medical emergency – Michmutters
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Australia

Country Fire Service boss Mark Jones raises concerns about plan to send volunteer firefighters out to medical emergencies

South Australia’s volunteer firefighters are already attending a growing number of medical emergencies and are not trained to deal with the trauma, according to the head of the Country Fire Service (CFS).

CFS chief officer Mark Jones has raised concerns about a state government probe into whether firefighters should attend more medical call-outs as the SA Ambulance Service (SAAS) remains under increasing pressure.

Premier Peter Malinauskas on Thursday launched a taskforce to look into the concept, after a 47-year-old father-of-two died in Plympton while waiting 40 minutes for an ambulance to arrive.

Mr Jones is not on the panel, however, Metropolitan Fire Service (MFS) chief Michael Morgan and South Australia Ambulance Service (SAAS) boss Robert Elliott will be part of the taskforce, along with Health Minister Chris Picton and union representatives.

“I lead a government that is open to ideas about what we can do to relieve pressure [in] any way we can,” Mr Malinauskas said.

“One such measure that is being proposed is drawing on the resources of the MFS to potentially respond in ways that are safe — all options are on the table.”

He said the taskforce had been established “in haste”, but other measures the government wanted to introduce — such as employing more paramedics — would take time.

Mr Malinauskas said on Friday morning that the idea was “worthy of investigation” and would be looked at “thoughtfully and safely”.

“You don’t want to fix one problem and create another, particularly with respect to the work the MFS already do,” he told ABC Radio Adelaide.

CFS attend 1,000 medical emergencies

Mr Jones said his firefighters were already doing that, attending about 1,000 medical incidents in the past year and 14 this week.

“They attend these with no specialist medical training and no additional mental health support,” he said.

“Additionally, these incidents often happen in small communities, where the volunteers are turning up to an incident where they know the casualty.”

A man wearing a Country Fire Service uniform addresses the media in front of a CFS and Government of South Australia banner.
CFS chief officer Mark Jones has raised concerns.(ABCNews)

He said the volunteers responding to medical situations were doing it “outside the scope of their standard duties, in their own time, without pay and without the same support as paramedics.”

“Our volunteers are routinely called upon to attend traumatic events beyond the scope of their firefighting duties and these jobs fall outside of most people’s expectations when they join the service,” he said.

“I have seen the number of SAAS-assist jobs that our volunteers are expected to attend grow significantly.

“This is something that has occurred without any formal agreement or additional support for our volunteers doing an already tough job.”

Mr Jones said volunteers were trained in first aid but there was a “large difference” between providing CPR and addressing the underlying clinical health issues of a patient.

Mr Malinauskas acknowledged that the CFS “have always played an extraordinarily broad role in their communities”.

“The way the CFS responds to call-outs in regional areas very much depends on the other services that are already in place in those other areas,” he told ABC Radio Adelaide on Friday morning.

“And to be clear our CFS officers attend a lot more than fires.

“In some places where we don’t have a SES, the CFS is responding to car accidents, to fires, and other emergencies on a frequent basis.

“So they already do this work and their caseload continues to grow, and that’s why we’ve got to keep an eye on the volunteer base.”

In a statement, an SAAS spokeswoman said the service already worked closely with fire services and police to support South Australians during a medical emergency.

“We are excited about the opportunity to work further with the SA Metropolitan Fire Service on a co-response model for the community here in [South Australia]and hope to grow the program over time,” she said.

“Any initiative that supports early CPR and early defibrillation is potentially life-saving.”

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Categories
Australia

Country Fire Service boss Mark Johns raises concerns about plan to send volunteer firefighters out to medical emergencies

South Australia’s volunteer firefighters are already attending a growing number of medical emergencies and are not trained to deal with the trauma, according to the head of the Country Fire Service (CFS).

CFS chief officer Mark Johns has raised concerns about a state government probe into whether firefighters should attend more medical call-outs as the SA Ambulance Service (SAAS) remains under increasing pressure.

Premier Peter Malinauskas today launched a taskforce to look into the concept, after a 47-year-old father-of-two died in Plympton while waiting 40 minutes for an ambulance to arrive.

Mr Johns is not on the panel, however, Metropolitan Fire Service (MFS) chief Michael Morgan and South Australia Ambulance Service (SAAS) boss Robert Elliott will be part of the taskforce, along with Health Minister Chris Picton and union representatives.

