Author Topic: Medstar retrieval service  (Read 40993 times)

Offline mattb

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Medstar retrieval service
« on: March 03, 2009, 06:33:42 PM »
Ok some of the SAAS gurus on here will be able to answer this one, who is Medistar ??

I have heard a few transmissions on the scanner in the last couple of days relating to Medistar and them being dispatched on their way to do a retrieval. In one case the Comm's operator said something like "a retrieval should be on the way according to this new system but we haven't been told if they are or not".

So I assume some changes have taken place in regards to the retrieval service, are Medistar just Mediflight with a new name and some new shiny red uniforms or has there been another twist to this story.

I am guessing this is part of the major overhaul of the retrieval game some of you alluded to last year.
« Last Edit: October 02, 2009, 08:07:54 PM by mattb »

Offline JamesGar

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Re: Medistar retrieval service
« Reply #1 on: March 03, 2009, 07:50:42 PM »
Hey Matt,

MedStar is the newly titled/named SA Retrieval Service. One service with the umbrella for all neo-natal, paediatric and adult retrieval (including primary trauma) for SA. I believe they will be wearing Red uniforms.

Cheers
James Gardiner
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Offline boredmatrix

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Re: Medistar retrieval service
« Reply #2 on: March 03, 2009, 10:34:00 PM »
James is correct

The archaic system of hospital based retrieval teams is no more.  As of last week, MEDSTAR is the new medical retrieval arm of SA Health, administered by a medical director who was headhunted to do the job after establishing and running Careflight in QLD.

next question....when are the nurses getting the boot???

Offline bittenyakka

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Re: Medistar retrieval service
« Reply #3 on: March 04, 2009, 05:26:33 PM »
ok

so until now retrieval teams were based at hospitals and were made up of some hospital staff? (trained in retreval etc)

and now

Medistar will be doing retrievals from here there and everywhere and they are? (paramedics???) so where will they be seen? mvas? or more within hospitals? and where are they based?

that is basically 1 big question?

Offline boredmatrix

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Re: Medistar retrieval service
« Reply #4 on: March 04, 2009, 06:09:12 PM »
these are still the same Doctors etc

but instead of having to be picked up from the helipad at the RAH - they can leave direct from WBAP - saving substantial time.

The major changes are administrative - removing levels of complexity which caused conflict in the previous system  ie: RAH Vs FMC, Paramedics Vs Nurses etc etc.....

Offline CFS_Firey

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Re: Medistar retrieval service
« Reply #5 on: March 04, 2009, 08:00:40 PM »
Does the STAR part stand for 'Special Tasks and Rescues' (or the like) or is it just a pretty name?

misterteddy

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Re: Medistar retrieval service
« Reply #6 on: March 04, 2009, 11:08:42 PM »
these are still the same Doctors etc

but instead of having to be picked up from the helipad at the RAH - they can leave direct from WBAP - saving substantial time.

The major changes are administrative - removing levels of complexity which caused conflict in the previous system  ie: RAH Vs FMC, Paramedics Vs Nurses etc etc.....

and some uniformity in training of retrieval staff of all kinds....previously FMC trained theirs one way....the RAH differently, both to different guidelines and competency standards. Gear was differnt,approach was different.....and manning models were different......now....all one big croozy ship  :-D

and as for the STAR....I havn't seen it written anywhere.....but i doubt anyone would seriously steal the hut hut PC Plods name to add to the Medi,to form the new bastion of the brave fling wingers.....i suspect the STAR part is more like a DeathSTAR sort of reference....centre of the universe  :wink:

Offline bittenyakka

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Re: Medistar retrieval service
« Reply #7 on: March 05, 2009, 07:46:06 AM »
ok sounds good where is WBAP?

Offline straps

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Re: Medistar retrieval service
« Reply #8 on: March 05, 2009, 08:41:50 AM »
West Beach AirPort... (WBAP)

Offline mattb

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Re: Medstar retrieval service
« Reply #9 on: March 05, 2009, 11:59:50 AM »
This appeared in the latest 'Firewire' from the chief.

MedSTAR Emergency Medical Retrieval:
Dr Matt Hooper, who represents Health on the Adelaide Bank Rescue Helicopter Service Operations Committee has advised of the formation of a new entity named MedSTAR that will become operational on Saturday 28 February 2009. MedSTAR is South Australia’s new single statewide emergency medical retrieval service.  Dr Hooper is the Director of MedSTAR.  MedSTAR provides rapid and high level emergency medical care to acutely ill and injured South Australians. Specialist teams will be dispatched from one central location and work in partnership with SA Ambulance Service and the Royal Flying Doctors’ Service (Central Operations). This new operational capacity represents the first of a number of service initiatives aimed at delivering more support to country and metropolitan health services and a more coordinated process of patient transport and retrieval.  All current emergency retrieval advice phone numbers will remain the same. Calls to the current RAH and FMC adult retrieval service numbers will be taken by experienced MedSTAR staff at a central location. Any medical emergency phone calls to ‘000’ will be assessed by SA Ambulance Service as usual and a specialist MedSTAR team dispatched if required. MedSTAR staff will respond in standard uniform (red) and with standardised equipment.  MedSTAR staff will have some level of interaction with CFS personnel.  More information about the MedSTAR service will be provided to all staff and key groups later.



