• Emerg Med Australas · Oct 2015

    Tyranny of distance and rural prehospital care: Is there potential for a national rural responder network?

    • Tim Leeuwenburg and John Hall.
    • Kangaroo Island Medical Clinic, Kingscote, South Australia, Australia.
    • Emerg Med Australas. 2015 Oct 1; 27 (5): 481-4.

    AbstractCritical illness intersects with the workload of rural doctors in Australia, mostly via their on-call responsibilities to rural hospitals. A significant proportion of these are prehospital incidents - vehicle crashes, farming injuries, bushfire etc. Effective care for such patients requires an integration of prehospital ambulance services, retrieval services and tertiary level trauma services all the way through to rehabilitation. Ambulance services in rural areas are often volunteer based, and with increasing remoteness via the 'tyranny of distance' comes the likelihood of increased delay in arrival of specialist retrieval services. Potential exists to utilise rural clinicians to respond to prehospital incidents in certain defined circumstances, as suggested by a recent survey of rural doctors.© 2015 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

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