahy

Info & Comm Tech Officer

16-Dec-19

State OpCens

Stephen Strom

Clinical Deployment Supervisor

23-Dec-19

State OpCens

Nicole Wilson

Executive Manager

23-Dec-19

Workforce Reform

Neil McKane

Officer in Charge

30-Dec-19

Darling Downs LASN

Catarina Vecchio

Business Support Officer

06-Jan-20

Townsville LASN

Kate Olive

Clinical Deployment Supervisor

06-Jan-20

State OpCens

Neil Pinto

Clinical Deployment Supervisor

06-Jan-20

State OpCens

Cameron Butt

Clinical Support Officer

06-Jan-20

Darling Downs LASN

Liam Walsh

Clinical Support Officer

06-Jan-20

Darling Downs LASN

Samuel Eager

Clinical Support Officer

06-Jan-20

Darling Downs LASN

Graeme McIntyre

Manager Clinical Education

06-Jan-20

Mackay LASN

Samuel Thwaites

Operations Supervisor

06-Jan-20

Gold Coast LASN

Bradley Bird

Operations Supervisor

06-Jan-20

Wide Bay LASN

Tara Graham

Senior HR Consultant

13-Jan-20

West Moreton LASN

Amy Churchman

Design and Multimedia Officer

15-Jan-20

Education Development

Amy Deans

Clinical Deployment Supervisor

20-Jan-20

State OpCens

Catherine Hassall

Clinical Deployment Supervisor

20-Jan-20

State OpCens

David Clark

Clinical Deployment Supervisor

20-Jan-20

State OpCens

Mark Stephens

Clinical Deployment Supervisor

20-Jan-20

State OpCens

Troy Rinaldis

Officer in Charge

20-Jan-20

Central West LASN

Alison Kearney

Officer in Charge

20-Jan-20

Mackay LASN

Trent Croxford

Clinical Deployment Supervisor

27-Jan-20

State OpCens

Joel McEwan

Clinical Deployment Supervisor

27-Jan-20

State OpCens

Natalie Roberts

Educator (Communications)

27-Jan-20

Communications Education

Cassandra Saywell

Health and Safety Advisor

27-Jan-20

West Moreton LASN

Travis Richards

Officer in Charge

27-Jan-20

Central Queensland LASN

Fiona Smith

Officer in Charge

27-Jan-20

Mackay LASN

Mario Tinning

Officer in Charge

27-Jan-20

Townsville LASN

Belinda Shuttleton

Operations Supervisor

27-Jan-20

Central Queensland LASN

Joanne Southwell

Operations Supervisor

27-Jan-20

Metro South LASN

Gavin Fuller

Senior Operations Supervisor

27-Jan-20

West Moreton LASN

Benjamin Turner

Officer in Charge

03-Feb-20

Gold Coast LASN

Kerrianne Watt

Principal Research Manager

03-Feb-20

Evaluation and Service Improvement

Kathryn White

Principal ER Advisor

12-Feb-20

Industrial Relations

Gemma Aisthorpe

Clinical Deployment Supervisor

17-Feb-20

State OpCens

Robert Hartley

Senior Quality Assurance Officer

20-Feb-20

State Communications Development

Rebecca Whiteley

Officer in Charge Support

24-Feb-20

Gold Coast LASN

Christine West

Senior HR Consultant

24-Feb-20

Wide Bay LASN

Brianna Power

Support Manager

02-Mar-20

Education/Clinical Programs

Melinda White

Senior HR Consultant

09-Mar-20

Central Queensland LASN

Autumn 2020

Department of Health

: 9 1 D I V CO hy t l a e h g Stayin

Queensland Ambulance Service

About 80 per cent of people who become infected will experience mild illness but it can be more severe for others. Older people and those with significant ongoing medical illness appear to be most at risk. The best way as individuals, and as part of the broader community, to take care of our health and to protect others is by doing the following.

Wash your hands often and wash them well. Use soap and lather with your hands for at least 20 seconds or sing ‘happy birthday’ beginning to end twice. Rinse your hands well under clean, running water. Dry your hands using a clean towel or air dry them.

Use hand sanitiser. If soap and water are not readily available, you can use an alcoholbased hand sanitiser that contains at least 60 per cent alcohol.

Avoid touching your eyes, nose and mouth. Hands touch many surfaces and can pick up viruses. Once contaminated, hands can transfer the virus to your eyes, nose or mouth. From there, the virus can enter your body and make you sick.

Only wear a mask if you are coughing or sneezing. Not if you are healthy – there is no

Practise social distancing. This includes keeping 1.5 metres away from others and staying at home as much as possible. Avoid close contact with anyone if you have COVID-19 symptoms.

Seek medical care if you feel unwell. seek immediate medical assessment and care. If possible, phone your doctor or local hospital before you present to them in person, as this will allow the medical staff to make any appropriate preparations to help protect others ahead of your arrival.

Finally, stay calm. If you want further reliable information, visit: www.qld.gov.au/health/conditions/health-alerts/coronavirus-covid-19

QAS Influenza program The QAS Influenza immunisation program will run between 13 April and 24 April 2020. • There are 1600 vaccines expected early April • Over the two weeks, we will target on-road, OpCen and corporate staff QAS staff are encouraged to access the influenza vaccine through their local community pharmacy. For no out-of-pocket costs attend a Guild associated pharmacy between 1 April and 31 July 2020. Follow the link, enter your postcode and select from the available appointment times.

Please note there are no cancellation fees if you are unable to attend, however, as a courtesy notify the pharmacy. To find your closest Guild pharmacy, visit www.pharmacybookings.com.au/GCH/QAS320 For vaccinations given by HHS, Pharmacy, or a GP, please complete the external staff vaccination form on the Portal under the influenza strategy. If you visit a GP, there will be an out-of-pocket expense, but this can be reimbursed. Some LASNs in the more remote areas have an agreement for QAS staff to be vaccinated at their local HHS.

For more information visit www.ambulance.qld.gov.au | 13 HEALTH (13 43 25 84)

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