SCHOOLIES 2019 • CPRIC CASES • FALLS TRIAL • OFFICER PROFILE
Summer 2019–20
Also inside Emotional Reunion
House Fire Rescue
Season YYYY
Uplifting Project
Road to Recovery
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CONTENTS • Summer 2019–20
Features
Regulars Minister’s message
2
Commissioner’s message
2
News 3 Briefs 4 OpCen Reports
25
ISRE Report
26
CARDIAC ARREST REUNION
JAMIE’S HONOUR
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8
QAS INSIGHT is published quarterly by the QAS Media Unit, GPO Box 1425, Brisbane QLD 4001.
PALM ISLAND TOPIC TITLE INITIATIVE
INSPIRATIONAL PATIENT
Editorial and photographic contributions are welcome and can be submitted to: Joanne.Hales@ambulance.qld.gov.au
00 10
14
FORMER OFFICER’S BOOK
FILMING WRAPS UP
17
18
KJM AWARDS
MICHAEL’S BRAVE ACT
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22
LARU 33 Priority One
34
HARU 37 Thank yous
40
Happenings 42 Movers and shakers
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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. Summer 2019–2020 edition contributors: Jo Hales, Michael Augustus, Andrew Kos, Emma O’Connor, Jo Mitchell, Melissa Mangan, Matt Stirling, Caitlin Lambert, Ian Pyper and Kent Jackson. Designed by: Paper & Desk Autumn 2020 edition key dates: • Friday, 14 Feb: advertiser bookings • Friday, 21 Feb: supplied artwork received • Friday, 27 Mar: scheduled release
Front cover: Former paramedic Jamie Jackway, who was rendered a quadriplegic following a tragic helicopter crash in 2009, was honoured for his dedication and service to the community at the launch of the QAS Indigenous Scholarship Program in November. One of the program’s three new scholarships is named after Jamie. Pictured with Jamie Jackway and Commissioner Russell Bowles at the Townsville launch are Leanne Gray, Monica Fourmile, Peter Heron and Jamie’s niece Kieta Lenoy. Read more on pages 8-9. Photo: Emma O’Connor
Summer 2019–20
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Minister
Commissioner
It has been a busy year in 2019 for our staff both on and off the road. We have seen unprecedented workloads. Paramedics have attended to more jobs and our Emergency Medical Dispatchers have answered more calls than ever before.
As 2019 comes to a close and our minds turn to the festive season, I want to take this opportunity to express my gratitude to you all for another busy year.
Throughout the year you have dealt with natural disasters including devastating bushfires, floods and weather events. We’ve seen Queenslanders fall ill with the flu leading to another busy winter season and reinforcing just how important it is to get the flu shot. The work you do looking after Queenslanders when we are sick and injured is vital. It is one of the many reasons the Queensland Government delivered a pay rise to hardworking QAS staff. The third instalment of this well-deserved pay increase was implemented in September. The Queensland Government also delivered a record $885.7 million budget for QAS this financial year to ensure we keep up with the increasing demand for services. This includes hiring 200 more paramedics and purchasing 122 new and replacement vehicles. Through the ebbs and flows of the year, QAS has remained a world class service which is much valued by all Queenslanders. On behalf of the Premier and the entire government I offer my most sincere thanks to you all for your unwavering dedication.
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It is Christmas time and as the end of the year rapidly approaches I want to I wish you all the best for a joyous and safe festive season with your family and loved ones. A special thanks to all staff working this holiday season.
It’s been a year of natural disasters, record days of call outs, a busy flu season and again, an increasing demand for our services. You should all be commended for your professionalism during these peak times, and your unwavering commitment to our patients – the people of Queensland. We’ve also seen our organisation continue to go from strength to strength with new station announcements and renovations. We launched our Mental Health Co-Responder pilot and, due to its early success, expanded it to the Gold Coast. LARU paramedics can now formalise their education with an accredited Graduate Certificate, and we announced a new suite of scholarships under the QAS Indigenous Scholarship Program. Our patients and future patients will get to see this in spades when Ambulance Australia hits our screens on Network Ten in the New Year. It’s been a real eye-opener to go behind the scenes on such an intricate production and I’m looking forward to seeing the teal uniform beamed into homes across the nation showcasing our firstclass pre-hospital care and our caring attitude across all facets of our work. Finally, I wish you a wonderful Christmas and New Year, and hope you have a safe and enjoyable festive season with your loved ones.
I look forward to 2020 and the great work ahead.
Russell Bowles ASM QAS Commissioner Steven Miles Minister for Ambulance Services
Summer 2019–20
NEWS • Summer 2019–20
Mental Health Co-Responder program expands A successful pilot program designed to better support people experiencing a mental health crisis by pairing a paramedic and a senior mental health clinician, has expanded from Brisbane to the Gold Coast. A Mental Health Clinician has been working on the road with a LARU paramedic since October 2019. Since the pilot started, approximately 60 per cent of people seen by the clinicians are staying in their own homes or are utilising existing resources which has led the QAS to expand to the Gold Coast. The clinician is on the road from Friday to Monday working from midday to 10pm providing specialist mental health assessments and treatments to people in their own homes.The clinicians work collaboratively with paramedics in the field to assess and facilitate short-term management for people experiencing a mental health crisis, which allows QAS resources to be used effectively and efficiently. This facilitates more optimal use of the broader health system as the treatment options are not just limited to ED attendance. Additionally, the success of the program in south-east Queensland will see the pilot expand to seven days a week in Metro South HHS.
New LARU program THE countdown is on for the delivery of the new LARU program. It is expected the Graduate Certificate of Enhanced Assessment and Critical Reasoning (QAS), which has been officially accredited by the Australian Skills Quality Authority (ASQA), will commence mid-2020.
Paramedics and Mental Health Clinicians working as co-responders are reporting not only an immense benefit to patients, their carers and the health system in general; but admit that they feel like they are improving in their knowledge and confidence in the assessment and treatment of people experiencing a mental health crisis. Some Mental Health Clinicians have described it as, ‘the best job in the world.’
The current LARU program will continue for those officers actively engaged in this program. For officers wishing to transition from the LARU program to the Graduate Certificate, a credit recognition process will be offered to determine each officer’s entry point into the Graduate Certificate. Email the QASEC Continuing Education Unit via QASLARU@ambulance.qld.gov.au to register your interest or to request further information.
Meanwhile, a Mental Health Co-responder workshop at Kedron’s Emergency Services Headquarters in November focused on the evaluation of the program to assist in the development and enhancement of the service. The workshop allowed LARU Officers, Mental Health Clinicians, managers and other stakeholders in the project to have input into the development of the program. Keynote speakers discussed the importance of understanding and enhancing first responses to a mental health crisis, along with a group discussion.
The QAS launched the in-service education program for LARUs in 2016 to respond to the growing demand for service in the complex, non-critical patient cohort. Since then, as the LARU program has grown and matured, it was identified that a more formalised pathway was required to ensure a robust education framework underpins this program.
The Mental Health Co-responder program expansion was announced at an official launch on the Gold Coast in October attended by media (top right). A Mental Health Co-responder workshop at Emergency Services Headquarters was attendedby LARU Officers, Mental Health Clinicians, Managers and other stakeholders (below).
Summer 2019–20
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Briefs Health, Safety and Injury Management Forum
The QAS held its second annual Health, Safety and Injury Management Forum on 21-23 November at the Brisbane International Virginia. The forum is designed specifically for the Health and Safety Advisors (HSAs) who work and operate within each LASN and OpCen. The forum enables all members of the Health and Safety Advisor Network to gather face-to-face each year to strengthen the network through building capability, co-designing innovative, evidence informed practices and establishing strong relationships and trust across the QAS, leading the way in safety leadership.
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This year, the forum was titled “Looking toward the future with 20/20 vision”. Commissioner Russell Bowles opened the forum confirming the commitment that the QAS has to health, safety and wellbeing of all staff, particularly through the recent release of the QAS Health and Safety Strategy and Plan 2019-2023. Deputy Commissioners Michael Metcalfe and Dee Taylor-Dutton both reaffirmed the Commissioner’s commitment, providing insight into the QAS current and future proactive focus on health and safety risks such as musculoskeletal health, psychological wellbeing, occupational violence, vehicle operation and driving, as well as how the QAS continues to explore the role technology will have on both patient and staff safety in the future.
QAS cricket stars
Other presentations included Assistant Commissioners Peter Warrener and John Hammond who spoke to the network on Safety Leadership and Safety Governance, reiterating that everyone contributes to making the work environment safe. Nathan Williamson from Corporate Services provided an insight into the significant increase in prosecutions and enforcement by the Work Health and Safety Queensland (the Regulator) across private and public sector agencies, and the importance of safety compliance in the QAS. Also, on day three of the forum, Dave Lucas from Capability and Development provided an entertaining but thought-provoking session on the key elements of having quality conversations with people. Two sessions were designed to look at building effective partnerships with stakeholders. In terms of external stakeholders, WorkCover Queensland attended the forum to provide specialist advice on changes to the legislation and potential impacts on the QAS, and in terms of internal stakeholders, QASEC, Office of the Medical Director and Fleet and Equipment attended a Panel Q&A session that was enlightening and informative. As well as formal presentations, the network also participated in technical workshops on health, safety and wellbeing leadership, governance, hazard and risk management, incident management, communication and performance.
Our QAS women’s team comprising Selina Chapman, Sarah Gregory, Liz Brooks, Denni Cook and Renee Young, bowled over their competitors when they took to the field for the “Guns and Hoses” emergency services charity cricket challenge in Townsville in October. A big pat on the back to QAS officers Matt Brooks, Lindsey Rapp and Aaron Leong and our mates at Queensland Police Service, Queensland Fire and Emergency Services, Townsville Hospital and the Australian Defence Force, who also took part in the free community event.
Summer 2019–20
BRIEFS • Summer 2019–20
Passing of officer Chris Grimes
The QAS suffered a devastating loss on Thursday 19 September when muchloved and respected Miles OIC Chris Grimes lost his long and brave battle with cancer. The 48-year-old left behind wife Leanne, their three children Bailey, Isabel and Tahlia, parents Bob and Enid, sister Anne, (who works in the Priority One office at Kedron’s Emergency Services Headquarters) and brother-in-law Greg. Chris, who dedicated his life to helping people and saving lives, was farewelled at
the Leichardt Centre in Miles surrounded by his loved ones, friends, colleagues and community members. On 6 October, there was a paddle out in the ocean at Miami in honour of the former Gold Coast resident. Chris joined the QAS in 2006 as a paramedic at the Southport Ambulance Station. He transferred to Miles in 2010 and became the OIC of the station in 2013. Prior to working for the QAS, Chris was an active surf life-saving volunteer, holding various positions over many years.
In an Insight interview conducted prior to his passing, Chris said he joined the QAS because he “enjoyed helping people”. It was also the reason he was involved in the surf life-saving movement. Chris battled cancer on-and-off for eight years and was never one to complain. He even continued to work at Miles station whilst receiving treatment because he cared so much about his community. Vale Chris!
ASM award presentation at Government House
Two of our finest and most dedicated paramedics Brett Rogers and Teresa Powell were presented with their Ambulance Service Medals by His Excellency the Honourable Paul de Jersey AC, Governor of Queensland, at a prestigious ceremony at Government House in October. The event was attended by Commissioner Russell Bowles and Brett and Teresa’s family members.
Brett’s medal was for distinguished service to the QAS and the community of Queensland as a Critical Care Paramedic and educator, particularly for his role in developing, introducing and leading the innovative Statewide Cardiac Reperfusion Program which ensures world-class cardiac care for QLD residents, irrespective of their distance from a major centre.
Teresa’s medal was for distinguished service to the QAS and the community of QLD in senior roles including Officer in Charge, providing exemplary clinical leadership and exceptional care to the community, as well as mentoring numerous staff and working collaboratively with colleagues in QLD Health to deliver a high standard of patient care.
Summer 2019–20
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Defibrillator, bystanders and QAS officers’ combined effort to save patient’s life When Greg Darrington, 51, hopped off his bus at Camp Hill on Friday, 18 October he was looking forward to a session at his local gym – but less than half an hour later the fitness fanatic went into cardiac arrest during a workout. Jo Hales and Caitlin Lambert report on a reunion with a happy ending thanks to a combination of early bystander CPR, easy access to an Automated External Defibrillator (AED) and an effective QAS response. “I have to increase this to a more manageable level as my resting pulse is around 40-50 beats per minute,’’ he said.
Greg, an IT specialist, who has a long history of cardiac episodes, spent four days in the Princess Alexandra Hospital before being transferred St Andrews Hospital following his ordeal.
Greg lives just 800 metres from the gym and he is eager to resume his fitness routine, but for now he is taking it a day at a time while he slowly recovers from the life-altering incident.
“I had my first cardiac episode when I was 27 and I’ve had four previous myocardial infarctions,’’ Greg said. “I used to think they were big, but the one I just had was a showstopper.”
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As a preventative measure, Greg, who is currently receiving cardiac rehabilitation and home-based monitoring, has been implanted with an Implantable Cardioverter Defibrillator (ICD) and a pacemaker. “There was damage done to my heart muscle tissue after my first cardiac event and it is understood this is what led to the Ventricular Fibrillation event in October,’’ Greg said.
Prior to the cardiac arrest, Greg, had been attending various franchises of his gym between eight to ten times a week.
That includes the teal team involved in his case, some of whom he reunited with on 29 November at South Brisbane Ambulance Station, with the event attracting the interest of multiple media. Amongst those attending the reunion were Greg’s wife Dayna, paramedics Alexandra Knight and Elim Cheng, CCP Cameron Lutz, student paramedic Chloe Pattel, Jack Stilwell, the bystander who gave Greg CPR and applied the AED and gym staff.
“If my cardiac arrest had happened while I was on the bus that afternoon, I doubt I would be here today,’’ Greg reflected.
