Sharing Emergency Medical Service informations

mise à jour/update : 25/03/08 - Bienvenue - Bienvenido - Welcome on EMS World Tour, the EMS website

















on

Page

Page

Page
(gyro93 & Alex)

Page events

Page PRESS (livres & books)

(french only)







SEND US INFORMATIONS
ABOUT EMS IN YOUR
COUNTRY...CLICK HERE

Looking for...
EMS Worldtour project
come to HERE


An example of EMS Worldtour page,
see



(NHS ambulance service campaign)















AUSTRALIE

COUNTRY INFORMATIONS:

 

CAPITALE CANBERRA
REGIME Monarchie parlementaire

6 états, 2 territoire

SUPERFICIE 7 741 220
POPULATION 19 400 000
MEDECINS (pour mille) 2.5

haut de page

E.M.S. ORGANISATION:

Chaque région a son propre EMS

Ce sont des services autonomes des autres services de secours, armés par des professionnels avec peu de volontaire.

Le personnel (ambulance officer) est titulaire d'un diplôme des sciences avancés de la santé et travail sur protocoles.

Les médecins et infirmiers (du moins pas en tant que tel) ne participent pas aux secours pré hospitaliers.

L'un des problèmes de l'Australie est la taille du pays, ces communautés reculés et les délais des transports, ils utilisent peu l'hélicoptères mais plus l'avion .

Modèle du service ambulancier  de New South Wales (par...) 

Etat du NSW et de la ville de Sydney

L’état du New South Wales (Nouvelle-Galles du Sud) se trouve au sud-est de l’Australie. Il compte quelque 6.1 millions d’habitants. Sa superficie est de 802 000 km2, soit environ 1000 km de largeur et 800 km de longueur, ce qui représente 20 fois la superficie de la Suisse (41 000 km2).

Quant à Sydney, c’est la plus grande ville d’Australie, mais pas la capitale. Cette cité a été construite autour d’une baie de l’Océan Pacifique et compte 3.6 millions de résidants.

L’Etat du NSW, pour lequel il n’y a qu’une seule et unique compagnie d’ambulances, gérée par l’état, compte environ 1 200 ambulances, pour 150 centrales. En 1990, on dénombrait déjà plus de 600 000 patients par an transportés à l’hôpital. Pour la ville de Sydney uniquement, nous trouvons une quinzaine de bases réparties entre le nord et le sud de la baie. Sur ces 15 bases, 5 sont dotées d’ambulances " Intensive care " (soins intensifs) avec un équipage " Paramedic " ainsi qu'une flotte de motards " Paramedics ", plus rapide à intervenir qu’une ambulance vu la densité importante du trafic en ville.

Pour devenir un ambulancier " Paramedic " il faut un minimum de 5 ans de service. Ces 5 années servent à l’apprentissage du métier d’ambulancier. Dès que la personne s’engage comme ambulancier, elle intègre immédiatement une des centrales d’ambulances afin d’exercer sa nouvelle profession.  

1ère année : formation de base.

2ème et 3ème : mise en pratique des techniques apprises durant la 1ère année.

4ème année : possibilité de devenir " A.L.S. " (Advanced Life Support = MUA en Suisse), avec un examen.

5ème année : accès au titre de " Paramedic ", après examen.

Durant toutes ces années, des semaines de cours sont agendées dans une école spécialement prévue pour les ambulanciers du NSW.

Si un ambulancier ne désire pas atteindre le niveau de " Paramedic ", il est tout à fait possible pour lui de rester à un niveau inférieur.

Une fois arrivé au titre susmentionné, il est possible de suivre une formation supplémentaire du nom de " S.C.A.T " (Special Casualty Access Team = GSTD suisse), ce qui permet entre autre de devenir membre d’équipage d’un hélicoptère de sauvetage.

Quant aux compétences du " Paramedic " par rapport à celle de l’ambulancier IAS (ambulancier Suisse), elles sont un peu plus importantes. En effet, comme aucun médecin ne vient renforcer le travail de l’ambulance, le " Paramedic " a sur protocole la possibilité de donner des médicaments d’urgence tels que l’Adrénaline, Morphine, Xylocaïne, Narcan, Atropine, DHBP, Lasix, etc.. De plus, il est autorisé à pratiquer la ponction d’un pneumothorax sous tension ainsi que l’intubation endotrachéale sur des patients avec un score de Glasgow à 3.

Les 1 200 véhicules sont équipés d’appareils électroniques tels que Propaq ou Kritikon et les ambulances " Intensive care " sont dotées d’un défibrillateur Life Pack 10 ainsi que d’un appareil portable comprenant la Spo2 ainsi que les pouls.

Pour la contention, nous trouvons uniquement des attelles de traction, des minerves Stifneck, ainsi qu’une planche de sauvetage. De plus, il n’y a ni civière à aubes, ni matelas ou attelles vaccum.

