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
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
Thanks to cfsscan.com for providing the pager feed.
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