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.
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Thyroid health into pregnancy
‘Without an adequate amount of thyroid hormone mothers can be exposed to hypertensive disorders of pregnancy, including gestational hypertension and preeclampsia or eclampsia, which affect around 10% of pregnant women and are the leading causes of maternal and neonatal mortality worldwide. Mothers who suffer from hypertensive disorders during pregnancy are at increased risk of long-term cardiovascular consequences and hypertensive disorders in subsequent pregnancies. Evidence also indicates a risk of reduced cognitive ability to their offspring.
‘Knowing if you are genetically predisposed to Hashimoto’s or Graves’ Diseases, which are both thyroid autoimmune disorders is important to be aware of, to ensure all appropriate tests are ordered. Autoimmune disorders may predispose mothers to a thyroid problem during pregnancy’, says Professor Creswell Eastman, who also serves as the ATF’s Principal Medical Advisor.
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Message from former Australian Health Minister Hon Greg Hunt
The Honourable Greg Hunt served in the Australian Government as Minster for Health and Aged Care from 2017, previously as Industry, Innovation and Science Minister and before that the Environment Minister.
Elected as the Member for Flinders in 2001, Greg announced his retirement from politics late 2021 and in 2022, ahead of the Federal Election, having completed 20 years as a public servant.
Australian Health Journal recently caught up with Greg in a relaxed interview at his home in the Mornington Peninsula, Victoria to hear how a 9 month sabbatical has allowed him to focus on family, fitness and future. This has even included some “brutal spin cycle classes!”.
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The focus on reducing instances of birth-trauma through trauma-informed care
Leading into Birth Trauma Week 2026, in an interview with Australian Health Journal, Dr Nisha Khot, President of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG), highlighted the growing focus on reducing birth trauma through trauma-informed, multidisciplinary care.