Offline Alan (Big Al)

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Re: Medistar retrieval service
« Reply #10 on: March 06, 2009, 08:10:18 AM »
So the choppers keep their current callsigns?
Lt. Goolwa CFS

Offline boredmatrix

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Re: Medistar retrieval service
« Reply #11 on: March 06, 2009, 10:40:38 PM »
So the choppers keep their current callsigns?

er...do ambulances change their callsign because they have a team aboard?

this isn't the states AIR FORCE ONE.....    :evil:

Offline Alan (Big Al)

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Re: Medistar retrieval service
« Reply #12 on: March 07, 2009, 06:06:10 PM »
Never hurts to ask bordey :-P  :-D
Lt. Goolwa CFS

Offline straps

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Re: Medistar retrieval service
« Reply #13 on: March 10, 2009, 12:44:45 PM »
Quote
RESPONSE times for medical emergencies in South Australia will be slashed with a new retrieval service.

Health Minister John Hill said the new MedSTAR service would allow for highly-trained doctors, paramedics and nurses to get to seriously injured or unwell people much faster.

It would involve a dedicated retrieval team being stationed at Adelaide Airport, alongside the rescue helicopter, instead of at the Royal Adelaide Hospital.

"In the past the average time between receiving an emergency call and getting a retrieval team in a helicopter and on their way to the scene was 35 minutes," Mr Hill said.

"We believe the new service can cut that average time down to just 10 minutes."

MedSTAR director Matt Hooper said early medical care for seriously ill or injured people made a big difference to their chances of survival.

"The sooner we can get that medical care to them the better," Dr Hooper said.

"Our MedStar teams include a doctor plus a paramedic or nurse who will be able to support ambulance crews by doing the more complex medical interventions."


Taken from the AdelaideNow website today...

Cheers
Shane

Offline mattb

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Re: Medistar retrieval service
« Reply #14 on: March 23, 2009, 09:55:16 AM »
If anyone is interested in some more info on the new retrieval services have a look at this   http://www.publications.health.sa.gov.au/cgi/viewcontent.cgi?article=1005&context=ptrans

Offline Zippy

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Re: Medistar retrieval service
« Reply #15 on: March 23, 2009, 11:14:43 AM »
Thats a great read matt,  The comparison Table on page 7 has some great detail on how...umm old fashion SA still operates.

Offline boredmatrix

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Re: Medistar retrieval service
« Reply #16 on: March 23, 2009, 08:36:32 PM »
and that paper was just the start of it!  it was published in Early-mid 2008....


anyone else read the massive propaganda spread in the sunday mail about the closure of the RAH retrieval service?

FMC and WCH got a one line mention...somewhere immediately after the line about some of the more senior staff from RAH refusing to work with MEDSTAR - but also not commenting further!

awwwww....uncle Matt took away your big cowboy hat, sixshooter and sherrifs badge and now you have to play by his rules or get out of the sandpit......

Offline Alan J

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Re: Medistar retrieval service
« Reply #17 on: March 27, 2009, 11:40:24 PM »
Yo Bordie

care to comment on specialist retrievals such as neo-nat or etc vs the
new arrangements?  Will specialist hospital staff still be used for these
retrievals?  Or are the Medstar people so sooper-dooper qualified &
experienced as to not require them?

cheers
AJ
Alan J.
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Data isn't information.  Information isn't knowledge. 
Knowledge isn't wisdom.

Offline 3

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Re: Medistar retrieval service
« Reply #18 on: July 29, 2009, 11:06:45 AM »
For those interested medSTAR stands for med (medical) S-Statewide, T-Trauma/transport, A-Advice, R-retrievals.
The staff have now all been hired and about to undergo intensive training. Staff consist of Doctors, Paramedics and Nurses. Should be a great service for SA who have been behind the times for a long while!!!
There is rumor of medSTAR kids coming which will cover neonatal and pediatric retrievals???
« Last Edit: July 29, 2009, 11:12:04 AM by 3 »

Offline crashndash

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Re: Medistar retrieval service
« Reply #19 on: July 29, 2009, 09:43:23 PM »
There is rumor of medSTAR kids coming which will cover neonatal and pediatric retrievals???

ahhh good, peer based retrievals are always a worthy undertaking....