Greg was implanted with the pacemaker due to his very low resting heart rate.
“I got a second chance and you can’t ask for anything more than that.”
“I am getting stronger each day and I have started making contact with the people who ensured I am still here today,’’ he said.
It was an extremely emotional time for Greg who is still coming to terms with the events of that fateful day.
“My cardiologist believes that the ICD implant will fulfil two main tasks, in the event my heart muscle has a VF event, or if the opposite happens and my heart stops, it will either shock my heart back to a normal rhythm or provide impulses to capture a heart beat.”
“It was just so glorious to see them and thank them for their efforts.
“Having Jack start CPR and shock me with the AED ultimately helped save my life…I am just so relieved the gym had an AED. “The fantastic work done by the paramedics when they arrived on scene is the other reason I’m here. “Being able to say thank you to the people who saved my life…words of thanks are not enough…I’m here because they’re here.
Summer 2019–20
“I was doing everything from cardio, to weights, the punching bag. I have been doing this for years,’’ he said. The day of his medical incident, Greg caught the bus from his office at 4.05pm to the bus stop opposite the gym at Camp Hill. “I walked into the gym and commenced my workout about 4.45pm and was on the gym floor doing repetitive exercises, sit ups, the wheel bar and weights,’’ Greg said. “Once I had just finished my first set, I had some water and then commenced the second set…Next thing I knew I woke up in hospital.” Thankfully, bystanders were quick to respond calling Triple Zero (000), and Jack, 21, started working on Greg, guided by the calm and reassuring voice of Emergency Medical Dispatcher Margaret ‘Max’ Maxwell. Jack, who works as an operating theatre assistant at Greenslopes Private Hospital,
Gym cardiac arrest reunion
out to her as she compressed his chest.“ Cameron, who has attended three CPRIC cases recently, said the number of incidents were on the increase. “Looking after a patient with levels of consciousness during CPR is very challenging,’’ he said. “We have a paradox in that we are aggressively trying to optimise cerebral blood flow and then need to control our patient to offer the very care that creates the flow.” However, thankfully, he said Greg’s case went smoothly and the outcome was favourable as we ‘all worked together to provide the best care plan possible’.
was halfway through a chest press when he noticed Greg on the floor. “I went over and had a look, some other guys were tending to him and I noticed the signs and that it was time to do something. I got straight into the CPR. It was an intense time but I just did what I needed to do,’’ he said. “After I had been doing chest compressions for a while I used the defribillator and shocked Greg a few times.” The first crew on scene were ACPs Elim Cheng, Alexandra Knight and their Australian Catholic University student Chloe Pattell. They were followed by LARU officer Robbie King, Critical Care Paramedic Cameron Lutz, SOS Harry Beyne and HARU officer Mark Disney. Alexandra said she, Elim and Chloe were leaving the hospital when they got the call to the gym.
bystander CPR and public access to defibrillators. As for Greg he said ‘some win Gold Lotto…I got my life back. You can’t ask for anything more than that,” he said. Greg, who has two children Tristan, 21 and Ashlee,16, said he can’t wait to return to the gym. “I spoke to the gym staff about five days after the episode and I just asked them to put my gym membership on hold,’’ he said. “I will go back when I get given the all clear…I’m not going to stop living…I’m not going to stop doing what I did before.” Another story featuring CPRIC is on P3031 in this edition of Insight.
“When SOS Harry Beyne arrived, he seamlessly organised egress and notifications. “Eventually we gained Return of Spontaneous Circulation and were able to reassure Greg on his stable transit to hospital; his confusion gradually improved.” Like all the paramedics attending the reunion, Alexandra said it was rewarding be able to meet Greg and see him up and about. “It was a really special moment…I almost didn’t recognise Greg. He looked slightly different to the way I remembered him,’’ she said. “He shook my hand and gave me a big cuddle. It was very emotional.” Meanwhile, Cameron said Greg’s case highlighted the importance of effective
Opposite top right
Greg gives CCP Cameron Lutz a big hug at the emotionally charged reunion. Opposite bottom left
It was all smiles when CCP Cameron Lutz, ACP Elim Cheng, Greg Darrington, student paramedic Chloe Pattel and ACP Alexandra Knight posed for a picture. Top left
Greg being interviewed by media at the reunion. Below
Back row from left to right: Jack Stilwell, student paramedic Chloe Pattel, gym staff member Kristy Duhring, Dayna and Greg, paramedic Alexandra Knight. Front row from left to right: Paramedic Cameron Lutz, gym staff member Raji Singh, paramedic Elim Cheng. Photos: Jo Hales
“We were about five or six minutes away and when we arrived there was really effective bystander CPR in progress. They had already got an AED out and administered a few shocks,’’Alexandra said. “We administered another five or six shocks.” Cameron said when he walked into the gym Alexandra and Elim were working hard on Greg, however, he wasn’t exhibiting the typical response. “Greg would localise groan, grimace and roll over as we defibrillated him and continued with CPR,’’ Cameron said. Greg was experiencing Cardiopulmonary Resuscitation Induced Consciousness (CPRIC), a phenomenon in which the patient regains consciousness during CPR. “I felt for the student Chloe…I can recall her shocked expression as Greg reached
Summer 2019–20
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Former paramedic honoured at Indigenous Scholarship program launch A former paramedic who was rendered a quadriplegic following a tragic helicopter crash in 2009 has been honoured by the Queensland Ambulance Service (QAS) for his dedication and service to the community. Emma O’Connor travelled to Townsville to meet with Jamie Jackway. “It’s just who I am and why I suited the Queensland Ambulance Service. “I don’t get too sad or too happy, I just get on with life.” It’s this positive attitude and strength of character that led the QAS to honour Jamie’s service to the community both in his role as a paramedic and as a community role model.
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Ten years ago, Jamie Jackway, an Advanced Care Paramedic at the time, was onboard a helicopter as it travelled out to sea in wild weather to a container ship off Horn Island to rescue a patient who was suffering from cardiac complications. The rescue required a paramedic to be winched down to the deck of the ship in order to assess and treat the patient. Jamie was performing the winch rescue when the unfortunate happened. The cable snapped causing Jamie to plunge onto the deck of a ship. Jamie sustained multiple injuries, significant in nature, which rendered him a quadriplegic. Fast forward from 2009 to 2019 and Jamie’s sunny disposition has not changed one iota. “Maybe I’m missing the sad gene,” Jamie joked.
The Minister for Health and Ambulance Services Steven Miles and Commissioner Russell Bowles travelled to Townsville in November for a special event to recognise Jamie.
“Jamie immediately came to mind and it was a great privilege to pay tribute to Jamie on the 10th anniversary of the helicopter winching incident. “His determination and positive attitude are a testament to his character and are just some of the reasons why he’s an ambassador for many organisations including QAS Legacy.” Unbeknownst to Jamie, the tributes would continue with the Commissioner making a surprise presentation which left many members of the audience in tears.
The local community and dignitaries gathered at the Mercure to witness the launch of the QAS Indigenous Scholarship Program which includes three new scholarships for Indigenous students, including one named after Jamie – the QAS Jamie Jackway Paramedic Scholarship which aims to financially support Aboriginal and Torres Strait Islander students to complete their Bachelor of Paramedic Science degree. Commissioner Bowles said he knew from the early planning stages that one of the programs needed to be named after someone who embodies the QAS. “I was looking for someone who represents positivity, has a great attitude and whose personal character is unwavering,” he explained.
Summer 2019–20
The Commissioner, along with the Minister and local MPs, presented Jamie with the Distinguished Service Medal, an honour bestowed upon staff for their conspicuous service and humane and brave acts, which may also include service of an outstanding nature of a period of time or individual acts of bravery not otherwise recognised.
The QAS Jamie Jackway Paramedic Scholarship
“Jamie is such a deserving candidate for this medal and scholarship naming honour, and it was my great pleasure to be able to pay tribute to him in this way in front of his family,” Commissioner Bowles explained. Jamie hopes the scholarship programs will encourage more Aboriginal and Torres Strait Islanders to become paramedics. “It’s probably one of the best jobs you’ll ever have,” Jamie said. “There’s great people around you and you always feel as though you’ve benefitted the community in some way. “I loved the challenge of the job and helping people out. It was never repetitive, just a good job all round. “The impact of having an Indigenous paramedic in local communities goes beyond the positive effects on the scholarship recipients. “It has a positive impact on their family and extended family; It’s kind of like a flowon effect. “If someone in the family is doing well it encourages others to do well, and that will continue to have a positive impact into the future.”
Opposite left
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Guests attending the launch of the QAS Indigenous Scholarship Program. Opposite right
Indigenous dancers enthralled the crowd at the launch. Opposite bottom
Minister for Health and Ambulance Services Steven Miles, Jamie Jackway, QAS Commissioner Russell Bowles and Member for Thuringowa Aaron Harper. Right
Jamie Jackway and his niece Kieta Lenoy, an IPP cadet at Kirwan. Below
Jamie’s Distinguished Service Medal
Photos: Michael Augustus and Emma O’Connor
Summer 2019–20
Palm Island pilot program inspires local youngsters Jo Hales reports on a wonderful QAS pilot project at Palm Island which is enhancing relations with local Indigenous youth and empowering them with valuable first aid and safety knowledge and inspiration. Left
IPP mentors William Obah and Gerald Wotton with grade six Bwgcolman Community School students who are being shown how to secure patients safely on a stretcher. Right
Paramedics Phillip Weinheimer and Cameron Lemon with Bwgcolman Community School students.
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The initiative, which involves QAS Indigenous officers interacting with the community and delivering presentations to the island’s youths, is the brainchild of Palm Island Acting Officer In Charge (OIC) Jason Ploeg. He received the Fostering Innovation award at the Commissioner’s Achievement Awards in 2018 for the initiative which started as a trial in April 2018. Jason developed the concept as a leadership project for the Classified Officer Development Program (CODP) he attended in February 2019.
Jason said the initiative follows on from valuable contributions that had been made by officers in the past. “There have been brilliant officers on the island who have had a large presence in the schools performing similar presentations and continuing a strong relationship with the students,’’ Jason said.
To formulate the project, which was enthusiastically endorsed by Assistant Commissioner Robbie Medlin, Jason sought feedback from the LASN’s Indigenous officers and school teachers. “The project involves Indigenous officers visiting the island’s two community schools - Bwgcolman Community School and St Michael’s Catholic School and the Goodoo Early Learning Centre,’’ Jason said. “There are around 400 students at the two schools and we visit all grades once per year. We visit the child care centre every six months. “The officers conduct a series of engaging and interactive presentations that consist of educational discussions, equipment activities, a tour of the ambulance and questionnaire opportunity. Depending on the age of the children, topics covered include health and wellbeing, CPR awareness, sexual health and drugs and alcohol.” Jason said the presentations are primarily run by the Indigenous officers with the assistance of an Advanced Care Paramedic. A main goal of the initiative is to continue relationships between schools and the QAS and to familiarise children with the officers and provide education on key features of the ambulance service and health conditions,” he said.
Summer 2019–20
“A lot of community members still remember Ian Day and Auntie Gemma Armit (to name a couple), who would show kids how to deal with jellyfish stings. “These officers left a legacy on the island about the importance of these collaborations and the positivity it brings to the community.” Jason said the LASN currently has seven cadets in the Indigenous Paramedic Program (IPP) who are taking part in the school initiative. Five of the cadets have established positions on Palm Island. “The officers have spent most of their lives on the island and were once students at the community schools,’’ he said. Despite the project still being in its infancy, it has been achieving amazing results.
Palm Island Ambulance and School Initiative 2019
“We have been getting great results with lots of engagement and plenty of appropriate questions from the children,” Jason said. “The officers are proving to be reliable role models for the children and the students benefit when they share their life experiences and tell them how they achieved their goals. “The children look up to these officers and are showing admiration towards them because of their extensive knowledge of health issues.”
“Having these presentations is helping to demystify any anxieties locals may feel about the service and they are also increasing their safety and first aid awareness.” The project is having a two-fold effect, with the Indigenous officers also benefiting from the school and child care centre visits. “The public speaking skills and the confidence of our Indigenous officers have significantly improved since the presentations started,’’ Jason said. “The visits are also generating higher morale amongst staff at the ambulance station, especially considering every visit has been incredibly fun.” Jason recently accepted a role in the Cairns LASN as OIC Innisfail and has one wish – that the inspirational project continues long after he has left the island.
Jason said a highlight of the presentations for the students is when they take part in demonstrations, such as trying on bandages and oxygen therapy masks and checking for vital signs.
“It is extremely important that the project remains a core practice of Palm Island Ambulance Station well after I leave, so I am determined to ensure there will always be a ‘champion’ from the station to carry it on and continue with the scheduling,” he said.
Left
St Michael’s Catholic School students lining up for a group photo with Phillip Weinheimer and IPPS Monica Fourmile and Mickeal Sibley. Right
Grade 5 students George, Jackeal and Jolo having fun with the ambulance equipment. Below
Jason received the Fostering Innovation award at the Commissioner’s Achievement Awards in 2018.
“We are finding that as the students are becoming more familiar with us, they are increasingly sharing their stories which helps makes the presentations more interactive.” Jason said in a small community like Palm Island it is important for government services, such as the QAS, to engage thoroughly with the public. “Our ambulance officers frequently attend school events, such as swimming carnivals and cross country, to provide dedicated operational coverage for events and we also assist with a range of social activities,’’ he said.
Summer 2019–20
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Falls trial aims to increase safety of elderly people in their homes The innovative pilot Metro North Falls Referral Pathway trial aims to enhance the lives of elderly people living in their own homes by implementing individualised strategies to prevent further falls. Jo Hales reports on this outstanding initiative. The six-month QAS trial kicked off on 1 July 2019 in the Metro North LASN and is a partnership between Queensland Health’s Communities and Oral Health (COH) and the Brisbane North Primary Health Network (PHN) Team Care Coordination.