L’équipage des hélicoptères "Care flight" est composé de 4 personnes : un pilote, un assistant de vol-treuilliste, un médecin-réanimateur et un ambulancier " Paramedic/SCAT ".

La police dispose d'une unité de Rescue Squad, souvenez vous de la série télé Sydney police

 

MAS Paramedics have the skills and equipment to:

  • Monitor the heart.
  • Recognise abnormal heart rhythm and defibrillate where necessary.
  • Identify and treat potential and actual time critical injuries.
  • Administer oxygen.
  • Administer pain relief, including penthrane.
  • Identify heroin overdose and administer Narcan by intramuscular injection.
  • Identify and treat other drug overdose.
  • Administer glucagon to hypoglycaemic diabetics by intramuscular injection.
  • Identify and treat asthmatic patients with nebilised salbutamol.
  • Administer aspirin in suspected cases of heart attack.

In the most significant enhancement of pre-hospital patient care since the introduction of MICA to Melbourne 29 years ago, MAS Ambulance Paramedics began upgrading their skills to Advanced Life Support level through a service wide training program.

The training program will result in Ambulance Paramedics having

  • Wider options for pain relief including intravenous morphine
  • Advanced airway management skills and equipment
  • Skills to insert a catheter into the chest cavity to relieve life threatening pressure from severe chest injury
  • The skills to provide intravenous drug therapy for cardiac arrest and fluid replacement for trauma patients.

Paramedics have the option of fast track qualification through the university system or the staged internal training program.

We are steadily increasing the number of MICA Paramedics to increase the availability of our highest skill levels to patients.

 
MAS MICA Paramedics have the knowledge to determine appropriate clinical intervention in life threatening circumstances and the skills to:

  • Insert intravenous cannulae for drug and fluid administration.
  • Insert endotrachael tube to secure patient's airway.
  • Insert intra osseous cannulae for drug and fluid administration in paediatrics.
  • Treat life threatening pneumothoracies.
  • Synchronised cardioversion of appropriate cardiac rhythms, and all other procedures contained in the Ambulance Service Victoria Clinical Practice Guidelines.

The education of MAS MICA Paramedics emphasises clinical decision-making. This goes beyond clinical skill precision to include greater detail in anatomy, physiology, pathophysiology and pharmacology thereby increasing capacity to make clinical decisions without medical consultation.

According to the information provided to the Communications Centre, MAS emergency ambulances are responded:

Code 1:   A time critical case ( ambulance proceeds with lights and sirens )

Code 2:   An acute, non-time critical case ( ambulance proceeds without lights and sirens )

Code 3:   A non-acute or routine case

The Metropolitan Ambulance Service (MAS) continues to lead Australia in recognising the potential value of first responder programs to the community.

MAS is committed to support programs which strengthen the chain of survival, the series of actions required to maximise the chances of survival of cardiac arrest patients ie:

  • Early access to ambulance via 000 from onset of symptoms.
  • Early CPR (cardiopulmonary resuscitation).
  • Early cardiac defibrillation (the electric shock which can return the heart to normal rhythm).
  • Early access to advanced cardiac life support as provided by MAS MICA Paramedics.

MAS supports the volunteer first responder initiatives of the Craigieburn and Kinglake Community Emergency Response Teams and the Jewish Community's Hatzolah.

In 1998 the service took a leading role in the development of a pilot program involving the training and equipping of Metropolitan Fire and Emergency Services Board officers to simultaneously respond with ambulance in cases of suspected cardiac arrest, in Melbourne's eastern and south eastern suburbs. In November 1999, the Minster for Police Emergency Services announced the extension of the pilot to the total Metropolitan Fire Brigade Area.

The Role Of The Ambulance Paramedic

As an integral part of a patient health care team, the Ambulance Paramedic provides pre-hospital care and treatment for sick and injured people through attempting to stabilise and/or improve the patient's condition in preparation for and during transportation to hospital. An Ambulance Paramedic must have:

  • Verbal and quantitative reasoning ability
  • A high level of medical and physical fitness
  • Problem Solving skills
  • Interpersonal skills
  • Verbal and Written Communication skills
  • Planning & Organising skills
  • Client Service Orientation
  • Integrity
  • Tolerance for Stress
  • Teamwork skills

Once employed by MAS, the following career opportunities exist:

  • Clinical Instructor
  • MICA Paramedic
  • Clinical Support Officer
  • Flight Paramedic
  • MICA Flight Paramedic
  • Team Manager
  • Group Manager
  • Senior Management

Recruitment Opportunities

MAS currently recruits 4 streams of entry for recruitment of Ambulance Paramedics — Standard Entry Student Ambulance Paramedics, Graduate Paramedics, Critical Care Student Ambulance Paramedics and Qualified Paramedics working with other Australian and overseas Ambulance Services.