Offline bajdas

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Re: Medistar retrieval service
« Reply #20 on: July 29, 2009, 11:08:41 PM »
So how is MediSTAR responses seperated from RFDS ?
Is it distance based to stop duplication of effort ?

I understand that Surf Life Saving, CFS and SAPOL also operate aircraft.

Other than AngelFlight, do any other medical or emergency service aircraft operate in South Australia ?

For example, do the mining companies operate anything from Roxby, Moomba, etc ?
« Last Edit: July 29, 2009, 11:10:22 PM by bajdas »
Andrew Macmichael
lives at Pt Noarlunga South.

My personal opinion only.

rescue5271

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Re: Medistar retrieval service
« Reply #21 on: July 30, 2009, 07:45:25 AM »
There is talk of having a rescue chopper down here in the SE working out of MOUNT GAMBIER the Grant council is pushing for it along with other council's here in the SE. I understand there are concerns about the RFDS service as they are too busy and that at night they only have one plane that covers SA/NSW/NT (parts of)....

Offline straps

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Re: Medistar retrieval service
« Reply #22 on: July 30, 2009, 09:08:10 AM »
Not sure that the limited RFDS capability and resources is just argument for a helicopter. Any use of a rotary winged rescue aircraft would be used for "local' work. A helicopter would be rarely used to fly someone to Adelaide. It is far safer to manage them in Mt Gambier hospital until a fixed wing resource is available. A rotary wing trip (AB 412) from Mt Gambier to Adelaide would be approx 2.5 - 4 hours at a guess with a stop for fuel on the way, (used to be 1 hour flying time from FMC to Keith). This is compared to a 50 min - 1 hr trip to the Mount via fixed wing Pilatus (RFDS).

A rescue helicopter could be used to transfer critically ill people from other SE hospitals to Mt Gambier, however I don't think that Mt Gambier High Dependency would be able to cope with this. Many retrievals are done direct to the country hospital concerned (but not always) however some transferring does occur. Not sure that the cost of rotary wing v's road transfer from a SE hospital to the Mount would be well argued especially if they are then simply transferred on to Adelaide via RFDS.

Also if local ambulance resources were not able to meet operational needs, then a rapid response for trauma using a helicopter could be considered but again, very expensive resource for not a lot of return and returning a patient to what level of care.?

Hate to say it Bill, but I would be very VERY surprised if the proposal got off the ground (pardon the pun), it has little bang for buck features and doesn't address the primary concern that you raised of getting people to Adelaide.

@ Badjas - For Retrievals involving Medstar, the 'utilise' RFDS for transport. A standing arrangement exists whereby the retrieval service will contact SAAS stating the nature and location of the trauma / critically ill patient and then liaise as to the best transport medium to take the team out and bring them back.

This might involve private car / taxi / SAAS vehicle / SAAS ambulance / Rotary wing - AB412, BK117 or EC130 or fixed wing - Pilatus (RFDS), Commercial jet or Charter Jet. (Occasionally water craft are required and this might involve SAPOL / SES or Marine and Harbours etc) Often a combination is used throughout a retrieval. I believe that Medstar will be having their own rapid response vehicles to mean that they are self-sufficient for responding from other emergency services (ie SAAS).

I believe that Moomba have a helicopter, used for general duties but can be configured for patient transport.

When I worked at Ayers Rock, we had an agreement with a local Helicopter charter company to provide a rapid response capability for nurse / paramedic to outlying emergencies. This would mostly be backed up by a road vehicle for transport.

Hope this helps.

Cheers
Shane

Offline boredmatrix

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Re: Medistar retrieval service
« Reply #23 on: August 02, 2009, 01:43:19 AM »
there will always be talk about how many more helicopters we should be getting and where they should be based.  The same argument could be made to base one in Pot Lincoln to cover the west coast for the dozen times a year it's needed - allowing for  a more rapid response when the need arises..

and talk is great..it allows people to aspire to something.....a common goal for the greater good of the people....until

....the cost comes out..and then the whole plan just disappears for a few more years!

The only realistic helo use which warrants any investigating (and it is being investigated....) is that of the Yorke Peninsula.  RFDS is VERY reluctant to fly patients out of there because it's too close to Adelaide - so instead hold SAAS to Ransom (as per their usual MO....) and make the Vol cars drive all the patients to the city.  A helo flight to YP is only 20 mins each way.....the only downside ...again....is the cost. 

but...if you weigh that up against the cost of all the road transfers, including man/women hours (which are consequently "free"(sic)) - then the case for choppering all acute patients out of the YP could probably be one that is feasible....

Offline mattb

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Re: Medstar retrieval service
« Reply #24 on: October 02, 2009, 08:07:31 PM »
http://www.adelaideaca.com.au/story_details.php?sID=TkRFMQ==

The 'A Current Affair' story on Medstar.