Above
Metro North Director of Operations Matthew Green is the brainchild behind the innovative Falls Referral Pathway trial.
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The trial allows Metro North paramedics to refer eligible vulnerable patients aged over 65 who have had an ‘unintentional’ fall in their home, when the officers establish hospitalisation is not required. Metro North Director of Operations Matthew Green devised the project which initially started in six suburbs but now encompasses the entire LASN. “The trial has been receiving positive feedback from staff who think it is great to be able to refer patients,’’ Matthew said. Matthew said he came up with the concept shortly after commencing his Director of Operations role in 2018. “I worked out we have five main cases we were attending in the Metro North LASN – chest pain, respiratory, falls, sick people and Medically Authorised Transports (MATs),” he said. In regard to the falls, figures released in December 2018 showed Metro North LASN responded to 1,200 a month. For 50 per cent of those call outs, the patients remained at home and did not get transferred to hospital. Matthew said many call outs were to a person who fell multiple times within the month. “I looked at the half we weren’t transporting and what we were doing when we responded to those cases. At most of the jobs we were helping get the patient back into bed,’’ he said. “Unfortunately, there was no real follow up care for these patients – some of whom we were seeing up to 16 times.
Summer 2019–20
“I wanted to stop the repeat cases and get these patients into the health system and assessed.” Matthew approached the COH and PHN to come up with the project plan and the rest as they say is history. The Metro North Falls Referral Pathway comes into play once a paramedic has established a patient does not need hospitalisation. The paramedic informs the patient about the pathway and seeks consent for a Nurse Navigator to contact them the following business day for assessment. To refer a patient, the paramedic leaves the case number and the patient’s details on a dedicated mobile number or voice message. The system provides the patient access to a range of services including an occupational therapist, physiotherapist and pharmacist to assist with reducing the risk of falling in the future. Other interventions undertaken by Team Care Coordination include referral/visit to General Practitioners, referral to My Aged Care and Aged Care Assessment Team (ACAT), installation of home modifications and personal alarms, prescription of mobility aids and equipment, increase in services provided including hygiene and respite, commenced Residential Aged Care pathway and Advanced Care Planning, and commencement of activity programs. For the first three months of the trial there was an average of nine falls per day that QAS responded to in the Metro North LASN. Of these, three to four falls were not transported to the Emergency Department. Forty-five people were referred to the service, with the average age of these patients 84 and having a frailty score of 5 (This is defined as mildly frail; people who are slowing and needing help with higher order activities of
Falls Referral Pathway trial
daily living). Figures reveal that in the previous 18 months these 45 patients had • 478 healthcare encounters with MNHHS services (admissions, ED presentations, outpatient appointments, communitybased care), an average of 10.6 health care encounters per patient.
The community falls pathway commences with a Triple Zero (000) call to QAS after the person has a fall at home. QAS responds to the call and assesses and treats the patient and determines if hospital transfer is required. If it is not required, the paramedic provides the patient with information on the Community Falls Referral Pathway and seeks their consent to send a referral to Metro North Community Services.
• 120 hospital admissions with an average of 6.24 days. • 501 hours of ED presentations with an average of 4.9 hours per presentation. Matthew, who hopes the trial will be implemented state-wide, said the average cost of an Emergency Department presentation for a frail elderly person is $1,036. “If an elderly person is referred to the pathway trial, they are reducing their chance of having a further fall, which has the potential to slash hospital presentations. “This project allows people to get into the health system and gives them access to a better level of care which will result in better outcomes and an improved quality of life. “It also has the potential to reduce workload and overtime for the QAS.”
If consent is obtained the QAS Electronic Ambulance Referral Form is emailed to Community and Oral Health Central Referral Unit (CRU).
If the patient does not consent no further action can be taken.
CRU triages referral and obtains additional information to navigate referral.
If the patient is not currently receiving a Metro North Community Service the referral is sent to PHN Team Care Coordination.
If the patient is identified as currently receiving of a Metro North Community Service the service is notified and provides post falls assessment and care.
Team Care Coordination contacts the patient and completes a phone clinical assessment and triage. This is followed up with a home visit where a comprehensive assessment of both the patient and the environment is made. A care and intervention plan is developed which may include referring the patient to other services within and external to MNHHS and liaison with the patient’s GP. At 1 and 3 months TCC have a post fall phone follow-up with the patient and the plan is revised as required.
The case of Mrs PD, one of the 45 patients who commenced the trial after a fall THE FALL
ACTIONS TAKEN
OUTCOMES
Mrs PD fell at home while putting out the washing, tripping over a mat she had placed under the line so she did not get dirty shoes.
OT referral for home safety and mobility review and hand therapy.
TCC funded private OT. Recommendation to move clothesline and mats accepted by client. OT discussed major mods for stair lift with client.
QAS responded to the 000 phone call, assessed Mrs PD and found no injuries requiring hospital care. QAS with Mrs PDs consent referred her to the Community Falls Project. Referral was processed by COH and referral sent to Team Care Coordination.
INITIAL HOME CONTACT and ASSESSMENT Team Care Coordination undertook a home visit and completed a comprehensive client and environment assessment.
Referred for Personal Safety Alarm with key safe. Mrs PD provided with information on the Active at Home program through Burnie Brae. Loose mats under line removed during TCC visit. Education on loose mats, steps, small dog provided. Checks on use of walking stick, grab rails, ramp and bathroom equipment already installed.
Burnie Brae to commence Active at Home exercise program. Final Outcome 6/8/19: referrals actioned, exercise program in place, personal alarm installed and has an alternate clothesline to use with easier access, some mats remain as client has declined to move them.
Summer 2019–20
IMPACT Mrs PD has not been admitted to hospital post fall.
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CCP Carmen Waqanaceva, Boonah OIC Russell Pavey and ACP Mark Zimmermann were delighted to see Bernie Haer in high spirits when they visited him at the PA Hospital early December. Bernie, who has remained extremely positive following the motorcycle and vehicle crash, updated the paramedics about his road to recovery. Photo: Jo Hales
Summer 2019–20
Bernie’s road to recovery
Paramedics uplifting reunion with motorcyclist recovering from life-changing crash It has been just over four months since Bernie Haer almost lost his life in a serious motorcycle and vehicle crash on a rural road in Moogerah in The Scenic Rim. Jo Hales reports on this incredibly positive 76-year-old, who, while recovering in hospital, was eager to meet the QAS officers who helped save his life. Bernie’s life changed forever on 11 August this year. He was on his motorcycle, travelling at around 80km an hour on Lake Moogerah Road towards his acreage property, when he was involved in a collision with a car. The incident left the great grandfather with life-threatening injuries. His right leg was amputated, his femur was shattered, he also sustained a head injury and two broken fingers. “I had gone into town to have a coffee and do some shopping. It had been a successful trip. I was on my way back home around 11am when the crash happened,’’ recalled Bernie who ended up in a ditch. “I didn’t feel any pain straight after the crash as I was in shock. “I was also not aware I had lost my leg. I could just feel this warm gush of blood and knew I had to stem the bleeding.” ACP Mark Zimmermann was the first paramedic on scene, followed by Boonah OIC Russell Pavey, then CCP Carmen Waqanaceva. “Russell and I were partnered that day. We were on call in separate vehicles,’’ Mark said. “When I arrived, it was obvious Bernie was in a bad way, but he was totally conscious. “Amazingly, despite his injuries, Bernie had instructed a bystander to apply a tourniquet with the straps of his dilly bag. I changed it to the combat tourniquet and packed the wound with quick clot.” Mark said it was while he was giving a sitrep, that Bernie realised he had lost his leg. “When he asked me about it, I said I am really sorry about your leg mate. I then explained to Bernie how we would manage his injuries and the treatment we would provide.”
Bernie lost several litres of blood at the scene, however, Mark said he remained conscious until he was intubated prior to being airlifted to the Princess Alexandra (PA) Hospital on QG Air’s Rescue 500. On the flight he was in the care of flight doctor Tharindu Vithange and Critical Care Flight Paramedic Peter Drew. “I was just amazed by how calm and collected Bernie was prior to being intubated. He was a really good patient, especially considering he had lost his leg,” Mark said. Several weeks after the incident, Mark visited Bernie in hospital. He said it was great to see him in high spirits and soldiering on despite the trauma he had experienced. At the hospital, Bernie expressed to Mark that he would love to reunite with more of the crew who helped save his life that day. He got his wish on 2 December, when Mark, along with Russell and Carmen visited Bernie at the PA. It was an uplifting visit for both the patient and the paramedics. “It was just so great to see them again and say thank you for everything they did that day,’’ Bernie said. In a twist of fate, Carmen was involved in a motorcycle crash on 19 October. She spent two weeks in Lismore Hospital and St Andrew’s Hospital in Ipswich after suffering a collapsed lung and fracturing four ribs and her clavicle. Despite still recovering from her injuries, Carmen, who has also worked as a flight paramedic, was extremely keen to meet with the patient ‘she did not think would live’. “Bernie was so sick when we saw him, I doubted he would survive. He was pale, white and very sweaty,’’ Carmen said.
Bernie’s positive outlook also impressed the paramedics with Russell commending him on his tenacity and strength. “You have obviously looked after yourself and you have such a positive outlook on life,’’ Russell told Bernie. “That mindset will really help you in your recovery and into the future.” At the reunite, the paramedics also explained to Bernie some of the other conditions that were affecting the transport of him that day. “It was a really windy day,’’ Carmen said. “Rescue 500 was the only chopper flying, which was lucky for Bernie, because if he had been taken by road to hospital, it would have been a very long bumpy ride.” Russell then explained how Rescue 500 was given permission to land in a nearby paddock by the owner. But before he could be placed in the chopper, they needed to transport Bernie a short distance in the ambulance across the extremely rough terrain and then deal with a herd of cattle. “There were about 20 of them, and some were quite young and very curious about the chopper, so they weren’t in a hurry to move away,” Russell said. At the time of going to print, Bernie was based in the rehabilitation ward of the PA Hospital, waiting for his prosthetic leg to be fitted. “I am really looking forward to being released from hospital and going back to my property at Moogerah,’’ he said. “But first I will have to learn to walk on the new leg and wait until modifications are made to my house and car.”
“It was great to come back and see him doing so well. We don’t often get to do that. It is nice to have closure.”
Summer 2019–20
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Our ‘every day heroes’ honoured at awards ceremony It was an action-packed time for the QAS at the 2019 QBANK Everyday Hero Awards, with three of our paramedics taking out two categories. Below
Steve Whitfield and Mick Stuth were honoured in the Working Together Category. QAS Chaplain Clark Magele had the crowd captivated when he delivered the opening prayer at the QBANK awards ceremony.
Kahla Mawby won the Dedication category and Steve Whitfield and Mick Stuth were named the winners of the Working Together category at the coveted awards ceremony which was held at the Queensland University of Technology’s Gardens Point Campus in Brisbane on 11 October.
Middle
Commissioner Russell Bowles with Assistant Commissioners Chris Broomfield and Stephen Zsombok, QAS Chaplain Clark Magele and finalists Mark Taylor, Vicky Mian, Kahla Mawby, Mick Stuth, Luke Wulf and Steve Whitfield.
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communities of Nepal following earthquakes in April that year. They led a medical team into Nepal in November 2015, with the target being a former health post lying in ruin in the village of Chitre about 90km north east of the capital. It served a wider community of thousands. The pair established a relationship with the community leaders that would see volunteer clinical teams working with locally registered physicians. Since that time, 18 international medical expedition teams have established two permanent health posts and provided free primary health care access to over 7,000 people ranging from the basic health issues to critical cases with limited resources.
Right
Kahla Mawby addressing the crowd after receiving her award.
Photos: Jo Hales
Also recognised at the event were QAS officers Mark Taylor, Vicky Mian and Luke Wulf – who were finalists respectively in the Achievement, Excellence and Ownership categories. Before the event proceedings started, QAS Chaplain Clark Magele took to the stage to deliver an evocative opening prayer. Kahla won her award for showing determination and strength when she put others first by cutting short a surfing holiday in Bali in 2018 so that so that she could help out in an earthquake relief effort in Indonesia. Instead of returning home to Australia when the earthquake struck killing hundreds of people, Kahla flew to the epicentre of the disaster zone with a non-government organisation, and utilised her skills to assist children and expectant mothers affected by the earthquake. Kahla was tending to a patient who had sustained a broken bone when a second earthquake struck. Steve and Mick were recognised for the Wild Medic Project they founded in 2015 in response to the lack of health-care access in remote
Summer 2019–20
The original health post had been a shack with dirt floors, however, there are now two fully constructed health post/community centres as well as a community toilet block to reduce waste contamination. In addition, the clinics are now self-sufficient with local staff. QBANK said it was overwhelmed with the number of entries it received for its sixth annual awards. More than 170 nominations were received from across the state. The remaining nominations included members of the Queensland Police Service, Queensland Fire and Rescue Service, Queensland Corrective Services and Queensland Health.
Former QATB officer’s book launch
Treasured former officer launches book about his ambulance career Age certainly has not slowed down one of our most precious former officers Bob McDermant, who at 96-years-young made his debut as an author in November. Bob, the Chief Training Officer for the QATB State Council from 1973 to 1985 captivated a large audience at the launch his book, The Ambo, at a Sunshine Coast event attended by Commissioner Russell Bowles and past and present QAS officers. During his time as Chief Training Officer, Bob 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. Bob’s book tells the story of his incredible service from the Field Ambulance in World War II to his illustrious 39-year-career with Queensland Ambulance. His ambulance career at the Brisbane QATB started in February 1947 as an Honorary Officer, having served with the Australia Imperial Force in the Pacific during World War II as a Nursing Orderly. In September 1947, Bob was appointed to the Brisbane QATB as a Bearer-Collector stationed at the Moorooka Sub-Centre. He later became a Driver Bearer, Senior Bearer, Control Officer and Station Officer, and developed a strong interest in training during those years. This was fundamental in preparing him for the role of Chief Training Officer. Whilst Chief Training Officer, there was a steady progression of improvement, beginning with a ‘State I’ level of training and, as approval was granted, later came ‘Stage II’, ‘Stage III’ and ‘Refresher’ training. Resuscitation and airway management skills were the strong focus of the officers’ hand skills, as was the modified Thomas Splint for lower limb fracture care. Bob’s time as Chief Training Officer was a very demanding role with only himself, Paul and an Administration Assistant, there was much to be done behind the scenes to ensure that the courses ran smoothly such as booking guest presenters, scheduling sessions around their availability, ordering supplies, arranging hospital and site visits, and cleaning and preparing equipment and making lecture notes for the next intake of officers.
