Volume 33, Issue 1 pp. 34-44
Original Research

Aeromedical retrievals in Queensland: A five-year review

Richard C Franklin

Corresponding Author

Richard C Franklin

Discipline of Public Health and Tropical Medicine, College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia

Correspondence: Associate Professor Richard C Franklin, College of Public Health, Medical and Veterinary Sciences, James Cook University, 1 James Cook Drive, Douglas, QLD 4811, Australia. Email: [email protected]Search for more papers by this author
Jemma C King

Jemma C King

Discipline of Public Health and Tropical Medicine, College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia

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Peter J Aitken

Peter J Aitken

Discipline of Public Health and Tropical Medicine, College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia

Prevention Division, Department of Health, Aeromedical Retrieval and Disaster Management Branch, Brisbane, Queensland, Australia

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Mark S Elcock

Mark S Elcock

Discipline of Public Health and Tropical Medicine, College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia

Prevention Division, Department of Health, Aeromedical Retrieval and Disaster Management Branch, Brisbane, Queensland, Australia

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Luke Lawton

Luke Lawton

Department of Emergency Medicine, The Townsville Hospital, Townsville, Queensland, Australia

College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia

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Anita Robertson

Anita Robertson

Discipline of Public Health and Tropical Medicine, College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia

Royal Flying Doctor Service, Townsville RFDS Base, Townsville, Queensland, Australia

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Stefan M Mazur

Stefan M Mazur

Discipline of Public Health and Tropical Medicine, College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia

Department of Emergency Medicine, The Townsville Hospital, Townsville, Queensland, Australia

SAAS MedSTAR Emergency Medical Retrieval Service, South Australian Ambulance Service, Adelaide, South Australia, Australia

Emergency Department, Royal Adelaide Hospital, Adelaide, South Australia, Australia

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Kristin Edwards

Kristin Edwards

Discipline of Public Health and Tropical Medicine, College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia

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Peter A Leggat

Peter A Leggat

Discipline of Public Health and Tropical Medicine, College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia

School of Public Health, University of the Witwatersrand, Johannesburg, South Africa

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First published: 06 July 2020
Citations: 15
Richard C Franklin, FPHAA, FARLF, PhD, MSocSc (Health), BSc, GCertAustRurLeadership, Associate Professor; Jemma C King, MPH (Health Promotion), BBus-BPsych (Hons), Lecturer; Peter J Aitken, MBBS, FACEM, EMDM, MClinEd, DrPH, Senior Director, Emergency Physician, Adjunct Associate Professor; Mark S Elcock, PSM – MBChB, FACEM, FRCEM, Executive Director, Emergency Physician, Adjunct Associate Professor; Luke Lawton, BAppSc, MBBS (Hons), MPH (Aeromedical Retrievals), FACEM, Director of Emergency Medicine, Emergency Physician, Adjunct Senior Lecturer; Anita Robertson, RN/RM, BNSc, PGCertNSC (Int Care), DipMid, RIPRN, IPN, MAdvNPrac, PGCertNSC (Clin Teach), Aviation Nursing Course – RAAF, Cert IV (Assessment and Training), PGCertEdu, Lecturer, Flight Nurse; Stefan M Mazur, BPhEd, MBChB, FACEM, PGCertAME, DipIMC and DipRTM (RCSEd), Associate Professor, Emergency Physician, Prehospital and Retrieval Physician; Kristin Edwards, RN, BSN, MSN, MN (Psych), MN (PhysEd), CertIV (TA), PhD (c), Research Officer; Peter A Leggat, AM, MD, PhD, DrPH, PGCertAME, FAFPHM, FFPH RCP (UK), FPHAA, FACRRM, FACAsM, FACTM, FFTM FFEWM ACTM, FFTM RCPSG, Professor.

Abstract

Objective

Aeromedical services are an essential part of the healthcare system. Centralised coordination of aeromedical retrieval tasking offers benefits for safety, timeliness and efficiency in service delivery. The aim of the present study is to review aeromedical retrievals in Queensland exploring patient demographics, temporal patterns and usage characteristics.

Methods

This is a retrospective cases series for the period 1 January 2010 to 31 December 2014 incorporating data from Retrieval Services Queensland and Queensland Newborn Emergency Transport Service. Ethics approval was obtained (JCU-HREC H6137 and Public Health Act #RD005673). Descriptive analysis of the de-identified data was undertaken included patient demographics, referral and receiving locations, retrieval platform and acuity of transport request.

Results

There were 73 042 aeromedical retrievals undertaken during the period, with an average of 40 cases per day (range 16–89). The majority (95%) of retrievals were for Queensland residents. Overall 23.1% of cases were cardiology-related and 12.7% were injury-related. Older adults aged 75–84 years had the highest rate of retrievals relative to the population with a crude rate of 942.4 per 100 000 per annum. Overall 14.9% of cases were Priority 1, which represents the tasking with the highest acuity but majority were Priority 4 (41.6%). One third (37.6%) of all patients were from inner regional locations.

Conclusions

Potential investments in health service planning may alleviate the burden on aeromedical services, particularly related to cardiology services in inner and outer regional Queensland. Aeromedical services are pivotal in enabling all sick and injured residents' access to the highest quality of care regardless of the remoteness of their residence.

Data availability statement

The data that support the findings of this study are available from Retrieval Services Queensland. Restrictions apply to the availability of these data, as the data is not publicly available due to ethical restrictions. Access to data requires permission from Retrieval Services Queensland and associated ethical and data release clearances.

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