PATIENT-PARAMEDIC TRUST CAN HELP FREE UP EMERGENCY DEPARTMENTS
Dr Robbie King,
Senior Advanced Care Paramedic/Community Paramedic,
Sunshine Coast District, Birtinya Station, Queensland Ambulance Service &
Lecturer & Researcher (Paramedicine), Australian Catholic University (ACU)
PEOPLE IN HEALTH CARE SEGMENT
Filmed in Brisbane, Queensland | December 2024
Dr. Robbie King is a Senior Advanced Care Paramedic with the Queensland Ambulance Service and a community paramedic. He is also a lecturer at the Australian Catholic University in Brisbane. After studying paramedicine and working as a student paramedic since 2009, he recognised that most patients attended by ambulance services did not require emergency interventions.
About a decade ago, Queensland Ambulance implemented the Local Area Assessment and Referral Unit, a community paramedic program. In his role at Queensland Ambulance Service, Dr. King has spent the past six years focusing on patients who may not need traditional emergency responses. His work involves performing enhanced assessments to understand patients’ psychosocial needs and determining appropriate healthcare pathways.
Dr. King’s PhD research consisted of quantitative and qualitative studies. The quantitative study analysed data from 1.5 million people who contacted New South Wales Ambulance Service, revealing that 12.6% were not transported to emergency departments. Notably, around 43% received emergency responses, yet many were found simply in need of reassurance.
The qualitative study involved interviews with 21 subjects from various regions, leading to the development of a theory centred on self-efficacy. The findings indicated that patients often experienced a loss of independence but gained self-reliance and confidence through compassionate, competent care from paramedics, allowing them to better manage their circumstances after the paramedics left.
Australian Health Journal spoke with Dr Robbie King earlier this year on his findings and what it could mean for paramedicine policy, education and practice.
-
Role of milk in cognitive function and quality of life in older adults
New research emphasises the role of cows’ milk, particularly A1 protein free milk, in enhancing cognitive function and quality of life for older adults with mild cognitive impairment (MCI). A multi-centre, double-blinded, randomised controlled clinical study published in *The Journal of Nutrition, Health and Aging* evaluated 88 milk-tolerant Chinese adults aged 65-75 over three months. Participants consumed either ordinary skim milk or A1 protein free skim milk, leading to improvements in various cognitive assessments.
-
Cardiologist broadens Tasmania’s surgical abilities
Dr Heath Adams is a Tasmanian born, bred and educated interventional and structural cardiologist who works at Hobart Private and Royal Hobart Hospital and is a researcher through the Menzies Research Institute.
Dr Adams clinical interest and expertise is in the management of aortic stenosis, valvular heart disease and acute coronary syndromes. Dr Adams performs coronary interventions including stenting, and structural heart interventions including TAVI, mitral edge to edge repair, mitral valve replacement and left atrial appendage closure. In 2020, Heath performed the first TAVI in Tasmania, is the clinical lead for the local program at the Royal Hobart Hospital and is a nationally accredited TAVI practitioner.
-
Michelle Fenwick – Northern Health
The outskirts of Melbourne is experiencing significant population growth over the next 10 years and Northern Health has taken preemptive steps to ensure the supply of new talented healthcare staff as well as develop the culture of the workplace.
Michelle Fenwick, the Executive Director of Northern Health spoke with our reporter Anne Dao on the challenges of this urban growth over the past 3 years. By 2031 the region is expected to increase in population by 63%. Added to this is hiring and training the right workforce to align with the clinical care needs of people coming into the healthcare centres.
Culture is forming in a growing organisation with approximately 70% of staff having been at Northern Health less than 4 years. However there is opportunity for clinical staff to accelerate their career in such an environment