Planning for the updates to existing courses and the introduction of new sessions or entire courses also kept Bob busy in this role. Commissioner Bowles said it was a ‘true privilege’ to be at the book launch and commended Bob on his outstanding service, persistence and tenacity during his ambulance service career. He also said Bob’s enthusiasm and determination laid the foundation for where the service is heading today, adding that the stalwart ‘never stopped trying to go forward’.
Top in frame
Bob McDermant and his son Greg, who was addressing the crowd at the launch. Middle in frame
Commissioner Russell Bowles, Bob McDermant and QAS Heritage and History Manager Mick Davis. Bottom in frame
The Sunshine Coast event was attended by past and present ambulance officers. Below
QAS Commissioner Russell Bowles and Bob McDermant were all smiles at the book launch. Photos: Jo Hales. Background
Bob McDermant early days. Photo: Supplied.
Summer 2019–20
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Ambulance Australia – a behind the scenes look at the making of the show The cameras have stopped rolling on Ambulance Australia and the QAS is set to make its national debut on Network Ten in early 2020. Andrew Kos speaks to several staff involved in filming about what it was like to welcome cameras into their world. 18
Above
A handful of the paramedics and EMDs involved in filming. Opposite, left to right, from top to bottom
Shelly Pringle and Shane Mattingley from Sunnybank Hills Station with shooterproducer Steve. EMD Calumn Havis in a scene from the show. Sunnybank ACP Patia Delaney gets behind the camera. Balmoral crew Armahn Kennedy and Ash Panta take part in publicity. Some of the Endemol Shine Production crew in the Brisbane OpCen.
When the QAS was approached by Endemol Shine Australia in mid-2019 about featuring in the third season of the critically-acclaimed observational documentary series Ambulance Australia a huge amount of work was initiated to allow access in a tight timeframe. Rigging of vehicles was undertaken, stations and staff were selected for filming, rosters were rearranged, camera crew training and inductions were carried out and the production crew moved into Brisbane Opcen’s SIMR for the production period. Eleven weeks of filming yielded hundreds of hours of vision from the 42 cameras simultaneously recording in the Brisbane OpCen and on-road. Nathan Station ACP Rachel Kluck was one of around 28 paramedics filmed for the series and explains what it was like.
Filming in the Brisbane OpCen.
“When I started I was just thinking about the end product, but the actual process was really interesting, and it made me think very hard about why I do this job, more than I have since I started in this career,” Rachel said.
Nathan crew Ben Laws and Rachel Kluck with shooter-producer Jenny and runner Jack.
“Our shooter-producer was great - she just kind of blended in so actually doing our job was quite easy, we just ignored the camera and our patients seemed pretty receptive to it as well which was great.
SOS Brad Hardy with shooter-producer Sieh.
SOS Dan Townson with shooter-producer Glenn. Photos: Ambulance Australia and Alex Battye
“This isn’t a job that you can easily share with the people you love and it’s a difficult one to describe without being there – so I’m excited that they’ll get to see a little bit of why and what I do.
Summer 2019–20
“Hopefully that’ll translate across to the public and they’ll have a better understanding of what we do and some of the challenges we face and how we manage them. “It was a really good opportunity not just to see how a TV show is made but to really reflect on your own practice and your own professionalism and I think that’s an opportunity that’s going to come around maybe once in your lifetime if that, so if you’re given that chance than definitely take it.” In the OpCen, EMD Calumn Havis said the vibe was exciting, especially given he’d only completed his QASEC studies a matter of weeks before filming began and had chosen his new career after seeing one of the previous seasons of the show. “Because I’m still quite new as well the whole OpCen thing was brand new as well and that was interesting and then the camera crew rock up as well and it’s a whole new ball game,” Calumn said. “It’ll be quite interesting to see how other people work as well seeing everyone else’s face and seeing what happens.” A big thanks must go to all of those who helped pull the production together, including the team at Fleet and Equipment, Metro North and Metro South WPU, station OICs, Legal, State LASN Operations, State Comms Development, OBIP and to all staff who welcomed the camera crews in often difficult and confronting circumstances.
Ambulance Australia
19
Summer 2019–20
KJM grants recipients receive $40,000 to help enhance pre-hospital care Staff from around the state turned out for the annual KJ McPherson Education and Research Foundation (KJM) Symposium and Grants Presentation at Kedron Wavell RSL Club on 29 October. Jim demonstrated a commitment to developing his skills in order to provide the best possible care to patients. After his death, colleagues and relatives formed the foundation as a memorial to him and it now stands as a tribute to all paramedics who have lost their lives while delivering care to others. Commissioner Russell Bowles said the QAS staff awarded grants were contributing greatly towards improved clinical outcomes.
20 This year, the KJM Foundation awarded $40,000 worth of grants to QAS paramedics and personnel and university students, with the funds set to assist the recipients in conducting research, or to fund research and education projects into pre-hospital care.
Top
Adam Rolley received the $15,000 Patron’s Research Grant for his entry – measuring the stability of out-of-hospital cardiac medications using high performance liquid chromatography. Middle
QAS Chaplain Clark Magele was among those who attended the event. Background
The symposium and grants presentation at the Kedron Wavell RSL Club was attended by QAS personnel from around the state.
The KJM Foundation is a not-forprofit entity dedicated to improving patient care by providing research and professional development opportunities for uniformed personnel. It was formed as a trust in memory of paramedic Kenneth James (Jim) McPherson who lost his life in an air ambulance crash in Bundaberg in 1987 at the age of 27.
Summer 2019–20
“The grant recipients are embodying the work of Jim McPherson, who demonstrated the qualities of the QAS with his dedication and commitment to training, education and research,’’ Commissioner Bowles said. “Among other things, this year’s grant winners will be undertaking research into the stability of out-of-hospital cardiac medications, the changing face of pre-hospital education delivery, graduate paramedic mental health and improved dispatch training. “I look forward to seeing our recipients work come to fruition and hopefully become part of our evidence-based response and the overall continuing advancements to modern medicine.” More than $390,000 worth of grants has been distributed to almost 200 recipients since 1988.
2019 KJM Symposium and Grants Presentation
Commissioner Russell Bowles with QAS Heritage and History Manager Mick Davis, KJM Foundation Patron, Major General Professor John Pearn AO, and the 2019 grant winners.
KJ McPherson Education and Research Foundation Grant Recipients 2019 Grant
Winners
Project/Activity
LASN
Sponsor
Amount
Patron’s Research Grant
Adam Rolley
Measuring stability of out-of-hospital cardiac medications using high performance liquid chromatography
QAS Education Centre
Stryker Australia
$15,000
Dr Peter Stephenson Overseas Study Grant
Alex Thompson
eARF 2.0: Disrupting health care record design in adaptive digital environments. Health & Medtech
State Headquarters
Dr Peter Stephenson
$5,500
KJM Overseas Study Grant
Elizabeth Brooks
A collaborative approach to the changing face of education delivery in the prehospital ambulance environment – a sabbatical to the United Kingdom.
State Headquarters
KJM Foundation
$5,000
Bundaberg LAC State Operations Grant
Sarah Cunningham & Natalie Roberts
Preliminary Dispatch Training Simulator Research
State Operations Centre
Bundaberg LAC
$5,000
QAS Research and Development Grant
Amy Craike and Sergio Gomes
Grip fatigue and the effect on Paramedics providing an adequate Tidal Volume (TV) when using a Bag Valve Mask (BVM) to ventilate a patient.
Metro North
Spectrum Data Systems International
$3,000
PA Professional Development Grant
Rachel Kluck
Study tour of Wales, UK – Paramedic performed regional nerve blocks for hip fracture
Metro South
Paramedics Australasia
$2,000
QAS Professional Development Grant
Dominique Paznikov
QAS PD Grant GPIP Mental Health Conference - Townsville
Mackay
Laerdal
$1,500
United Voice Graduate of the Year Grant
Lauren Martin
West Moreton
United Voice
$1,000
21
Paramedics Australasia Scientific Student Grant Best Paper
Jessica Green
Basic vs supraglottic airway management in prehospital cardiopulmonary resuscitation: Patient outcomes
Griffith
Paramedics Australasia
$600
Runner-up Best Paper
Kaitlyn Anderson
Ketorolac and its potential use as a pre-hospital analgesic option for moderate to severe pain
CQU
Paramedics Australasia
$400
Best Poster
Courtney Smith, Carly Eygenraam, Javier Vega Sanguesa, Philip Williams
In patients with suspected Addisonian crisis, should paramedics administer corticosteroids?
USC
Paramedics Australasia
$600
Runner-up Best Poster
Shelley Boller, Monique Hall, Letitia Posey, David Saunders
In a patient with diabetic ketoacidosis, should paramedics administer insulin
USC
Paramedics Australasia
$400
Summer 2019–20
Brave officer risks life to save family members and pets from house fire When Murgon OIC Michael Formica came across a fully engulfed home in Harristown on 10 September, he disregarded his own safety to rush in and save a mother, daughter and their two pet dogs from danger. Insight Editor Jo Hales reports on the heroic actions of one of our own. Despite still coming to terms with the tragic event, Jeanette, who had been a long-term tenant of the house, was ecstatic she and her youngest daughter, Jessika, 8, and their dogs were able to escape with their lives. “I am so grateful that Michael was in the street and that he risked his life to come and help,’’ said an emotional Jeanette. “My neighbours were great too, they helped out by hosing down the house. Everyone was amazing.’’
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Jeanette’s nightmare unfolded after a curtain in the living room came into contact with a candle she had lit for Domestic Family Violence and Breast Cancer.
“When the fire started, I immediately tried throwing a blanket on it, but it didn’t help. The house went up in flames so quickly and the smoke was so thick,” she said. Jeanette did not escape to safety as she was unsure where her daughter was in the house. She managed to place the pooches in cupboards to help them escape the smoke and by the time Michael arrived on scene, Jeanette said she was in a state of total panic. “Looking back, I really don’t think I would have got out without Michael… I could have died from the smoke inhalation,’’ she said.
Summer 2019–20
Michael was off duty and visiting family when he came across the house fire. “I noticed the smoke straight away, so I got out of the vehicle to investigate. There were already a couple of people on scene,” Michael said. “I heard some commotion coming from the back of the property and when I went around the side, I found the home was fully engulfed in flames. “One of Jeanette’s neighbours had a hose and was spraying it through the security door. I could hear Jeanette screaming from inside.”
Heroic Murgon OIC’s selfless act
Without hesitation, Michael gained entry through the back door, finding the terrified mother in the back part of the house. “She was covered in soot from head to toe and was very upset,” Michael said. “As I was removing her from the house I asked if there was anyone else inside and she told me Jessika, her eight-year-old daughter, was inside.’’ After removing Jeanette from harm’s way, Michael once again bravely headed in the direction of the danger to look for the missing child. By the time he made it to the second door at the end of the laundry, he couldn’t see as the area was engulfed in thick black smoke. “The floor was covered in water from the neighbour spraying the hose inside, so I got down on the ground and headed in the direction of the lounge room,’’ Michael said. “I couldn’t get past the heat and smoke because I couldn’t see, so I retreated outside to breathe in some fresh air.” When Michael re-entered the house through the laundry, he turned the light on his personal phone and started crawling again. “I made it further into the lounge room this time, but because of the thickness of the smoke, the light was just bouncing back. I couldn’t see anything,’’ he said. Michael made the decision to exit the house and smash windows to let some of the smoke out. It was after leaving and re-entering the house two more times due to difficulty breathing, that Michael heard a noise coming from a cupboard in one of the bedrooms. “I couldn’t believe it when I opened the door to find a dog in there,’’ he said. “When I came back in after taking the dog outside, I heard another noise in
the first bedroom and when I went in I found a puppy in the cupboard.” With Jeanette and the dogs out of harm’s way. Michael went in again to continue his search for Jessika. He found her in the garage and led her to the open arms of her thrilled mum. After moving everyone away to a safe place, well away from the house, Michael got to work assessing the two patients. “Jessika had soot on her face, but she had nil injuries, so I immediately turned my attention to Jeanette,’’ Michael said. “Jeanette had smoke inhalation so when the firies arrived, I got an oxygen mask and we put that on her while waiting for the ambulance to arrive.” Michael’s job was still not done. He then travelled in the ambulance with Jeanette and Jessika to Toowoomba Hospital. It wasn’t until the handover was complete, that the selfless officer put his hand up to get assessed. He was informed he too had smoke inhalation and was treated for a small burn on his left hand. Looking back, and at the risk he took, Michael said he would not have changed a thing. “I am just so glad I could help out. It was such a relief that everyone was okay,’’ he said.
“When I came across the fire, I just felt as a father and a paramedic I had to render assistance. “I was really worried when I found out there was a child in the house. That is every parent’s worst nightmare. I can only imagine the distress Jeanette was experiencing when she could not account for Jessika. “I would definitely do it all again if I had to.’’ In fact, on the way to Toowoomba the following week, Michael resumed his rescuer role, this time saving an orphaned Joey he came across on the side of the road. Jeanette, who is still trying to rebuild her life after the incident, said she would forever be grateful to Michael and everyone who has assisted her during and after the fire. “If there is one thing I would like to express after my ordeal it would be to warn others to be careful when lighting candles and make sure they are not located near curtains,” she said.
