EMS World

JAN 2019

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

Issue link: https://emsworld.epubxp.com/i/1061435

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Page 16 of 51

EMS AROUND THE WORLD: PROFILING SYSTEMS ACROSS THE GLOBE 16 JANUARY 2019 | EMSWORLD.com and advanced levels and specializations such as retrieval, community, and communications. 5 Further training and upskilling of paramedics has seen the development of intensive care and extended care roles. These specialized paramed- ics can be educated to graduate diploma level to provide advanced treatments for patients with complex healthcare needs (e.g., severe trauma or acute medical conditions). Further upskilling of the intensive care paramedic has led to the introduction of extended care para- medics who can treat patients in their homes and reduce congestion in EDs. Western Australia, South Australia, and New South Wales introduced ECPs as a strategy to reduce presentations initially as trials, but made them permanent when they were successful (as did New Zealand). 6–8 While in the main Australian ambulance services are public health services, private-sector providers deliver specialized occupational, industrial, patient transport, and first aid attendance at public events. The commencing graduate paramedic sal- ary ranges from AUD $66,500–$105,900 (USD $47,270–$75,300) depending on location and shift configuration. 9 Workforce and Workload The workforce profile of Australia paramedics encompasses both paid and volunteer. To cover the breadth of the continent requires a large workforce, with many services relying on volunteers. Volunteer ambulance personnel principally are located in rural and remote regions, with urban areas being trained and supported by paid training staff in regional centers. In Australia there are 16,087 full-time salaried and 6,182 volunteer personnel, with 2,620 commu- nity first responders (personnel trained for response but without transport capacity before ambulance arrival). 2,6 Nearly a third (32%) are female, and more than three-quarters (77.3%) are under age 50. The turnover rate is 3.3%. Workload varies across jurisdictions. Nationally, 3.5 million incidents were reported to ambulance services, in which 4.4 million ambulances respond- ed and assessed 3.3 million patients. 2 The increase in demand for ambulance services is because of an aging population, changes in social support, accessibility of services, and increased awareness. 11–14 Staffing (Source: CAA Report, 2016) Workload (Source: CAA 2016) Reported ambulance incidents, responses and patients per 100 people, 2016-2017. (Source: Productivity Commission, 2018)

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