All applicants must be Australian Citizens or possess a permanent resident visa and must hold a Full Victorian Driver's Licence (not a Probationary Licence). MAS can employ experienced Ambulance Paramedics who are not permanent residents but have the right to work in Australiaonly where their RPL assessment equates them to a fully qualified MAS Ambulance Paramedic or MICA Paramedic.

Streams Of Entry

Standard Entry

MAS advertises for these positions on an as needs basis in the medical sections of The Age and Herald Sun newspapers in Melbourne, Australia.

All applicants must be Australian Citizens or possess a permanent resident visa and must hold a Full Victorian Driver's Licence (not a Probationary Licence). There are no specific qualification or experience prerequisites for Standard Entry applicants. Applicants are required to sit a series of initial tests as part of the selection process to assess their ability to undertake tertiary study. Successful Standard Entry applicants become full time , fully paid employees of MAS and will complete the 3 year Diploma of Ambulance Paramedic Studies (DAPS) as part of their employment with MAS to become a Qualified Paramedic.

For detailed information regarding the selection process for Standard Entry Student Ambulance Paramedics please view Career information — Standard Entry August 2005 (142k PDF)

Applicants must have successfully completed at least the first year (and be currently undertaking at least their second year) of a recognised Ambulance qualification at an Australian/New Zealand University. All clinical units of the degree must have been completed prior to commencement with MAS.

In Melbourne Victoria, Wellington New Zealand and Auckland New Zealand, the Bachelor of Health Science - Paramedic Studies is offered at Victoria University (VU) on a 3 year full-time or 6 year part-time basis. Monash University (Peninsula Campus, Melbourne) offers a Bachelor of Emergency Health — Paramedic program, which is also available on a 3 year full-time or 6 year part-time basis. We also recognise similar qualifications from Charles Sturt (NSW) and Flinders University (SA). These universities should be contacted directly regarding course information and any entrance requirements.

Successful applicants become FULL TIME , fully paid employees of MAS. They will complete a two year, practical training program with MAS and must also complete any outstanding University components in order to become a Qualified Paramedic.

For detailed information regarding the selection process for Graduate Paramedics please view Career information — Graduate Paramedics August 2005 (124k PDF)

CRITICAL CARE

Critical Care applicants must be a Registered Nurse Division 1 with a current Practising Certificate and 2 years post qualification experience in an approved 24 hour metropolitan public ED, CCU or ICU, or a private or country ED within a hospital with a DHS accredited level 1, 2 or 3 CCU (for approved hospital lists click on the link below). Successful applicants become FULL TIME , fully paid employees of MAS and will complete the 1 year Diploma of Ambulance Paramedic Studies (DAPS) as part of their employment with MAS to become a Qualified Paramedic.

For detailed information regarding the selection process for Critical Care Student Ambulance Paramedics please view Career Information — Critical Care August 2005 (129k PDF)

QUALIFIED PARAMEDICS

Applications for these positions are currently CLOSED . Interested applicants can contact the MAS Human Resources Department at any time to register an interest in these positions on (03) 9840 3688 or e-mail human.resources@mas.vic.gov.au . Please provide your name, mailing address, email address and contact phone numbers.

MAS recruits experienced, qualified paramedics from within Australian and overseas Ambulance Services at various times throughout each year.

MAS will contact all applicants who have registered when these positions are being advertised. As soon as recruitment dates are known, they will also be published on the website.

Police Rescue Squad

Hélicoptère pédiatrique

 

LÉGISLATION AVERTISSEURS:

AVERTISSEURS LUMINEUX

TOURNANTS ET ECLATS

AVERTISSEURS SONORES

RISES AND FALS

NUMERO D'APPEL:

POLICE - FIRE - AMBULANCE

000

AMBULANCE

144

MOYENS:

PARAMEDIC

1AO ou 1 ALS + 1 EMT-P

MICA PARAMEDIC

1 ou 2 EMT-P

Code 1: détresse vitale

Code 2: pas de détresse

Code 3: transport ou mission de routine

 

NIVEAU FORMATION:

AMBULANCE OFFICER

6 semaines + 12 mois de stage + 4 semaines + examen

ALS

(3ans d'ancienneté) + 12 semaines

PARAMEDIC

   ( 5 ans d'ancienneté) + 16 semaines

et repasse ses diplômes tous les 2 ans

 

haut de page

DOCUMENTS:

haut de page

SPÉCIAL:

haut de page

INFOS:

www.ambulance-vic.com.au

www.esb.act.gov.au/as/zprotocol.htm

www.acap.org.au/index.php

www.aevp.org/

www.colacambulance.com/

www.tripleoneclub.etoyholic.com/index.htm

www.tasmanianambulancevolunteers.asn.au/

 

 

 

 

 

haut de page

 




(c) James 2006 - CONTACT - ADVERTISING - CREDIT - THANKS