Summer 2019–20
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QAS bushfire effort
QAS provides valuable support during bushfire crisis A big pat on the back to our QAS staff who were part of the recent bushfire effort, working behind the scenes to ensure the safety of affected residents and emergency services officers on the frontline.
Woodgate
The QAS dedicated around 30 staff to the bushfire effort joining emergency services in the field, at the respective forward command posts around the State, at evacuation centres and at Ambulance Coordination Centres.
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Our paramedics were deployed to regions across Queensland, including the particularly hard-hit areas around Boonah and Rockhampton in support of Counter Disaster Operations and support of interstate and international strike teams. Boonah
Pechey
Tarome
Barmaryee
Summer 2019–20
Mt Barney
Yeppoon
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. Lily Graves Cairns OpCen Student EMD Lily Graves didn’t miss a beat when a Heathlands wildlife ranger advised her he had been attacked by a crocodile. The off-duty ranger was out fly fishing when the animal attacked, de-gloving his hand, and puncturing his calf, shin and thigh. The ranger was able to release himself by poking the crocodile in the eye before driving himself to the remote ranger station located over an hour away. With only 12 months experience, Lily demonstrated the skills of a veteran EMD as she set about methodically getting and confirming location details and assessing his injuries.
Call Lesson Initially unable to provide coordinates for his location that was quote “Not in your system” and recommending she “Contact the helicopter on TI” Lily reassured the caller that they were contacting the Helo, but they could expedite the response if they could get the Latitude and Longitude coordinates. Lily knew that the patient was on a land line, so checked if he could access the internet. The patient advised he had a laptop. He was able to log onto Google maps at which time Lily advised him to find himself on the map, click on the map and provide the coordinates.
Vanessa Jones Brisbane Quality Assurance Officer Vanessa Jones (VJ) demonstrated she can walk the talk when an elderly gentleman called on behalf of his wife whom he thought had experienced a stroke. Based on the information provided by the caller and on hearing the tell-tale sound of agonal breathing, VJ was able to quickly instruct the caller to commence CPR.
Call Lesson As the caller did not recognise the gravity of the situation, VJ was assertive with the caller in getting him to confirm the patient’s conscious status before instructing him to commence CPR. When the caller stated that he could feel her heart beat, VJ knew that if she wasn’t breathing her heart would not be beating for much longer. VJ supported the patient’s husband though CPR for approximately nine minutes before the crew could take over from him.
Jan Wheeler Cairns OpCen EMD Jan Wheeler was calm and supportive when a child called for her mother who had put her hand through a glass window after leaning on it. Jan skilfully adjusted her tone and language when conversing with the child
Knowing that having exact location details would expedite the response, Lily used a combination of reassurance, repetitive persistence and action and reason to get accurate coordinates. When our callers understand the “why” they are more likely to comply.
Recognising the signs (and sounds) of ineffective and agonal breathing can be critical in terms of patient outcomes. VJ assessed all the information provided by the caller in addition to the sounds the patient was making and how far apart those signs were to determine that this patient was in respiratory arrest. VJ was able to control the call, seemingly without the caller even recognising how dire the situation was.
Call Lesson and adult on the scene. At Case Entry question 3, it was clear to Jan that this was a serious situation. She immediately suspended interrogation to provide haemorrhage control instructions before quickly moving on to gain the essential information.
It was clear that the child caller was very concerned about her mother’s injury. It is very important Jan’s choice of words and tone of voice was able to calm the caller until she was able to put the phone on speaker. Positive communication with young children can help in developing confidence and cooperation in emergency situations. Communication is more effective if both parties are on the same level. Jan effectively adapted her communication style to meet the age and needs of a child caller. Jan also let both the caller and her mum know what a great job she had done.
Summer 2019–20
25
QAS STEMI management success – where it all evolved from “The greatest joy of being a teacher is when your student exceeds all of your expectations – and you know they could do a better job than you, their instructor,” QAS Priority One’s John Murray said. His quote references the progression of the partnership he formed over a decade ago as an ICP mentor to then ACP Brett Rogers ASM (now CCP), and the service’s Statewide Reperfusion Coordinator, and their work as paramedic researchers in pursuing practice-changing innovation for cardiac patients. While their roles couldn’t be more different today, John and Brett worked closely together for many years from the late 90s, as the early pioneers of pre-hospital thrombolysis in QAS, setting the standard for ambulance jurisdictions across Australia and the world, and demonstrating the vital role of paramedic researchers in progressing pre-hospital clinical care.
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Speaking to Insight, the pair recounted their part in shaping STEMI management in our service, following the recent release of the QAS authored report analysing this cohort’s entire data set and survival trends. “It’s hard to believe there’s been more than 7,800 STEMIs treated by our paramedics in the past 11 years – I can very clearly remember the first thrombolysis administration given by a QAS paramedic in Rocky, back in 2008,” John said. “We were all silently rallying for that one patient and were so full of pride and admiration for that treating paramedic – I still have the email Dr Rashford ASM sent detailing the success of the case and I often revisit it, even though it’s been many years since I’ve been on-road. “Brett and I initiated our pilot study ‘Early identification of ST Elevation Myocardial Infarction by Paramedics’ in 2003, which set out to determine whether ICPs could reliably diagnose STEMI and administer thrombolysis within clinically significant and internationally benchmarked timeframes, corresponding with Cardiologists assessments. “Back then, ICPs were the only clinicians carrying 12-lead ECGs and they weren’t routinely used, given there was no definitive treatment protocol for STEMIs – so we certainly had our work cut out for us in terms of recruiting enough paramedics into the study to yield meaningful results. “We were very fortunate to have people like the late, great Dennis Jess ASM in our
corner, who, as the then head of QASEC was extremely determined to see us succeed, committing valuable time and resources to support us. “Of course, without the generous funding provided by the Australian Paramedic Association Queensland and the experienced research governance provided by Professor Vivienne Tippett, who headed what is now the QAS Information Support, Research and Evaluation Unit (ISRE), the study would not
Summer 2019–20
have been possible.” The unit (now headed by Director, Dr Emma Bosley) continues to provide expert research support to many QAS paramedics undertaking research and post-graduate study in clinical and non-clinical areas. “Once everything was greenlit, recruitment ramped up, with Brett and I hitting the road, driving from Toowoomba to Cairns – and back again – all within a two-week timeframe to orientate and encourage the state’s ICP workforce’s participation.
ISRE report: QAS STEMI management success
really get things moving,” he said. “His way of teaching was engaging and his legacy lies in his enthusiasm for face-toface training – something I value above all else because I saw how it transformed my practice under his stewardship.
“Shortly afterwards, in 2008 the first-generation thrombolytic agent, tenecteplase, was introduced to practice – initially only carried by ICPs. Chosen for its superior profile as a single bolus administration, it was ideal for use within the ambulance environment, and to this day, it remains one of the world’s most commonly used prehospital thrombolytics.” Discussing the study and its impact on clinical practice, John said credit was due to many – from the ICPs who volunteered their time to take part, to the intensivist doctors who believed in, and passionately championed paramedics taking their rightful place in this critical area of practice. “Stand outs were Drs Peter Lavercombe, Alan Henderson and Vicki Lindemann, who earnestly understand the benefits of this therapy far outweighing the risks. “That belief…that we could and should be doing this was felt by many, and the study and its related cost effectiveness review, authored by renowned Health Economist Professor Paul Scuffham, paved the way for our clinical plans to be put into action. “Our pilot also had the flow on effect of ensuring every ambulance was equipped with defibrillators that were 12-lead ECG compatible. It’s been a highlight of my career to be a small part of such a profoundly effective treatment protocol with such wide-reaching reform,” John said. Brett acknowledged the sheer amount of work and dogged determination of doctors, paramedics and researchers alike, including his mentor, John in effecting this landmark change to clinical practice. The strategy was championed by QAS Medical Director, Dr Stephen Rashford. It was his expert guidance that facilitated the collaborative relationship with the Statewide Cardiac Clinical Network, which has been essential to the success of the program. “I’d joined QAS as a mature student, coming in from being a secondary school teacher. John, who’d also been a teacher – but for littlies – was at the height of his clinical game when I met him, and he knew the system, and had the connections to
“I see it now in the paramedics I mentor, whether I’m in Mount Tamborine or Mount Isa, nothing compares to being ‘at station’ delivering real-time, simulated training. It goes hand in glove in providing a safe environment where there’s a willingness to share and learn amongst peers, because on-road, paramedics know they will be relying on each other to ‘work’ these cases through. “And they can be tough – there will be bumps in the road along the way, like the one John and I encountered in the minivan somewhere between Rocky and Mackay which blew out the driver’s side window on our initial training trip over sixteen years ago…the upside being we didn’t have to worry about locking the thing after that! “In all seriousness though, the management of these cases can be very complex and the lessons you will learn won’t always be from the ‘best case’ treatment scenarios. These are our sickest patients, they are the ones who are actively dying when we are called to them. Your ability to rapidly diagnose, treat and transport them WILL give them the best possible chance of survival. Brett said, “I came across a short but powerful anecdote on this unique area of practice, annotated in the case notes of a student who had just administered reperfusion under supervision, it has stuck with me and I hope it resonates with readers…Few other cases have been so rewarding – knowing my care had directly saved their life.” Testament to the ongoing success of the reperfusion program, Dr Tan Doan, Cardiac Research Fellow at the QAS ISRE unit led a study that investigated outcomes for all
QAS patients treated with thrombolytics as part of the strategy. The study, “Prehospital ST-segment elevation myocardial infarction (STEMI) in Queensland, Australia: findings from 11 years of the statewide prehospital reperfusion strategy”, was published in August 2019 in Prehospital Emergency Care. Key findings from the study include: • The proportion of patients receiving prehospital reperfusion improved markedly from 34% in 2008 to 65% in 2018; • The time interval from paramedic arrival at scene to the acquisition of first 12lead ECG significantly reduced from 11 minutes in 2008, to 6 minutes from 2012 onwards; • Three quarters of STEMI patients that received reperfusion (75%) were directly referred to hospital for primary PCI; • Median time from prehospital STEMI identification to reperfusion was 88 minutes; • Fifty-five percent of pPCI patients achieved reperfusion within 90 minutes. • For patients that received prehospital fibrinolysis, median time from STEMI identification to administration of a fibrinolytic agent was 21 minutes. The study concluded that the QAS statewide reperfusion strategy has markedly improved the rate of prehospital reperfusion treatment and key time metrics, reducing the delay to reperfusion for thousands of Queenslanders. Without the detailed clinical records completed by QAS paramedics, this research would not have been possible, highlighting the importance of meticulous clinical documentation to conduct high quality research on QAS clinical practice. ISRE now partners with the Queensland Cardiac Outcomes Registry (QCOR) to evaluate the end-to-end management of these patients. This extensive collection that has been formed over the years now facilitates an ability to look holistically at the clinical pathway of STEMI patients, and to continually inform the clinical protocols and quality of care provided across Queensland.
Opposite
Caption John Murray and Brett Rogers at Kedron’s Emergency Services Complex.
Photo: Jo Hales
Top
Brett Rogers addressing the crowd at the 2011 KJ McPherson Education and Research Foundation function. Below
John Murray receiving funding for the pilot study at a past KJ McPherson Education and Research Foundation event.
Summer 2019–20
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Inspirational officer with heart of gold determined to help others achieve their goals Reggie Anderson is a jack of all trades. He has been a painter, wardsperson, teacher aide and since 2007, a Patient Transport Officer (PTO) with the Queensland Ambulance Service (QAS). Most importantly though, he is the proud father of six children, five girls and one boy, ranging in age from 16 to 38. Ian Pyper reports on a well-respected colleague, and a man proud of his QAS role and Indigenous heritage. In fact, Reggie played so much rugby, that in 1981 his team won the Grand Final and he was selected to play for the Redcliffe Dolphins in the position of Half Back, where he was coached by the illustrious Arthur “Artie” Beetson!
28 Born in Rockhampton, and raised in Theodore, Reggie Anderson has led an interesting life. Living in a small country town, he was one of 13 children where life was pretty simple and there was a choice of playing either cricket or rugby league. “When I was growing up in Theodore, the government policy at the time restricted us to the outside of town and we were known as fringe dwellers. There were 13 of us who lived in a tin shed. Dad was a strong hard worker, who was often sought after by the local farmers who knew him as a hard worker and friend, and who would do a good job. He made sure we had a nice house. We had a fridge, fire, blankets and plenty of food. I always had itchy feet and wanted to explore. I often went camping with friends and lived off the land. When I’d come back, I would go and play rugby, so as kids it was good, but for mum and dad it was difficult to raise us,” Reggie said. Whenever he had the chance, Reggie would be playing rugby league. He loved the bus trips travelling from one town to the next to play. “They were always full of fun, festivities and great people. There was a great sense of community, as the whole town got behind the club.”
At the end of 1982, almost a year after leaving his home town, he returned to Theodore where he “hung around” and got a job painting buildings. It was around this time when Reggie met his wife Leigh, and in 1989 they both left Theodore for the final time and moved to Brisbane where he began working as a wardsperson at the Royal Brisbane Hospital in 1990. After 13 years there, he jumped at the chance to become a teacher aide at the same school his children attended and took a year off from working at the hospital. “I had no idea what I was doing!” Reggie explains. “I was instructed to just be a dad, and after that it just came easily. Kids know what they are doing, I was just guiding them.” He loved the role so much, he decided to do another year, and as the work as a teacher aide came to an end, an opportunity to experience the emergency services presented itself in the form of the “First Steps Program” in 2007. This was a program or “experiment” as Reggie describes it, implemented by the government to include more Indigenous people in the work force. It was designed to give Indigenous people an introduction
Summer 2019–20
to emergency services in the hope that they could follow their chosen path of interest. The program ran for a year at Kedron, and after this, Reggie chose a position with the Patient Transport Service (PTS) and was one of ten recruits to be selected for permanent placement. Since then, he has been providing transport services and making peoples day for the last 12 years, while working out of Spring Hill Station. It is a role that he loves and finds very satisfying. “Each patient is a challenge. They are on the edge of the end of their life, so I try and make it a good journey and cheer them up,” Reggie said.