“I lead a government that is open to ideas about what we can do to relieve pressure [in] any way we can,” Mr Malinauskas said.

“One such measure that is being proposed is drawing on the resources of the MFS to potentially respond in ways that are safe — all options are on the table.”

He said the taskforce had been established “in haste”, but other measures the government wanted to introduce — such as employing more paramedics — would take time.

CFS attend 1,000 medical emergencies

Mr Johns said his firefighters were already doing that, attending about 1,000 medical incidents in the past year and 14 this week.

“They attend these with no specialist medical training and no additional mental health support,” he said.

“Additionally, these incidents often happen in small communities, where the volunteers are turning up to an incident where they know the casualty.”

A man wearing a Country Fire Service uniform addresses the media in front of a CFS and Government of South Australia banner.
CFS chief officer Mark Jones has raised concerns.(ABCNews)

He said the volunteers responding to medical situations were doing it “outside the scope of their standard duties, in their own time, without pay and without the same support as paramedics.”

“Our volunteers are routinely called upon to attend traumatic events beyond the scope of their firefighting duties and these jobs fall outside of most people’s expectations when they join the service,” he said.

“I have seen the number of SAAS-assist jobs that our volunteers are expected to attend grow significantly.

“This is something that has occurred without any formal agreement or additional support for our volunteers doing an already tough job.”

Mr Jones said volunteers were trained in first aid but there was a “large difference” between providing CPR and addressing the underlying clinical health issues of a patient.

In a statement, an SAAS spokeswoman said the service already worked closely with fire services and police to support South Australians during a medical emergency.

“We are excited about the opportunity to work further with the SA Metropolitan Fire Service on a co-response model for the community here in [South Australia]and hope to grow the program over time,” she said.

“Any initiative that supports early CPR and early defibrillation is potentially life-saving.”

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Categories
Australia

Private emergency rooms are on the rise in WA. What does that mean for public health care?

Health industry experts say WA’s rising number of private emergency departments is unlikely to erode investment in public hospitals, but patients should understand the limitations and costs of private EDs.

By the end of 2025, the number of private emergency departments — which charge up to $295 to see a doctor — is expected to have tripled in WA.

“It is a little bit curious because emergency departments are not profitable things for private hospitals,” St John of God Health Care Group chief executive Shane Kelly said.

“They’re generally run at a loss.”

For almost 20 years, the only private emergency department in WA was the St John of God facility in Murdoch.

In November, Hollywood Hospital opened a $67 million emergency department.

In May, the hospital said it had seen 5,000 patients in its first six months. It charges a $200 consultation fee.

St John of God Health Care Group has also announced plans to build the state’s third private emergency department at its Subiaco hospital by the end of 2025.

Rise reflects demand, chief says

Dr Kelly said the rising investment in private emergency departments in WA reflected high demand for emergency care overall.

“Obviously, our public emergency departments are pretty busy — very busy, in fact — and, I think, they’re looking for another option,” he said.

Portrait of Shane Kelly smiling and wearing suit in front of white background.
Dr Kelly says he does not expect the rising number of private emergency departments in WA to affect public health services.(Supplied)

The motivation for private hospitals, Dr Kelly said, was to fill empty beds by bringing more patients to the hospital door.

St John of God hospitals waives the emergency consultation fee of $295 if patients are admitted into the hospital, he said.

Since it opened in 1994, St John of God’s Murdoch-based emergency department has seen about 20,000 patients annually.

Fees raised to ‘moderate’ demand

But last year, as the community spread of COVID-19 ballooned, the facility found itself under pressure as patient numbers reached a record high of 25,000.

Pandemic-related staff shortages were also affecting the private ED’s capacity, Dr Kelly said.

Demand for the facility grew so high that the facility raised its fees by $100 to $295.

“We were trying to moderate the demand a little bit,” Dr Kelly said.

He said patient numbers had dropped back to normal in 2022, which he said was likely linked to the fee hike and the launch of the Hollywood facility in November.

Dr Kelly said he did not believe the growing number of private hospitals would reduce investment in public emergency departments, already under enormous stress, because he said the number of private patients was “modest” overall.

“For example, we see about 80,000 a year in our St John of God public emergency department at Midland,” Dr Kelly said.

But, he said, they only saw up to 25,000 patients at the emergency hospital.

“So that puts it in perspective,” Dr Kelly said.

More choice for consumers

WA Health Consumers’ Council deputy director Clare Mullen said providing more choices would be positive for health care overall.

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