Volume 33, Issue 2 pp. 375-378
Perspective

Responding to the COVID-19 pandemic: The experiences of South Australia's Rescue, Retrieval and Aviation Services

Steven Alderson

Corresponding Author

Steven Alderson

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

Correspondence: Dr Steven Alderson, SAAS MedSTAR Emergency Medical Retrieval Service, 2 Sir Reginald Ansett Drive, Adelaide, SA 5950, Australia. Email: [email protected].

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Sharon Paddock

Sharon Paddock

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

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Nathan West

Nathan West

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

Department of Intensive Care Medicine, Flinders Medical Centre, Adelaide, South Australia, Australia

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Andrew Pearce

Andrew Pearce

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

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

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Daniel Martin

Daniel Martin

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

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Amy Keir

Amy Keir

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

Department of Neonatal Medicine, Women's and Children's Hospital, Adelaide, South Australia, Australia

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First published: 02 January 2021
Steven Alderson, BA (Hons), BM (Hons), MAcadMEd, MRCP (UK), MRCA, Pre-Hospital and Retrieval Medicine Registrar; Sharon Paddock, RN, DipNsg, BSc (Hons) (Nsg), ENB 998, ENB 100, GradCertClinEd, Retrieval Nurse Educator; Nathan West, BA (Hons), BSc (Hons), MBChB, Senior Registrar in Intensive Care Medicine, Fellow in Pre-Hospital and Retrieval Medicine; Andrew Pearce, BSc (Hons), BMBS, FACEM, Senior Emergency Physician, Director of Clinical Services; Daniel Martin, RN, BaN, GCertEmerg, BaNPracEmerg, GCertNScRet, PGCertAeromedRet, Director of Nursing; Amy Keir, MBBS, MPH, FRACP, PhD, Paediatric Retrieval Consultant.

Abstract

COVID-19 poses significant challenges to pre-hospital and retrieval medicine (PHRM) clinicians – and many are unique to this area of clinical practice. We share the experiences of the South Australian Ambulance Service (SAAS) MedSTAR Emergency Medical Retrieval Service in preparing for the COVID-19 pandemic in the pre-hospital and retrieval setting – including the role of a multidisciplinary leadership team; challenges and potential approaches to screening for COVID-19; personal protective equipment for pre-hospital and aeromedical taskings; issues arising with interstate retrievals; and the role of telehealth. Although novel solutions allowed SAAS MedSTAR to continue to deliver high-quality care, considering the resource implications involved in undertaking the transfer of patients with COVID-19, it is clear that significant community disease transmission threatens to overwhelm any PHRM service. Should Australia face a significant future outbreak, it is conceivable that some PHRM operations may need to be reduced or suspended entirely.

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