“They look forward to the trip because they sit in a nursing home and don’t really get to talk to anyone. Sometimes they are with you for years and then suddenly they are not. That’s tough. You go and get them, and they are not there, and when you follow up they are in hospital.” Reggie, who was named PTO of the year in 2010, has also filled in for a three-month period as an Operational Supervisor out of Spring Hill. “It was tough, but I loved it, and would do it again if given the opportunity. The key was
QAS officer profile
to just talk to people and treat everyone as equal,” he said. All his children have grown up now, and he is proud of each one of them and their achievements. He has a daughter who is teaching at an Indigenous school in the remote town of Kowanyama in the Gulf of Carpentaria, and another daughter who had a stand out talent that could have quite easily remained undiscovered, if it were not for a chance encounter with a school teacher from Melbourne. When they were in high school, Reggie’s eldest daughters were asked if they wanted to try Australian Football League (AFL). As all younger siblings do, his fourth eldest child Ally, tagged along because she wanted to hang around her big sisters and have a go too. No one had any idea of the hidden talent that was about to be revealed. As it turns out, Ally had a natural gift for AFL, and now plays professionally for the Brisbane Lions.
all you can offer as some of them did not come from a safe place at all. They had no role model to guide them and encourage them to go for it.” Reggie, who is extremely proud of his culture, has also made it his mission to be a role model for Indigenous youngsters in the community who may be considering a QAS career. “I enjoy going to schools and NAIDOC Week events and displaying QAS and Indigenous culture,’’ he said. “It gives the kids who want to become paramedics hope that they can achieve anything they want if they work hard enough at their goals.”
“She loves it, loves the training and is living the dream. The Lions have everything behind them to support their players,” Reggie explained. “She is focused, just completes the task at hand and is a real gun. The game is different to the men’s. It’s full of heart, determination, toughness, and they can tackle hard too!” Ally was asked to play in the Indigenous round that happens every year and unveil the Indigenous jersey. She was asked to take part in designing the jersey and chose to put the family crest, the emu on it. Reggie explained that the significance of this was that the emu is his totem, the symbol of his tribe the Gangulu. He is from Gangulu country which includes areas around Theodore, Comet and Springsure, just like his father and grandfather before him.
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So, when asked where Ally gets her inspiration from, Reggie laughed when he said, “probably from her mother”. While this may be the case, Reggie credits his mother and father for the foundation of a strong work ethic instilled in him and his siblings. “When you have a role model, everyone follows. Mum and Dad were great role models,” he said. Like his parents, Reggie has been a role model for his children and this is evident by the way they have forged out their own careers and pathways. In addition to guiding his own children, Reggie and Leigh have also provided emergency respite for other children and tried to guide them as best they can. “That was a tough gig,” Reggie said. “We just wanted to make them feel safe. That is
Opposite left
Reggie’s family. Opposite right
Reggie’s daughter Ally Anderson is a talented Brisbane Lions player.
Photo: Courtesy of AFL Media.
Middle and right
Reggie has been based at Spring Hill Ambulance Station for 12 years.
Photos: Ian Pyper
Summer 2019–20
Challenging resuscitation case involving patient exhibiting CPRIC
What is CPRIC? suscitation Induced Cardiopulmonary Re phenomenon where Consciousness is a iac rformed during card the intervention pe e th se rfu pe ough to arrest is effective en of allow a certain state to y tel ua brain adeq gh rou th d rve se nerally ob consciousness, ge und, aro g kin loo , es their ey the patient opening g. occasionally speakin moving limbs and
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Over a career of 25 years, Cairns and Hinterland CCP Glyn Watts has witnessed several moments of Cardiopulmonary Resuscitation Induced Consciousness (CPRIC) during resuscitation efforts, however, none as confronting as when he entered the Schepen residence in July this year. Matthew Stirling spoke with Glyn to discuss the obstacles associated with a predominant case of CPRIC. ACPs Michelle Johnson and Nicole Moreton were launching into a regular night shift at Smithfield Station when their log-on checks were interrupted by the doorbell buzzing frantically. Upon answering the door, the officers were met by Luke Schepen, whose father had collapsed at a nearby home. With Luke’s sister Nerissa - a registered nurse and former paramedic - moving interstate, the Schepen family had gathered to farewell her with a spread of home-made pizzas. Their celebration never eventuated however, as Nerissa’s medical training proved invaluable and fortuitous when father Richard Schepen collapsed next to the oven. Recognising the onset of cardiac arrest, Nerissa commenced effective CPR immediately and persisted until paramedics arrived.
Above
CCP Glyn Watts with the primary crew who attended Richard Schepen’s case, ACPs Michelle Johnson and Nicole Moreton.
Summer 2019–20
Responding from Cairns Station, CCP Glyn Watts and CCP Intern Megan Brown arrived 10 minutes after being attached to the case and were greeted with a disconcerting scene.
CPRIC case
“When I walked in the door, Michelle Johnson was doing compressions and Nicole Moreton was ventilating,” Glyn said. “They had already shocked the patient twice, but Michelle looked at me and said, ‘he’s talking, he’s trying to sit up - and he’s in VF (ventricular fibrillation)’.” Incredibly, Richard had his eyes open and was attempting to push off the ground with both arms and his feet while the officers desperately continued compressions. As the team delivered a third shock, it struck Glyn how animated their patient was becoming. “Obviously being very painful, he let out a loud scream and kept saying, ‘please stop, you’re hurting my chest’,” he said. By this time the team had expanded to seven paramedics, with ACPs Lauren Dorn, Danny Roberts and CCP John Perry lending a hand where they could. The crews observed that Richard’s consciousness would subsequently diminish whenever an ebb in compressions occurred. “As soon as we started CPR again, he was trying to get up off the ground, pushing the mask away and grabbing the knees of the operators doing CPR,” Glyn said. “It was weird, as he’d look you straight in the face and ask you to stop.” Aiming to minimise the trauma being experienced by the patient given his high conscious state, Glyn consulted Medical Director Dr Stephen Rashford regarding sedation. Richard was administered Midazolam and Fentanyl to good effect, allowing the paramedics to better assist their patient temporarily and providing a monumental relief to Richard’s understandably distressed family members. Richard was soon up to his old tricks however, with further multiple doses of sedation required. During one settled period, CCP Intern Megan Brown went to intubate the patient with the aim of facilitating a better airway option. As she swept his tongue to the left side with the laryngoscope blade, Richard opened his eyes and moved his tongue off the blade and back to the right.
maintained and from that point on the job was a lot less stressful for everyone because he was now intubated and quiet. He was not moving around as much,” Glyn said. A thorough assessment was able to be completed and the patient was found to be hypotensive with ST elevation in AVR and global ST depression, indicative of left main coronary artery occlusion. The patient was administered adrenaline at 6 micrograms per minute to combat the hypotension before being extricated to the ambulance. In the end, Richard persevered through eight shocks and approximately 45 minutes of CPR before ROSC was achieved. Eight milligrams of Midazolam and 50 micrograms of Fentanyl were administered overall. During a brief hospital visit the next day, Glyn found Richard awake and joking with no recollection between eating a slice of pizza and waking up to the curtains of the ICU. Richard had suffered a totally occluded left anterior descending artery and was discharged from hospital three days after the coronary stent was placed. The pair shared a laugh when Richard mentioned he was glad not to remember the event, to which Glyn light-heartedly replied, ‘it was us who were left traumatised!’. Although never to this extent, Glyn has observed increasing numbers of patients exhibiting CPRIC. “Especially since we’ve changed the CPR to a faster rate, we’re finding you do get a lot of actual eye movements, body movements and the occasional word or two,” he said. “It’s awesome we have access to the consult line to be able to help these patients out by sedating them so they don’t remember the event.” “In this case it worked really well.” Praising the entire team working around him during the case, Glyn commended the clinical skills demonstrated in stabilising the patient, their composed demeanour when exposed to a confronting and unexpected situation, and the professionalism displayed in reassuring the surrounding family during the ordeal.
“Once Richard’s conscious state again decreased, the tube was placed and
Summer 2019–20
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School’s out for excited year 12 cohort As masses of eager teenagers began arriving at the wrist band distribution centre to start a week of celebrations, it was evident there was a calmer vibe to this group of young people reports Mel Mangan. Having worked the past three years at this same event, I sensed there was a general feel that these ‘kids’ were a bit more switched on, none-the-less excited to be there. With CPR manikins set up for anyone willing to show us their skills, most of the teens were happy to advise they had recently learnt CPR and first aid and didn’t need to show us how good they were. Confidence was at an all-time high as they ventured on a week-long holiday with their peers and most notably, without Mum and Dad. Numbers through our Emergency Treatment Centre (ETC) were down from last year, as expected due to a decrease in the quantity of year 12 graduates for 2019.
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Top
School leavers at the Surfers Paradise Schoolies Hub. Middle
Paramedics, SES and a friendly schoolie. Bottom
The ETC team – Gold Coast Health and QAS.
Date
Male
Female
Schoolies
NonSchoolies
Total 2019
Total 2018
Day 1
23
27
42
8
50
50
Day 2
22
33
54
1
55
90
Day 3
43
42
83
2
85
98
Day 4
28
23
51
0
51
48
Day 5
38
39
71
6
77
88
Day 6
35
33
68
0
68
101
Day 7
37
40
74
3
77
85
TOTAL
226
237
443
20
463
560
Staff were kept busy in the ETC regardless of the lesser presentations with excessive alcohol and MDMA use most prevalent amongst our young teens this year. All in all, Schoolies 2019 went off without any significant illness or injury to anyone. Another successful combined response from all involved.
Summer 2019–20
Local Area Assessment and Referral Unit report
Wound management workshop enhancing patient care Paramedics frequently attend relatively minor trauma such as simple wounds and skin tears.1 Attending the LARU Wound Management workshop enhanced the way I care for wounds reports LARU officer Robbie King. The opportunity to clean and repair simulated skin tears provided interesting highlights. However, the main learning came in the form of new knowledge that improved my ability to apply a patientcentered approach to clinical reasoning.2 Understanding wound healing processes, intrinsic and extrinsic factors which impact these, and the need to approach each patient holistically, gave me greater confidence to manage wounds out-of-hospital. Poor initial care may lead to slow healing chronic wounds, unnecessary suffering and serious systemic infections. Appropriate immediate care can significantly improve the trajectory of the wound healing process, therefore improve patient outcomes.3 On a hectic Monday evening in Brisbane I had the opportunity to apply this new knowledge when attending a 77-year-old man living in a city hostel. He called the QAS with a primary concern about bleeding from a skin tear on his shin. He had simply caught his leg on a table corner. The case contained multiple factors which could potentially introduce bias into my clinical assessment and decision making.4 I acknowledged these so that I could ensure they were not affecting my judgement. I initially determined he had not fallen nor suffered other injuries, and the cause of his ‘clumsiness’ was due to how cluttered his environment was rather than something more sinister. The wound was located midway on his anterior Right shin. Almost circular and approximately 2cm by 2cm. There was evidence of minimal bleeding which had now ceased. The wound appeared fresh. It was free from obvious debris, the wound bed was pink
and glistening and the skin that had peeled upwards was pink, still attached and viable. Preparing the cleanest environment, I performed hand hygiene, placed blueys, opened dressings and Q-tips onto an open sterile dressing set. Donning sterile gloves, I set to work cleaning the wound bed, under the skin flaps and around the wound using sterile swabs and saline to remove any debris and blood clots. I then irrigated the area thoroughly with saline and gently approximated the skin flaps using moist Q-tips. Checking he had no sensitivity to chlorhexidine, I then covered the wound with two layers of Bactigras gauze. (An antiseptic paraffin-based dressing which maintains moisture at the wound edges to encourage effective healing). I applied an adhesive dressing, penning an arrow to indicate the direction to remove the dressing to avoid peeling back skin. This careful attention to initial cleaning, reapproximating and correct dressing for skin tears significantly reduces the likelihood of these types of wounds becoming infected or chronic.5 While cleaning the wound I considered my decision regarding follow up care. Did he need to be assessed at hospital ‘fast-track’ or was a follow up with his GP within 24-48 hours suitable for this person? What was going to affect the healing process for him? What was his capacity and willingness to have the dressing changed and wound re-assessed in a timely manner? Did he understand the importance of follow up care and would he follow my advice? The wound was small, partial-thickness (epidermis separated from the dermis) and the viable skin was able to be approximated over most of the wound bed (STAR 2a classification).6 The location had a good blood supply,
was well perfused, not over a moving joint or in a region at higher risk of infection. It was not heavily soiled or contaminated and too recent to note any signs of infection. The patient’s age, smoking status and alcohol abuse (vitamin D deficiency) and mild dehydration decreased the ability for wound healing. His medication included aspirin although the bleeding had ceased. There were signs of mild peripheral vascular disease which would also impact healing, although no existing ulcers or chronic wounds. He displayed no evidence of renal failure, diabetes, arthritis or reduced immunity.7 He was a vulnerable person. He lived in a hostel, was isolated and had no family support, had minimal income, low health literacy and limited access to healthcare. On a positive, his Webster pack exhibited he was taking medications as required. His room, while small and cluttered, was clean. He mobilised well and regularly visited his GP, who was within walking distance. He did not want to attend hospital, nor was it clinically necessary, however, I also had concerns he suffered factors which would delay healing and he may not adhere to ongoing wound care advice. The mutual decision was to visit his GP the following day. I felt he was more likely to do this than wait for a prolonged period at hospital. The GP was easily accessible to him and allowed continuity of care with a health practitioner with whom he already held an established relationship.
