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The Queensland Ambulance Service has had a busy few days as Southeast Queensland prepared for the arrival of the cyclone. Pressure on the QAS is set to continue over the coming days as residents begin to venture outside, clean up their homes and recover from the significant weather event. Queensland Ambulance Commissioner, Craig Emery told Peter Fegan, "You're not only putting yourself at risk, but you are putting the rescuers at risk so consideration along those lines is much appreciated." The Commissioner warned that floodwater can be particularly dangerous due to animals, snakes, electricity and bacteria that can be found in the water.See omnystudio.com/listener for privacy information.
The Queensland Ambulance Service has a new life-saving device that most people don't know about. The Mechanical Chest Compression Device helps perform CPR on patients as they are transported to a hospital. QAS Acting Director for Patient Safety and Quality Adam Rolley told Shane Doherty on 4BC Summer Drive, "Paramedics in Queensland are all extremely well trained and can perform just about all of the same procedures that can occur in hospital." "But, sometimes we do need to transport that person to hospital to ensure that they have the best opportunity to survive and this machine helps us do that."See omnystudio.com/listener for privacy information.
Dr Stephen Rashford leads an elite team that is tasked with bringing the emergency room to the crash scene. In his 18 years as Medical Director of Queensland Ambulance Service he has personally attended to thousands of callouts giving him a unique, and fascinating, perspective.
In this conversation, we will examine the challenges of exposure to high-stress situations, the principle of ‘psychological stunning' and how to deal with the concepts of ‘amygdala highjack'. We will reflect with Tash on a seminal case that she experienced and her reflections on it. We will also reflect on how to harness and control these psychological and physiological stressors in practice to get the best out of yourself in a situation such as this. We will also look at the cognitive switches that Tash uses to de-escalate from the stress of the shift and finally how she approaches self-care within her practice. Natasha Adams is a Senior Critical Care Paramedic (CCP) with the Queensland Ambulance Service, working on the Woodridge CCP POD and with the High Acuity Response Unit (HARU). Her clinical interests include progressive out-of-hospital care clinical education, and leadership development. Natasha is currently working on a project with graduate paramedic induction programs but will soon progress into a full review of Queensland Ambulance Services' clinical education and operational areas. In the conversation, we examine: The case & reflections on the case Why and how a ‘state of startle & overwhelm' occurs. The senses that shut down – hearing, vision, spatial awareness, concept of time Mental imagery and rehearsal Metacognition on the scene (thinking about thinking and mental awareness on the scene) The trajectory of the HPT when the rails are coming off Cognitive triggers (end of shift cognitive switching – going home mindset) The hot debrief – contextualising the scene and emotions – permission to exhale Nuances of NTS – permission to fail/miss information (self and crew) Reflection on care and Self-care My thanks to Tash for an engaging and insightful interview.
Curious about the career of an Emergency Medical Despatcher, this week we are joined by Stefanie Abbott, an EMD with the Queensland Ambulance Service and we hear about her career path from school through to the incredible feat of delivery a baby online, enjoy this chat with Stefanie.
Brad Miers is a Senior Operations Supervisor and Critical Care Paramedic for the Queensland Ambulance Service. He has over 32 years' of experience in both rural and urban response. Of these, 25 years were spent working in fixed and rotary-winged aircraft. He was born in a small shearing town in Western Queensland and he grew up being raised by the stoic and resilient men and women of the bush. This provided him with the necessary adaptive attributes to provide the highest pre-hospital clinical care in an unpredictable environment. Follow me on Instagram and YouTube. For more, go to https://www.paramedicmindset.com.au/ Music by Ehrling Music.
