South Australian Ambulance Service (SAAS)
The S.A. Ambulance Service (SAAS) uses the S.A. Government Radio Network (SAGRN) for all communications. A purpose built communications centre was opened in December 2003 at the S.A. Ambulance headquarters building in Eastwood, the centre has been equipped with state of the art technology to facilitate the transition from the previous VHF radio network to the SAGRN.
At 2000 hours on the 11/11/2014 the SA Ambulance Service switched to the digital mode on their radios, these talkgroups are also fully encrypted and can no longer be monitored on a scanner.
SAAS Emergency Operations Centre dispatch console
Ambulances are fitted with an XTL 2500 digital mobile GRN radio and two XTS 2500 portable radios. These radios are P25 digital compliant and have DES-OFB 128 bit encryption modules fitted.
Talkgroup layout in these radios consists of four blocks talkgroups;
Block 1 - Existing SAAS analogue channel plan
Block 2 - Digital encrypted - Motorola Astro (combined SAAS + SA Health channel plan)
Block 3 - Digital encrypted - Open standard P25 (combined SAAS and SA Health channel plan)
Block 4 - Multi agency and national simplex frequencies
All SAAS vehicles are also fitted with a Motorola Mobile Data Terminal (MDT). These provide paramedics with a range of in-vehicle applications including incident dispatch and mapping functions tightly integrated with the South Australia Computer Aided Dispatch (SACAD) system. It also provides paramedics real-time access to details of emergency incidents and related information, removing the reliance on time-consuming voice communications. The MDT system commuicates via the Telstra Next G mobile broadband network.
A Motorola MDT is fitted to all SAAS vehicles - Picture courtesy Adelaide Now
The SAAS Emergency Operations Centre (EOC) has been fitted out with nineteen Motorola Centracom consoles, nine are used for dispatch and five are in a separate training / special operations room. From the console the operator can access radio and telephone functions as well as logging vehicle movements and taking emergency telephone calls. Some of the dispatch desks have electric raise and lower capabilities for increased operator comfort.
SAAS Emergency Operations Centre dispatch console
All communications for the state are handled through the Adelaide communications centre. Previously regional communications centers handled their own radio traffic, however the Riverland communications facility was closed in November 2002, the Mount Gambier centre in December 2003, and the North West comcen closed on December 10th 2004.
A number of talkgroups are used for dispatching emergency and non emergency taskings, as well as hospital consults and helicopter retrievals. The metropolitan ambulances are split amongst four talkgroups between 0700 and 2300 hours, between 2300 and 0700 all northern crews use Metro North 02 and the southern crews use Metro South 03.
Metro North - Talkgroup 2
Gawler, Playford, Redwood Park, Campbelltown, Parafield
Metro South - Talkgroup 3
Aldinga, McLaren Vale, Noarlunga (including SL104), Seaford, OHalloran Hill, Marion, Mitcham, Camden Park, Ashford, Stirling
Metro Central North - Talkgroup 10
Prospect, Port Adelaide, Sprint H703 and H704 day and H713 and H714, PA50 & PA56, Fulham
Metro Central South - Talkgroup 11
Brooklyn Pk, Parkside, Sprint Sprint H701 and H702 day and H711 and H712, ALL ECP units
The metropolitan ambulance transfer service (ATS non emergency transfers) are tasked on talkgroup 14 METRO ATS.
Country ambulances operating south of the city across to the Riverland and down to the South East of the state operate on talkgroup 71 SE TASK 1. Ambulances north of Gawler and in the western areas of the state are coordinated on 81 NW TASK 1. For major incidents, or extended liaison talkgroup 79 SE SPECIAL INCIDENT and talkgroup 89 NW SPECIAL INCIDENT are used.
The S.A. Ambulance service is also responsible for the coordination and dispatch of the state rescue helicopters, they operate on talkgroup 51 HELICOP TRK, they also have allocated to them SAAS simplex channel 52 HELICOP SPX (411.975 mhz) and VHF marine channel 88 (157.425 mhz) for situations where close range communications are required.
The Medstar retrieval service is coordinated through the SAAS EOC, and utilise the talkgroup 15 ADMIN STAFF
Dispatch
The SA Ambulance Service utilise a dispatch system called 'Medical Priority Dispatch System' (MPDS). This process starts with the dispatcher asking the caller key questions. These questions allow the dispatchers to categorize the call by chief complaint and set a determinant level ranging from A (Minor) to E (Immediately Life Threatening) relating to the severity of the patient's condition.
An example of how the SA Ambulance call taking and dispatch system works can be seen in this short video.