References 1. Andrew E, Nehme Z, Cameron P, Smith K. Drivers of increasing emergency ambulance demand.
Above
LARU officer Robbie King
Prehospital Emergency Care. 2019:1-11. 2. Adams E, Goyder C, Heneghan C, Brand L, Ajjawi R. Clinical reasoning of junior doctors in emergency medicine: a grounded theory study. Emerg Med J. 2017;34(2):70-5. 3. Benbow M. Assessment, prevention and management of skin tears. Nursing older people. 2017;29(4):31. 4. Simpson P, Thomas R, Bendall J, Lord B, Lord S, Close J. ‘Popping nana back into bed’ - a qualitative exploration of paramedic decision making when caring for older people who have fallen. BMC Health Serv Res. 2017;17(1):299. 5. Vanzi V, Toma E. How to prevent and avoid common mistakes in skin tear management in the home setting. British Journal of Community Nursing. 2017;22(Sup9):S14-S9. 6. Carville K, Lewin G, Newall N, Haslehurst P, Michael R, Santamaria N, et al. STAR: A Consensus for Skin Tear Classification. Primary Intention: The Australian Journal of Wound Management. 2007;15(1):1821, 4-8. 7. Khalil H, Cullen M, Chambers H, Carroll M, Walker J. Elements affecting wound healing time: An evidence based analysis. Wound Repair and Regeneration. 2015;23(4):550-6.
Summer 2019–20
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Priority One Creating Hope Our modern world brings us an overwhelming amount of news reports Priority One Executive Manager John Murray.
Above
Priority One Executive Manager John Murray
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Little of it is uplifting. Most speaks of tragedy, injustice and human suffering. We hear so much about suffering in the world than we ever could have in the past. In addition, we are constantly bombarded with imagery and narratives that tell us we are not okay, unless we are this or that, are doing this or that etc… We are surrounded by narratives that tell us that to be feeling okay about ourselves we have to be in some way better, ideal, perfect, have it all together, and ultimately we need to be the complete package. Whether by design or side effect, this bombardment of tragic news and advertising mythology can easily precipitate a chronic discontent and hopelessness within us. There is often little to counterbalance this bombardment. It can feel as though it is impossible to escape. So what may be the impact upon us? It is probable that never before in history have our nervous systems had to cope with such chronic negativity and discontent. Within our nervous system these stimuli are all interpreted as threat – threat to our sense of self, threat to our sense of security and safety, threat to the status quo of the world i.e. we may feel that we can no longer trust in the future. Our nervous system thus becomes more up-regulated making it harder to cope with the many other stressors of life and work. Chronic up-regulation of our nervous system with the perceived inability to affect much, can overtime
Summer 2019–20
bring a learned helplessness, hopelessness and despair. This is where the notion of hope is so important. Without hope we sit resigned to a bleak future. Without hope we have despair and cynicism. Cynicism is the opposite of hope, a state of mind wherein nothing changes, and the brain reinforces its own hopelessness. Hope breaks us free from despair. Hope is what gets us up when we are knocked down. Hope carries us forward to the next day, week and year. Christmas is a time of hope for those of that faith. New Year’s resolutions are all about hope; hope that things can and will be better. Hope is like a long-term optimism and we know that hope and optimism are healthy ways of thinking. So what brings hope amidst despair? •
•
Knowing that nothing is permanent and that nothing stays the same forever, is helpful. Change is always occurring. Matters can improve, sometimes unexpectedly. Curtailing intake of negativity is also helpful. This might mean just taking in one news bulletin each day or maybe each week – after all you will certainly hear of
Priority One
• Take first responsibility for yourself. None of us can change the world the way we would like to, but we can all live our lives as true to our values as possible - this makes a real difference. Knowing that you already have the power to change your little bit of the world brings hope and who knows, your example can be contagious. For example, my intentionality in not using single use plastic bags, will not make one iota of difference to the plastic pollution in the world but when we all accept a shared responsibility the impact is amazing. Doing my bit brings hope not only because of me living to my values but because it is a practice of betterment, it dissolves helplessness, despair and sets example. Mother Teresa was renowned for working in the most hopeless and despairing of conditions. When asked how she dealt with overwhelming suffering and hopelessness she replied, “One person at a time”. Never deny the difference we can each individually make. • This brings us to another strategy that cultivates hope which is to practice small incremental changes towards the future you hope for. Hopelessness and despair come from being overwhelmed - the problems are just too big. Just focusing on one small matter that you can change and perhaps setting realistic, achievable goals helps
overcome that helplessness and builds a bit of hope, which energizes towards the next small change. • Engage in positive helpful narratives. This is done in many ways. Uplifting movies and stories remind us there is always possibility for betterment. • Engage with real friends i.e. those that understand you, hear your struggles, disappointments and resonate somewhat with your values. Being part of a communal group of like-minded understanding people brings hope, in that we are able to share our burdens and do not feel so alone. • Practice self-reflection and gratitude. Look at what is good in your world and beyond. This brings you more into connection with your own values and how they counterbalance hopelessness.
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
• Practice kindness, both to yourself and others. Doing this positively affects mood and outlook, i.e. brings hope. Kindness triggers the release of serotonin which as we all know has an anti-depressant effect. The notion of “Random Acts of Kindness” does as much for the giver as the receiver.
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While hope is often born out of despair, it is nonetheless something we can intentionally create. While certain external events can inspire hope, it does not come from without, but from within. It is our internal way of moving forward, managing struggles and bringing growth. It helps our mood and fuels optimism, actions, problem solving and vitality. We can all create hope in our world.
References: Murray Watts. On Hope and Hopelessness at TEDxGlascow. www.youtube.com/watch?v=vC66gUEZWCQ Nick Vujicic. Overcoming Helplessness at TEDxNoviSad. www.youtube.com/watch?v=6P2nPI6CTlc Naomi Drew. 8 ways to increase hope. www.beliefnet.com/wellness/health/increase-hope.aspx Karen Hall. Finding Hope. www.psychologytoday.com/us/blog/pieces-mind/201504/finding-hope Peta Murchinson. Finding Hope in Hopelessness at TEDxSydney. www.youtube.com/watch?v=iGQbWJbi3hg
Summer 2019–20
Photo: Unsplash / Japheth Mast
anything important, regardless. Limit your time with social media particularly if this is a source of negative feedback after all how much do those likes and dislikes really matter?
Rohan and Glenys Kenn, Darling Downs LASN Executive Manager, Operations Glen Maule with Marty and Aly Hansen’s children Sam (4) and Ollie (6) and some of the bears ready for re-homing.
QAS couple’s kind acts benefit local children in rural town 36
Goondiwindi Officer in Charge Sally Robinson reports on one of her station’s paramedics and his LAC member wife who are spreading the love to local kids with their selfless volunteer work. More than four years ago, veteran paramedic Rohan Kenn transferred to the Darling Downs LASN from Redcliffe with his wife Glenys, to take up a two-year term at Goondiwindi Ambulance Station. This came about after one of Rohan’s students and colleague, Marty Hansen and his wife Aly, convinced him that country life in “Gundy” was great. Located on the banks of the Macintyre River at the junction of five major highways, the border town’s name is derived from an Aboriginal word Goonawinna which means “the resting place of the birds”.
Every Christmas, the couple dress up in their costumes and volunteer their time acting as Santa Claus and his Elf at events and kindy visits in the town. They are committed to doing their bit for our community and love every minute of the time they spend making the kids’ lives more enjoyable. The children in Goondiwindi enjoy seeing Rohan and Glenys as Santa and his helper at Christmas as they stroll through the streets at the annual Late Night Shopping event.
Rohan loves it so much in Gundy that he wants to finish his career in the town. Many know him around Goondiwindi and Boggabilla as “Rosie-Bob” as he prefers to be called. But one thing is for sure, Rosie Bob, who began his career in the QATB in Brisbane almost 30 years ago and Glenys, a Goondiwindi LAC member, quickly cemented their spots in the community, due to their selfless acts and volunteer work. They have grandchildren of their own in Brisbane which helps spur them on to go
the extra mile for the local Goondiwindi kids.
Rohan also plays Santa at the ambulance Christmas parties delivering gifts to the station officers’ children. There are currently 14! One day, while Glenys was observing the deteriorating state of Rohan’s uniforms, she came up with an idea to put the fabric to good use, rather than disposing of it. She acquired some pre-loved teddy bears, washed them and tailored some outfits for them. Since then Glenys has made new outfits for more than 200 assorted bears using
Summer 2019–20
old worn-out ambulance shirts and pants. The bears have been generously donated to the Goondiwindi Ambulance by members of the local community. In addition, Goondiwindi Station recently received an elderly lady’s collection of Careflight teddy bears. Glenys removed their outfits, made new ones, washed the bears and dressed them in their QAS uniforms ready for re-homing. Our ambulances are stocked with the bears and they are given to children we treat in and around our area. The bears have proven to be of great comfort for children in their times of illness and injury. When the local paramedics hand out the bears they tell the children the story about Glenys sewing the outfits for them and how special they are. Rosie Bob encourages the kids to name the bears after him and is suitably excited when they take him up on his suggestion. Recently, a local newborn he helped deliver was named “Rosie”. He claims it was in his honour, but we think it may have bene a coincidence! Rosie Bob has been involved in 15 baby deliveries during his service in the QAS.
High Acuity Response Unit Report
CASE
A 30-year-old female ingested a number of medications as part of a self-harm attempt.
The ingested medications included a combination of oral narcotics, benzodiazepines and tricyclic antidepressants. The patient was found in cardiac arrest by bystanders and CPR was initiated for 10 minutes prior to QAS paramedic arrival. Upon arrival of the ACP crew, the patient was GCS 3 with a palpable cardiac output. The heart rate was 100 beats per minute, with a barely palpable central pulse. The primary concern was ongoing vomiting and hypoxia (SpO2 70%). The ACP crew immediately addressed the airway by inserting bilateral nasopharyngeal airways and applying maximal manual airway manoeuvres, in addition to vigorous suctioning of the airway. The CCP and HARU arrived shortly after. A rapid sequence induction was then performed uneventfully, with the endotracheal tube being placed on first pass. The patient remained hypotensive (SBP 75 mmHg). Following 500ml of normal saline IV and the commencement of an adrenaline infusion (6 mcg/min), the SBP remained greater than 90 mmHG. A12-lead ECG did not reveal any high-risk features of sodium channel blockage. An orogastric tube was inserted and the patient was transferred to hospital uneventfully.
AUDIT findings 1.
B e aware of the revised indications for sodium bicarbonate (NaHCO3) administration – QRS >0.14 and terminal R wave in AVR. This patient did not meet those indications.
2.
T he patient most likely suffered an obstructed airway secondary to ALOC and vomiting +/- seizure. The prompt attention to airway management was the priority and well performed by the ACPs. Do not forget early insertion of airway adjuncts.
37
CXR
Reveals the ETT and orogastric in good position. Patchy change both lungs consistent with atelectasis and aspiration.
QAS Medical Director Dr Stephen Rashford
3.
T his was a high-risk RSI, given the level of hypoxia. First pass intubation is mandatory to limit complications.
4.
It is likely the combination of benzodiazepines and oral narcotics attenuated the effects of the TCA.
5.
hould the patient have gone into cardiac arrest, S prolonged attempts at resuscitation are required and early discussion with the on call QAS specialist physician should occur (this is now a mandatory requirement).
Summer 2019–20
Past and present officers recognised as Southport Ambulance Station celebrates its incredible 100-year history The Gold Coast has certainly had a busy year with ambulance services and events across the LASN, but no greater achievement has come then from their biggest station celebrating its 100-year milestone in November. Right
Ambulance memorabilia on display. Background
Current Southport Station employees. Background opposite
Award recipients with Commissioner Russell Bowles and Assistant Commissioner John Hammond.
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Southport Ambulance Services commenced on 18 November 1919 at a temporary location in Rawlins Street before relocating to its home for the next 60 years in Nerang Street where officer Percy Raby was appointed as the first Superintendent. Now a meeting place and coffee shop, aptly named “Percy’s Corner”, recent LASN awards were held at this location to acknowledge its great history with the QAS. On Saturday 23 November 2019, 19 current and retired QAS officers and volunteers were congratulated on long service awards, including Paul Young and Lindsay Blow who were celebrating 40 years of service. Those in attendance then made their way up to the current Southport Station for a cutting of the cake and to celebrate this milestone by opening the station doors to the public for several hours of activities and
Summer 2019–20
a walk down memory lane with the old and the new vehicles and equipment on show. With hundreds of people in attendance, it was a hugely successful event for the busiest station on the Gold Coast. A massive congratulations goes out to everyone who received long service medals.
Southport Centenary
Top
Former and current Southport Station employees gather for a group pic. Framed middle
Patient Transport Officer Lindsay Blow, joined by his wife, on his 40 year service achievement. Framed below
Assistant Commissioner John Hammond and current Southport Station Officer In Charge Jeremy Fetch invite Beryl Young, wife of the now deceased and former Superintendent of Southport Station Donald Young cut the centenary cake.
39
Above
Operations Supervisor Paul Young was recognised for 40 years’ service. Right
Retired officer Ralph Latimer was presented with his 40 year service medal and daughter Rachel Latimer, a serving officer, was presented with her 30 year service medal.