The Story Shared: Tash Adams shared an intimate story about a case that she attended as a newly qualified critical care paramedic. A multi-casualty incident with two severely traumatic patients on scene. Tash shared how this high-stress case created tunnel vision, leading to her missing the needs of one of the patients and becoming fixated. About Tash Adams: Natasha Adams is a Senior Critical Care Paramedic (CCP) with the Queensland Ambulance Service, working on the Woodridge CCP POD and with the High Acuity Response Unit. Her clinical interests include progressive out-of-hospital care, clinical education and leadership development. Follow me on Instagram and YouTube. For more, go to https://www.paramedicmindset.com.au/ Music by Ehrling Music
Dr. Stephen Rashford is a specialist emergency physician and medical director of the Queensland Ambulance Service. He has been the medical director since 2005 and has overseen a significant expansion in practice, including several novel treatment strategies. He is committed to ensuring quality evidence-based care. Dr. Rashford regularly attends cases in the field with paramedics. His research interests focus on innovative trauma care interventions, including airway management, point-of-care ultrasound, aggressive blood product administration and high-performance quality assurance activities. Follow me on Instagram and YouTube. For more, go to https://www.paramedicmindset.com.au/
"Death is not the enemy but occasionally needs help with timing." Peter Josef Safar (1924 – 2003) 'The Father of Modern CPR' In this week's episode of the Coda podcast, former flight paramedic Gary Berkowitz – who previously worked in Afghanistan and now works for Queensland Ambulance Service - explores how when death is inevitable, the way of dying matters. To open the discussion, he addresses the fact that out of hospital emergency care practitioners are often faced with time critical decisions. He notes that fortunately, most of these situations often have clear guidelines because – generally speaking - they follow pathways with expected outcomes. When it comes to ethics in healthcare, however, it can be a nuanced topic. For example, the decision to not commence resuscitation, or to withdraw life saving measures in a patient who appears to have no meaningful prospect of recovery, can be a difficult one. Gary goes on to note that in this environment, it's impossible to design a guideline that could encompass all the elements of such a complex decision. In this talk Gary examines providing care to patients rather than always trying to fight death. By way of example, Gary tells listeners how he was working closely with the various western military forces, when one day they asked a favour – a young Afghani soldier had been badly burnt fighting against the Taliban, and while his treatment had begun in a military hospital, it was decided it shouldn't be continued there. Gary was asked if he could assist transporting the soldier to a hospital in the city, and he goes on to talk about the fact that he had two options – to take the easy choice, which would have involved giving the soldier enough medication that he wouldn't have to see him suffer; or the brave choice – which would have been to give him enough medication so he wouldn't be suffering at all. He discusses the ethics around each alternative – and how he came to sit with his final choice. Gary notes that the decision he made that day has remained with him ever since, and continues to influence his decisions in his everyday practice. For more head to our podcast page #CodaPodcast
The value of unpaid mobile phone fines being chased down by the state's debt collection agency has skyrocketed by more than 800 per cent in the wake of new cameras being used to catch reckless drivers. The grieving husband of Emma Lovell has backed the push for a law named in her honour following her brutal stabbing murder. Anthony Albanese has snapped at a group of noisy protesters as he delivered one of his final speeches for the year. Paramedics are called out to mental health emergencies at a rate of one every 10 minutes, with internal Queensland Ambulance Service documents revealing a staggering increase over five years. For updates and breaking news throughout the day, take out a subscription at www.couriermail.com.au See omnystudio.com/listener for privacy information.
In the current environment of escalating demand for ambulance services, the Queensland Ambulance Service has identified a more agile approach to providing care to the community. Conceptualised as a coordination adjunct, the clinical hub provides an adaptive model of service that ensures a timely, appropriate, and patient-centric ambulance response occurs. In short, the hub provides a secondary triage to a select cohort of patients and determines the most appropriate healthcare pathway that is proportionate to the acuity of the individual. Staffed by a multi-disciplinary team consisting of senior paramedics, mental health clinicians and medical officers, the Clinical Hub coordinates the entry of the patient into the broader healthcare system after a Triple Zero (000) call is received. The Clinical Hub has redesigned the provision of ambulance services in Queensland and raises the question: is the future of paramedicine behind the computer screen, rather than the windscreen?
In this episode of 'The Student Paramedic Podcast', we have a discussion with Sandra Garner about caring for people within the prehospital environment who experience a mental health crisis. Sandra works for the Queensland Ambulance Service providing mental health leadership and advice to paramedics as well as delivering safe care to people in the prehospital environment with the creation of a dedicated mental health response unit. DISCLAIMER: All opinions of each individual on 'The Student Paramedic Podcast' are their own.See omnystudio.com/listener for privacy information.
Queensland's mental health crisis continues to worsen as the underfunded and overwhelmed sector fails to provide the intensive long-term psychological treatment for patients. International tourists will be back in Australia before the end of the month, with the federal government set to announce a return date as early as Monday following Cabinet's National Security Committee. .A former Virgin Australia worker who lost her job through Covid has helped save the life of an elderly man who fell off a roof on her second day as an emergency medical dispatcher with the Queensland Ambulance Service. And retired Olympic hurdler Sally Pearson has reached out to the universe for guidance on what to do next post life on the track. See omnystudio.com/listener for privacy information.
