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Photo by Michael Marston - Department of Emergency Services ...

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Aero-medical resources critical<br />

for envenomation responses<br />

It is no secret that Australia has a<br />

reputation for its deadly snakes,<br />

spiders and marine stingers, yet in<br />

reality, the number <strong>of</strong> casualties caused<br />

<strong>by</strong> these venomous creatures is low.<br />

On average, one or two people annually<br />

die from snake bites across the country,<br />

despite the fact that more than 3000<br />

bites are recorded each year.<br />

The incidence <strong>of</strong> marine envenomations<br />

is even lower, despite the popularity <strong>of</strong><br />

Australia’s world-famous beaches.<br />

Just a handful <strong>of</strong> deaths from stingrays<br />

have been recorded in Australia, while 68<br />

deaths have been caused <strong>by</strong> box jellyfish<br />

since 1883, and just two <strong>by</strong> Irukandji.<br />

However, despite this low rate, the vast<br />

physical size <strong>of</strong> Queensland means that<br />

a bite or sting in a rural or remote area<br />

can be life-threatening, and requires<br />

urgent action.<br />

“Most snake bites, with correct first<br />

aid, are survivable. A rapid medical<br />

response will increase the chances,<br />

but correct identification and the<br />

administration <strong>of</strong> antivenom are<br />

critical,” Queensland Ambulance<br />

Service Chief Medical Director<br />

Stephen Rashford said.<br />

To help emergency services providers<br />

respond swiftly to such incidents,<br />

the State relies on the Queensland<br />

<strong>Emergency</strong> Medical System (QEMS)<br />

– an integrated and coordinated<br />

system <strong>of</strong> care for the acutely ill and<br />

injured, with access to 17 aero-medical<br />

resources spread across the State.<br />

With 18 pilots, 16 aircrew <strong>of</strong>ficers, 15<br />

rescue crew <strong>of</strong>ficers, four engineers and<br />

four admin staff, EMQ Rescue is one <strong>of</strong><br />

the most sophisticated, well-resourced<br />

services, providing state-<strong>of</strong>-the-art<br />

equipment and medical care<br />

across Queensland.<br />

This network <strong>of</strong> helicopters is activated<br />

regularly to retrieve Queenslanders that<br />

have been bitten <strong>by</strong> some <strong>of</strong> the world’s<br />

deadliest creatures.<br />

So when a two-year-old presents in<br />

the Atherton Tablelands with a severe<br />

headache, nausea, unusual scratch<br />

marks on her left leg and localised<br />

bleeding, the response is activated<br />

via the QEMS Coordination Centre<br />

at Spring Hill in Brisbane.<br />

Her condition is monitored at the<br />

Mareeba Base Hospital, samples<br />

from the bite site are analysed using<br />

the highly accurate Venom Detection<br />

Kit and doctors determine she has<br />

been struck <strong>by</strong> a King Brown, one <strong>of</strong><br />

Australia’s most common snakes.<br />

16 EMERGENCY October 2006 www.emergency.qld.gov.au

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