Summer 2019–20
THANK YOU :) Just wanted to say thank you to
Everyone has different levels of success. For me, success paramedics Martin Brooks and Jordan can never be achieved unless you have the desire to Just want to say a big thank you to the ladies Neaves for taking my partner to hospital. initiate it. The amazing work and commitment from staff (Corinne Wilkes, Kate Olive and Candice The minute the officers arrived at my that continuously results in appreciation letters we receive Boileau) that came to my house this morning Commissioner’s thanks home on the Queen’s birthday weekend, A huge thanks to the two wonderful from members of the public, makes me constantly aware of (July 19) for my little girl and the dispatch guy Withaccomplishments the increase in demand, is paramedic gals, Jodie (Byron) and they d what we haveitmade as an organisation. id a brilliant job of keeping him and (Jamaine Prieditis) who helped me stay very pleasing to see that the amount of Lauren (Allen) who got me upright, me calm. They joked about shaving his emails andhas letters appreciation calm. They do an amazing job and I really This month seenofan influx of thank you letters, with settled and safely delivered to received by the Queensland chest so they could put a heart monitor on. on Friday.them being so fantastic. 304 letters received Service this year(QAS) to date and 609Emergency letters and after a rocky fall appreciated Ambulance Thanks so much. What delightful, capable and cheerful emails of thanks sentThis increase to staff members. continues to grow. Kristie, Morningside is an indication of the high level ladies. Also, thank you to Patrick Rebecca, Kirwan of care I cannot thankand youservice enoughthat for QAS all your hard work. (Hides) who navigated the speed bumps officers continue to provide to with care! You are all doing a great job Russell Bowles ASMthe community. and should be proud of yourselves. QAS Commissioner Since 1 January to 30 November Bryony B, North Ward 2019 there have been 683 appreciations received by the QAS. This is a 21.3% increase compared with the same period last year. It like is because oftime these I would to take the to express our thanks appreciations that I have been to various QAS officers for their attendance fortunate enough to forward 1165 and assistance our unplanned emails onto theatofficers who home birth attendedonthe associated incidents. 4/9/2017. I commend the Triple Zero officer
I want to send a quick thank you to the
paramedics (Chantal Greaney and Melissa Dajic) who assessed my son and took him to hospital on Wednesday night (July 12). It
Hi QAS. I wanted totime give a quick shout-out was the first I have ever had to call the to the ‘paramedics on pushbikes’ Shane and Warren ambulance and(McEvoy) I was quite nervous in doing so(Herlt) from Surfers Paradise as– worried well as Lorie (Stone) and Tiffany (Parkinson) in I was overreacting and wasting the the ambulance. I had a bike incident on our first day at the paramedics time. The two ladies who attended Gold Coast, we had driven from Sydney, bikes and all...Monday our home so calm and reassuring. They and second rental morning and we’rewere riding between the first quickly assessed my son and took us to Lady inspections...bam! Not what we planned, although now we are feeling very confident thatdistracting your help arrives Cilento, all the while my son with when you need it most! Wiggles videos and calming a nervous and
It has been busy and rewarding (Julie a Ricardo) for her efficiency and ability to 2019, and I would like to thank reassure us that help was on the way and clear you all for your commitment and instructions the meantime. passion. I lookinforward to thisTammy (Olsson) momentum into 2020. 5 minutes arrivedcontinuing on scene approximately following the birth of our asm son Woody and I would Russell Bowles QAS Commissioner like to commend her professionalism, calm in
The BRT ispanicked a fantastic concept mum. Thank you for such excellent for emergency on the busy, servicecare and care!!! I don't believe this service crowded Gold Coast. I hope the gets the recognition it deserves for all the work service continues. Please keep up the your paramedics do. great work.
the situation and ability to treat me as a fellow being rather than just a patient. She was caring,
40
compassionate and efficient. I appreciate Tammy arranging for our transfer through to Hervey Bay officer (Andrew Rach) assisted with my transfer
Thank you Amanda, QAS for all thePoint ongoing, Wellington wonderful work you’re doing. We appreciate you!
from Hunters Hut through to Hervey Bay and
Bec, Mermaid Beach
Hospital. I believe Arto (Hirsimaki) and another
I found Arto to be very attentive to my needs at this time considering I was having much
Just want to give a shout out to the LARU officer
difficulty. I hope our message can reach the
who attended my home on Monday (August
individual officers involved. Thank you to QAS for
21). His name was Steve (Kliese) and we are
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
36 QAS Insight
Just wanted to say thanks to Chris (Nicholls) and Dan (Dixon). I had hypertension last night and they transported me to the PA Hospital. Both made me feel at ease and are SPRING 2017 a credit to the service. Gordy, Eagleby
QAS_Insight_Magazine_SPRING_2017_DRAFT3.indd 36
Above
Bec with the BRT officers. Opposite above
Des, Silkstone thank the I would like to Lachlan wonderful staff m Sa d an ) ell (How o transported (McMahon) wh me until and waited with ter Ma e th at in check y afternoon Hospital on Frida I am very (27 September). e and tim eir th r fo grateful all for m he efforts. Thank t e. as ple me ood John, Springw
Jodie’s son Aidyn with Diesel the Jack Russell Opposite below
Kyles’ baby boy made a quick entrance into the world.
Summer 2019–20
Thank you QAS for such a wonderful response when called this morning to attend to my daughter. The paramedics (Matthew Smith) and (Patricia Kelly) were amazing, calm (which I needed, as I was not!) and thoroughly professiona l. We are ble ssed 8:43 11/10/17 to pm have such talented people able to assist in emergenc ies. Thank you. Alex, Geebung
Thank you
Getting in touch Messages collated on these pages are derived from a range of QAS contact points, including: via Facebook facebook.com/qldambulanceservice by email QAS.Media@ambulance.qld.gov.au
the Ambulance I had occasion to use (13/09/2019). t Service on Friday las ency at Spent all day in Emerg would like to I l. Caboolture Hospita cers Peter Offi ce thank both Ambulan for looking t) en (K (Quirk) and Lachlan ught I was leaving after me so well. I tho ys thank you both the planet! Good job gu so much. Andy, Ningi
A big shout out to Will (Watkins) and Jacob (Meredith) who came to my son Aidyn’s aid last night (10/09/2019) in Bulimba. Diagnosed by the doctor just that day with suspected bronchitis after an X-ray, he woke up that evening paroxysmal coughing. They were here within minutes attending to a frightened and unwell little boy. Thank you once again and to ALL the paramedics for everything you do, day in and day out.
by post QAS Media Unit, GPO Box 1425 Brisbane QLD 4001
Jodie, Bulimba
A big thank you to the QAS officers who attended an emergency at Bellara tonight. The officers (Matthew Parsons, Michaela Stanley, Matthew Ganley and Daniel Lynskey) worked on an elderly person for nearly an hour to stabilise the person and then transported them. We are so lucky to have what we have. We live on the best island in the best state ever! Thank you to Queensland Ambulance and our hospital system, you do a great job. Brad, Bribie Island
Thank you Brendon (Leech) and Arthur (Johnson), the paramedics who attended the very quick home birth of my baby boy. I would also like to thank the Emergency Medical Dispatcher Christopher (Fourie) for talking my partner and sister through the whole process.
41
Thank you to the ambulance officers (Meghan Finch and Blake Murray) wh o attended to my daughter wh o had pulled over on Ex it 41 Yatala due to sudden on set of pain this morning. (27 /08/09) Really appreciate it. I was at Palm Beach an d my daughter was in pain and distress. I was so thankful that the officers could check her out and make sure she didn’t have a ma jor medical emergency. QAS does an amazing job. Jan, Gold Coas t
Kyles, Kingston
Summer 2019–20
Happenings In 2001, Luanne was the victim of domestic violence which left her in a coma with serious injuries. Luanne’s journey to recovery has been long, but she has come full circle and is now a paramedic with Ambulance Victoria. Luanne travelled to Queensland to meet the two retired QAS paramedics, Cheryl and Ralph, who attended the scene and provided her with life-saving treatment.
Our newest batch of Critical Care Paramedics commenced their internships in September. The program continues to develop professionalism and clinical excellence offering unique opportunities for interns to develop knowledge, procedural skills and attributes of a competent, critical thinking and professional CCP.
This group of Patient Transport Officers successfully completed their Certificate IV in Patient Transport at Whyte Island Education Centre in September. This qualification upgrade increases the officers’ scope of practice, allowing them to carry basic medications and monitor patients.
42 In September, a QAS contingent proudly marched in the annual Pride Rally and March from the top of Brunswick Street to New Farm Park in Brisbane to support the LGBTIQ+ community.
Last year, when Georgia suffered life-threatening sepsis her mother Larissa called Triple Zero (000). This was to be the start of her survival story with our paramedics’ rapid recognition and treatment helping save Larissa’s life. In late September, Georgia and her mother Larissa had the opportunity to meet and thank the QAS team at Rockhampton Station who were involved in saving her life.
Summer 2019–20
HAPPENINGS • Summer 2019–20
Restart a Heart Day went off with a bang in October, with many members of the public across the state learning this simple life-saving skill. In Rockhampton, Lee Ann, who suffered a sudden cardiac arrest while at work, was reunited with her rescuers (right). Bystanders called Triple Zero (000) and commenced CPR and utilised an Automated External Defibrillator. Paramedics arrived shortly afterwards and continued care which resulted in a successful resuscitation. Bystander CPR does make a difference and Lee Ann is living proof!
Toowong Rowing Club in St Lucia hosted the QLD Emergency Services Head of the Brisbane Rowing Challenge in October. Our QAS officers competed against the Queensland Police Service and Queensland Fire and Emergency Services. The event raised money for QAS Legacy Scheme Incorporated.
Paramedics Greg and Amanda represented QAS at the World Mental Health Day Guinness World Records attempt in Townsville in October. Townsville now holds the World Record for ‘Most people wearing HiVisibility vests in one location at the same time’ with 2,499 people turning up to raise awareness for mental health during Mental Health Week.
43
QAS was on hand to provide support when the V8s raced into action at the Gold Coast 600. While there was plenty of action on the track with the supercar drivers fighting to claim the ultimate endurance racing title, it turned out to be an uneventful weekend for paramedics.
This crop of paramedics completed an intensive week of the Flight Paramedic Development Program. The week involved a series of lectures and interactive sessions from content experts on retrieval medicine, advanced clinical procedures, complex clinical care and aviation specific topics. It also includes two days of high-fidelity simulations designed to replicate the wide range of unique clinical and logistical situations that flight paramedics operate in. The group included flight paramedics working in Townsville, Thursday Island, Rockhampton, Sunshine Coast and Archerfield.
Summer 2019–20
Movers and Shakers
Farewells Notes Reflects activities during the period from 1 September to 1 December 2019.
Years of Service
NAME
Position Title
Division / Location
Anthony Smith
Paramedic
40
Redbank
Peter Devine
Paramedic
36
Dalby
Richard Barnett
Paramedic
36
Gympie
Mervyn Bray
Paramedic
34
Warwick
Jan Tooth
Officer in Charge
27
Springfield
David Bruce
Paramedic
23
Murgon
Russell Kemp
Honorary Ambulance Officer
22
Gayndah
Wayne Slee
Paramedic
21
Woodridge
Lydia Kelly
Operational Support Officer
12
Frontline Services Group
Anthony Kerrigan
Patient Transport Officer
12
Caboolture
Bodie Willmot
Paramedic
11
Toowoomba
Cheryl Seabrook
First Responder
11
Maleny
Patrick Drew
First Responder
11
Woodgate
Claire Walkland
Paramedic
10
Spring Hill
Helen Geri
First Responder
10
Kilkivan
NAME
Position Title
Appointed date
Gregory Pride
Op Super Comm Ed & Engagement
Kieran Bergin Benjamin Johnson
Appointments 44
Notes Appointments made during the period from 5 August to 18 November 2019.
Location
05-Aug-19
Community Education
Principal Procurement Officer
16-Aug-19
Procurement
Exec Manager Strategy & Governance
22-Aug-19
Strategy, Governance and Legal
Rhonda Connors
Operational Support Officer
02-Sep-19
Frontline Services Group
Melissa Rogers
Statewide Infection Prevention Coordinator
02-Sep-19
Office of the Medical Director
Catherine McNeice
Educator (Communications)
02-Sep-19
State OpCens
Elizabeth Brooks
Senior Educator (Clinical)
16-Sep-19
Continuing Education
Suzette Dakin
Op Super Comm Ed & Engagement
23-Sep-19
Community Education
Brooke Rolfe
Manager Clinical Education
14-Oct-19
Central Queensland LASN
Jason Avery
Senior Coordinator Workforce Planning
21-Oct-19
Darling Downs LASN
Steven Robertson
Emergency Management Support Officer
21-Oct-19
Emergency and Fleet Management Precinct
Elizabeth Santillan
Principal Advisor, Strategy & Governance
24-Oct-19
Strategy, Governance and Legal
Gavin Trembath
Director SEQ Patient Transport Service
24-Oct-19
Spring Hill
Jamie Taylor
Officer in Charge Support
28-Oct-19
Darling Downs LASN
Ross Hodges
Officer in Charge Support
28-Oct-19
West Moreton LASN
Robert Stark
Senior Clinical Educator
28-Oct-19
Darling Downs LASN
Christian Schonenberger
Officer in Charge
03-Nov-19
Cairns and Hinterland LASN
Andrew Eason
Operations Supervisor
04-Nov-19
Wide Bay LASN
Mei-Lin Dean
Officer in Charge
11-Nov-19
Darling Downs LASN
Luke McCabe
Operations Centre Supervisor
11-Nov-19
State OpCens
Darren Sweedman
Operations Supervisor
11-Nov-19
Sunshine Coast LASN
Craig Hansen
Officer in Charge
18-Nov-19
North West LASN
Gregory Stanyer
Officer in Charge
18-Nov-19
North West LASN
Summer 2019–20
OUR
T C E P RES
F F A ST
qldambulanceservice www.ambulance.qld.gov.au
Violence in the workplace affects much more than just me.
y r r e M s a m t s Chri L L ! TO A
Thank you to all the QAS staff who are working over the Christmas period and sacrificing their time with family to keep our communities safe. Westfield Chermside Santa Photography kindly allowed us to take some of our photos in the shopping centre. Photos: Jo Hales.