A toxic power culture in Australia's parliament has uncovered one-in-three staff have been sexually harassed, more than that bullied, and 1 per cent suffered actual or attempted sexual assault. A parliamentary inquiry into mental health services in Queensland has been announced but it falls short of what the sector called for to fix the broken system While the announcement was cautiously welcomed by experts, they were awaiting the terms of reference still to be released this week. The Queensland Ambulance Service is fielding up to 180 mental health-related triple-0 calls a day, with an alarming rise in call-outs for young children. Christmas holiday plans within Australia are not under threat from the Omicron variant for now, after state and territory leaders agreed to stick to the national roadmap out of Covid-19. For updates and breaking news throughout the day, take out a subscription at COURIERMAIL.com.au/ See omnystudio.com/listener for privacy information.
This collaborative initiative between Gold Coast Health, Queensland Ambulance Service and schools to provide an individualised ambulance management plan for young people with functional neurological disorders, including pseudoseizures. This means that when a young person has an episode at school or in the community that they can be taken home to recover rather than being brought to the emergency department, significantly reducing their time spent in an acute hospital setting.
Russell Bowles has spent 40 years with the Queensland Ambulance Service, working his way up from cadet ambulance officer to Commissioner. As Commissioner, Russell oversaw the QAS during its move from an emergency service into the health system as an emergency health service and has been at the helm during the COVID-19 pandemic. In August 2021, Russell announced his retirement. We spoke with Russell about his four decades in the service and life as the outgoing commissioner.
Andy is a lecturer in Paramedicine at the University of Southern Queensland, and has been working in the higher education space for the past 8 years. He spent 14 years working for the Queensland Ambulance Service as an on road paramedic and prior to that had careers in exercise science, physical education and outdoor education settings in his native New Zealand and around the world. Currently working towards a PhD investigating the evolution of the professional paramedic education paradigm, he also leads a multi-disciplinary team of researchers looking at operational cognitive readiness as a physiological and psychological nexus for operators in high threat environments. In this episode Andy talks about: His career path in to paramedicine. Training and education frameworks. Stress inoculation in paramedics. The use of Virtual reality in the training of paramedics. Developing operational cognitive readiness. Resources discussed: Legacy by James Kerr Sapiens by Yuval Noah Harari The Debrief Podcast by the Australasian College of Paramedicine Free Radicals Paramedic Podcast You can stay up to date with Andrew via Linkedin and Twitter or you can contact him directly at andrew.bell@usq.edu.au Keep up to date with Monarch Human Performance via our website, Facebook and Instagram pages.
Mr Armstrong tells River949's Marnie and Campo about how a paramedic was assaulted while on the job on the Darling Downs.
The assessment and care of people experiencing a mental health crisis prove a challenge for paramedics on scene, in people's homes and into the emergency department. As a result, the QAS has implemented a number of initiatives to support the development of more appropriate responses to people experiencing a mental health crisis. Learn more To watch Sandra's interview, visit the Clinical Excellence Showcase website. For information about the project, visit their page on our Improvement Exchange. Please subscribe to ‘Clinical Excellence Showcase' wherever you digest your podcasts, rate and review on iTunes and follow us on social media: Facebook, Twitter and Instagram.
A woman who tested positive for the highly contagious strain of COVID-19 was able to leave quarantine at Brisbane's Hotel Grand Chancellor to go to hospital with her father, The Courier-Mail has revealed.The newspaper reports an ambulance was called to the hotel on Monday night for the man, aged in his 40s, following a medical complaint.He was reportedly accompanied to the Royal Brisbane Hospital by his daughter, a woman aged in her 20s.She is believed to have come into contact with a number of people outside the quarantine bubble and reportedly did not return to the hotel via Queensland Ambulance Service transport.The pair had been tested but returned positive results after the alleged breach of the quarantine system on January 11.The Courier-Mail reports she was not knowingly at fault.In a statement, Queensland Health said:"Queensland Health is aware of an article regarding an alleged COVID-19 quarantine breach."We are concerned some early reporting has misrepresented this situation and it's important people understand the facts."In circumstances where a person accompanies a relative to hospital for medical treatment, full PPE and safety guidelines are followed. This occurs even if a patient is being transported for non-COVID related medical issues."Quarantine guests are transported to and from the hospital by Queensland Ambulance Service, who have been safely transporting hotel quarantine guests for almost a year."All protocols were followed in this case. Guests were transported from and returned to the hotel by Qld Ambulance Service while in appropriate PPE. The suggestion the person caught a ride-share back to the hotel is untrue. Full and proper COVID-19 PPE protocols were followed while these guests were in the hospital."We have successfully managed the quarantine of over 100,000 people in Queensland, and have not had a single case because of the movement of these people."According to Queensland Health, the six cases in the hotel cluster include a man in his 30s and his female partner in her 30s who both arrived from the UK on December 30, a female hotel cleaner in her 20s and her male partner in his 20s, and the father and daughter who arrived from Lebanon on January 1.The guests to test positive were all in quarantine on the seventh floor.Greater Brisbane's three-day lockdown, sparked after the cleaner tested positive for the UK coronavirus strain, lifted at 6pm on Monday.