All calls for assistance made to the ambulance service are categorized according their nature and priority, the category placed on each tasking is relayed to the ambulance crew as the job is given out over the radio advising them of the urgency of the call.
Category |
Assessment |
Lights & Sirens used |
1 |
Failed primary assessment, life threatening, two ambulances (minimum 4 paramedics) automatically dispatched |
Yes |
2 |
Failed secondary assessment, possibly life threatening |
Yes |
4 |
Routine job, active treatment required |
No |
5 |
Routine job, possible treatment required |
No |
6 |
Transfer, treatment required, patient stable |
No |
7 |
Transfer, observation required |
No |
8 | Transfer, no treatment required |
No |
9 | Crewing station, change/standby at location |
No |
Paging
Once the incident details are known the job is dispatched to the crew using the South Australian Computer Aided Dispatch (SACAD) system. This system provides an interface between MPDS, the MDT data network and the SAGRN paging system used to alert Ambulance crews.
Career stations are staffed 24 hours a day and all crews carry a pager, this recieves basic job information from the dispatcher, the crew then call up on air using their SAGRN radio to acknowledge that they have received the details on the MDT fitted to their vehicle.
The on-call volunteers carry a pager and can remain at home and only need to respond to the ambulance station when paged, some of the busier volunteer stations (Goolwa, Mallala, Mt Pleasant etc) do however often remain at the station until called.
A pager message is generated using the format below:
Crew Callsign |
Priority |
Notes |
Address |
Map Ref. |
Event # / Case # |
Dispatch Time |
MPDS Code |
BE71 |
PR: 7 |
: @BEHL |
LOT 603 CORNWALL ST BERRI |
SBI 1 F 7 |
D0489 |
Disp: 14:19 |
DISCHARGE |
BP71 |
PR: 2 |
: 3 CAR MVA |
188 MARION RD RICHMOND |
129 D3 |
D0111 |
Disp: 08:30 |
HEALTH CARE |
The first example is a transfer case from Berri Hospital (alias @BEHL). The second is a motor vehicle accident case, referred to SAAS by a health-care practitioner (Nurse, Doctor or Paramedic).
MPDS codes
Code |
Chief Complaint |
Code |
Chief Complaint |
1 |
Abdominal Pain/Problems |
20 |
Heat/Cold Exposure |
2 |
Allergic Reactions/Animal Stings/Envenomation |
21 |
Hemorrhage/Lacerations |
3 |
Animal Bite |
22 |
Inaccessible Incident/Entrapments |
4 |
Assault/Sexual Assault |
23 |
Overdose/Poisoning (Ingestion) |
5 |
Back Pain (Non-Traumatic/Non-Recent) |
24 |
Pregnancy/Childbirth/Miscarriage |
6 |
Breathing Problems |
25 |
Psychiatric/Suicide Attempt |
7 |
Burns/Explosions |
26 |
Sick Person |
8 |
Carbon Monoxide/Inhalation/HazMat |
27 |
Stab/Gunshot/Penetrating Trauma |
9 |
Cardiac or Respiratory Arrest/Death |
28 |
C.V.A (Stroke) |
10 |
Chest Pain |
29 |
Traffic/Transportation Accidents |
11 |
Choking |
30 |
Traumatic Injuries |
12 |
Convulsions/Seizures |
31 |
Unconscious (Near) |
13 |
Diabetic Problems |
32 |
Unknown Problem (Man Down) |
14 |
Drowning/Diving/SCUBA Accident |
RTVL |
MedSTAR Retrieval Escort |
15 |
Electrocution/Lightning |
DISCH |
Discharge Transfer |
16 |
Eye Problems/Injuries |
ADM |
Admission Transfer |
17 |
Falls |
TFR |
Inter-Facility Transfer/Palliative Care |
18 |
Headache |
OPD |
Out-patient Department Transfer |
19 |
Heart Problems/A.I.C.D. |
HCP |
Health-care Practitioner Referral |
36 |
Flu-Like Symptoms |
ESO |
Emergency Support Override |
VM |
Vehicle Movement |
CD |
Call Direct |
Callsigns
Vehicle call signs are assigned at the start of a shift, generally call signs consist of the name of the station the crew is from followed by a number identifying their start time and another number designating their vehicle status. An 0700 starting emergency shift from Marion station would have the call sign Marion 71, an 1800 starting shift from Mitcham would be Mitcham 181. An ATS crew from Noarlunga starting at 0700 would be Noarlunga 77.
The last number in the call sign identifies what type of ambulance the crew have.