As first responders to incidents in the community, our hardworking police officers are frequently required to attend to people with mental health problems who are in crisis. Through collaboration with the Queensland Police Service and support from Queensland Ambulance Service, West Moreton Health commenced the Mental Health Co-Responder Project (MH-CORE) in March 2017, to better meet the needs of people with mental health problems who are in crisis. Links Hear Janet and Sgt. Leon Margetts talk more about the model at the 2018 showcase. Social media To continue the conversation, follow us on social media: Facebook @ClinicalExcellenceQueensland Instagram @ClinExcelQld Twitter @ClinExcelQld
Today we sit down with Dr Stephen Rashford and talk about the Queensland Ambulance Service's clinical consultation line. We are independent thinkers and clinicians. But sometimes cases fall outside our previous experience and knowledge. Consultation with others leads to enhanced decision making, a collective approach and ultimately better patient care. Remember, there is always time to call.
Attending a call for a patient in palliative care is an increasingly common experience for paramedics. In this fantastic interview, Tony Hucker joins Todd to discuss the reasons for these calls, some tips on how to deal with them, and the barriers to providing quality palliative care. Tony is a Critical Care Paramedic with over 4 decades of experience in a number of Australian ambulance jurisdictions. Tony is a Senior Medical Educator with the Royal Australian College of General Practitioners and teaches advanced resuscitation programs nationally. His current full time role is with the Queensland Ambulance Service as the Director of Clinical Quality and Patient Safety.
Tranexamic acid is an old drug with a new purpose, and is increasingly found in the drug kits of prehospital providers. Dr Dan Bodnar, Deputy Medical Director of Queensland Ambulance Service, joins Todd on the podcast to discuss the uses, evidence base and administration of Tranexamic acid. Dan is a Brisbane based Emergency Physician. His work life between the Royal Brisbane and Women's Hospital, the Queensland Ambulance Service and the Queensland Children's Hospital.
Dave Ellaby has over 30 years of pre-hospital experience with Queensland Ambulance Service. In this thought provoking interview, he explores how the profession has evolved over time, including the move to university based training and the introduction of national registration for paramedics in Australia. He also explores the issues of burnout and career development, along with his own personal journey outside paramedicine, helping develop a medical clinic in Vanuatu.
Thousands of patients may have been put at risk of exposure to tampered drugs by the Queensland Ambulance Service. One 74-year-old grandmother from Brisbane, Barbara Cook, believes paramedics unwittingly gave her a contaminated IV injection. She also believes that she contracted a life-threatening bacterial infection as a result. With secret recordings, leaked documents and whistle-blower testimony Hagar Cohen uncovers how the service botched an investigation into one of its biggest-ever drug tampering scandals. This is a repeat of a program that aired in July 2018.
Thousands of patients may have been put at risk of exposure to tampered drugs by the Queensland Ambulance Service. One 74-year-old grandmother from Brisbane, Barbara Cook, believes paramedics unwittingly gave her a contaminated IV injection. She also believes that she contracted a life-threatening bacterial infection as a result. With secret recordings, leaked documents and whistle-blower testimony Hagar Cohen uncovers how the service botched an investigation into one of its biggest-ever drug tampering scandals.
Welcome to another episode of Within the Trenches, true stories from the 9-1-1 dispatchers who live them. Episode 198 features Marc, Operations Center Supervisor with Queensland Ambulance Service, Queensland, Australia. Sponsored by Kim Turner, LLC – Facebook | Instagram | Twitter | Web Episode topics – Marc's 9-1-1 story A call that sticks with him Differences in calls from Australia vs the United States And more... As always if you have any comments, questions, topic suggestions or you would like to be a guest, send an email to wttpodcast@gmail.com
Dianne Cross is a Senior Operations Officer with Queensland Ambulance Service. She is an intensive care paramedic and currently on the PHN clinical council of the Central QLD and Sunshine Coast. She headed the initial "Spot On" initiative which aims to deliver patient cases to GPs and their "medical homes" to avoid unnecessary hospital transfers. We discuss the types of paramedics, the phone triage process, referral pathways and common frustrations for GPs and paramedics (at least from my point of view). Enjoy my friends Twitter @GPShowpodcast Facebook The GP Show Podcast