Last number identifier | Crew type |
No number | Emergency |
1 | Emergency |
2 | Emergency |
3 | Emergency |
4 | Emergency |
5 | Ambulance Transport Service Plus (two ATS officers with Certificate 4 BEC training) |
6 | Ambulance Transport Service Plus (two ATS officers with Certificate 4 BEC training) |
7 | Ambulance Transport Service Plus (two ATS officers with Certificate 4 BEC training) |
8 | Ambulance Transport Service (Shift starting on the hour) |
9 | Ambulance Transport Service (Shift starting on the half hour) |
40 / 400 | Sporting standbys / Level 4 volunteer crews that cannot transport patients |
88 | Volunteer on call crew |
Country Callsigns
CO2 |
Operations Team Leader (Country) |
CO3 |
OM Adelaide Hills & Barossa |
CO32 |
RTL Clare District |
CO33 |
RTL Barossa / Light |
CO34 |
RTL Adelaide Plains |
CO35 |
RTL Northern SAARTS |
CO4 |
OM Lower Murray / Fleurieu / Kangaroo Island |
CO42 |
RTL Coorong |
CO43 |
RTL Fleurieu |
CO44 |
RTL Southern SAARTS / Meadows |
CO45 |
RTL Kangaroo Island |
CO5 |
OM Mid North / Yorke Peninsula |
CO53 |
RTL Upper Yorke Peninsula |
CO54 |
RTL Lower Yorke Peninsula |
CO55 |
RTL Mid Yorke |
CO56 |
RTL Mid North |
CO57 |
RTL Upper Mid North |
CO6 |
OM Murray Mallee |
CO62 |
RTL Lower Murray Mallee |
CO63 |
RTL Upper Murray Mallee |
CO7 |
OM Limestone Coast |
CO72 |
RTL Upper Limestone Coast |
CO73 |
RTL Central Limestone Coast |
CO74 |
RTL Lower Limestone Coast |
CO8 |
OM Far North / West Coast |
CO82 |
RTL Flinders |
CO83 |
RTL West Coast |
CO84 |
RTL SECU / Roxby Downs |
CO85 |
RTL Lower Eyre Peninsula |
CO86 |
RTL Upper Eyre Peninsula |
CP1 |
Community Paramedic - Ceduna |
CP2 |
Community Paramedic - Ceduna |
CP4 |
Community Paramedic - Limestone Coast |
CP40 |
Community Paramedic - Limestone Coast |
Other callsigns include:
Sierra Oscar | Special Operations Team |
Mike Delta | Metro shift manager, normally one North and one South |
Delta Romeo | Doctors |
Delta Tango | Driver training vehicles |
Alpha Mike | Area Manager |
Oscar Mike | Operations Managers |
Charlie Sierra | Clinical Support Officers |
Mike Hotel | Assessment & Crisis Intervention Service (ACIS) Mental Health teams |
Papa Sierra | Psychiatric Transfer Assistant |
Lima Sierra | Lateral Area Team leader South |
Lima Whiskey | Lateral Area Team leader West |
Lima Echo | Lateral Area Team leader East |
Limo November | Lateral Area Team leader North |
Hotel 7** | Single Paramedic Rapid Intervention Team (SPRINT) |
Hotel 4** | Single responder from Eastwood Headquarters |
Bravo 60* | Pushbike patrols |
Delta Tango | Driver Training |
Lima Tango | Ambulance Transport Service - Team Leader |
Echo Charlie | Extended Care Paramedic |
SAAS Infection Control Precautions and Cleaning
Often abbreviated on the radio to P1 - L1
Precautions:
P1 Contact
P2 Contact, Droplet, Eye
P3 Contact, Droplet, Eye, Non Pregnant
P4 Contact, Droplet, Eye, Airborne
P5 Contact, Droplet, Eye, Airborne, Immunity
P6 Droplet, Eye
P7 Contact, Immunity
P8 Airborne
P9 Droplet, Eye, Airborne
Cleaning:
Level 1 Use detergent and water to clean stretcher and all surfaces in ambulance touched by patient or crew.
Level 2 Use detergent and water the appropriate disinfectant solution to clean stretcher and all surfaces in ambulance touched by patient or crew.
Level 3 Use detergent and water to clean stretcher and all surfaces in ambulance.
Level 4 Air ambulance and use detergent and water to clean stretcher and all surfaces in ambulance.
Level 5 Air ambulance and use detergent and water then appropriate disinfectant solution to clean stretcher and all surfaces in ambulance
Old radio layout - GME UHF CB / MCS2000 GRN / FM 900 VHF
Updated 29/7/20