Paramedics adapt to alpine conditions during 2025 winter season
Not far from the Front Valley sits a NSW Ambulance station surrounded by snow.
In the distance, a skier is spotted taking a tumble.
They get back up and dust off the snow before continuing down the slope.
It's a reminder of how dangerous ski fields can be.
Several injuries and, tragically, one death, have been reported on the slopes this winter.
"We're up over 90 incidents, both within the resort and back country jobs," said Mark Gibbs, NSW Ambulance's associate director of southern sector.
He said the start to the season was probably one of the busiest.
There has been a dedicated, seasonal team of paramedics based at Perisher Valley since 1986, and for good reason too.
They respond to an average of 200 jobs each winter.
This year, about 20 paramedics have worked in rotation at Perisher, with eight days on, six days off.
Most typically work from 8am to 6pm, but they remain on call in case there are jobs overnight.
Those stationed on the mountain live in a share-house together but can go home on their days off.
Some paramedics are working here the full three months, others a few weeks.
It's a sought-after assignment.
"It's a very, very selective process, and very competitive. There's lots of staff that are looking to come here," Mr Gibbs said.
"That's why we have quite a stringent assessment to identify the right people with the right skill set."
Some paramedics here have 25 years of experience working in the alps, but there are some fresh faces too.
Trainee Charles Milne, 31, has been a paramedic for 10 years.
He's normally based in Wagga Wagga, but is working in the snow for the first time.
"The medicine remains the same, but we have to adapt it to a challenging environment," he said.
Mr Milne is not fully out of his comfort zone in the alps, given he's an experienced snowboarder.
But he underwent an extensive induction process to prepare himself for the job, including back country training, avalanche training as well as specialist over-snow vehicle training.
The team at Perisher have just received four new snowmobiles to replace older models and they have been integral to accessing injured patients quickly.
"The snowmobiles allow our teams to get to the patients in, like a rapid responder, like a motorbike," Mr Gibbs said.
"It's to get to the patients in a timely manner."
Along with the four snowmobiles, paramedics also have access to two 4WD vehicles, and two larger over-snow vehicles.
One is a snowcat, also known as The Kassbohrer, while the other, The Hagglund, is an all-terrain carrier on lease from Antarctica.
The fleet is vital to accessing not only the main slopes, but the back country too.
"One of my first cases was a gentleman that had injured himself cross-country skiing up near Porcupine Rocks," Mr Milne said.
"The first responders went out on the snowmobiles, reached the patient and then determined that we were going to bring them back in the over-snow vehicle.
"We see a lot of fractured legs, a lot of fractured arms … as well as heart attacks and strokes.
"Broken legs is probably the thing we've seen the most this week.
Amid the challenges of the job, the paramedics are finding the reward in helping others.
"When family members meet us at the bottom of the hill or as we're loading into the ambulance, there's lots of thanks," Mr Milne said.
"Up here, people are on holidays, so it's that added stress for them.
"When we're able to take that stress away and tell them that their relative is going to be OK and that we're going to get them off to the care they need, that's hugely beneficial."

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ABC News
3 days ago
- ABC News
Paramedics adapt to alpine conditions during 2025 winter season
As skiers and snowboarders make their way up the snow-covered mountains at Perisher Valley, a nearby team of paramedics keeps a watchful eye. Not far from the Front Valley sits a NSW Ambulance station surrounded by snow. In the distance, a skier is spotted taking a tumble. They get back up and dust off the snow before continuing down the slope. It's a reminder of how dangerous ski fields can be. Several injuries and, tragically, one death, have been reported on the slopes this winter. "We're up over 90 incidents, both within the resort and back country jobs," said Mark Gibbs, NSW Ambulance's associate director of southern sector. He said the start to the season was probably one of the busiest. There has been a dedicated, seasonal team of paramedics based at Perisher Valley since 1986, and for good reason too. They respond to an average of 200 jobs each winter. This year, about 20 paramedics have worked in rotation at Perisher, with eight days on, six days off. Most typically work from 8am to 6pm, but they remain on call in case there are jobs overnight. Those stationed on the mountain live in a share-house together but can go home on their days off. Some paramedics are working here the full three months, others a few weeks. It's a sought-after assignment. "It's a very, very selective process, and very competitive. There's lots of staff that are looking to come here," Mr Gibbs said. "That's why we have quite a stringent assessment to identify the right people with the right skill set." Some paramedics here have 25 years of experience working in the alps, but there are some fresh faces too. Trainee Charles Milne, 31, has been a paramedic for 10 years. He's normally based in Wagga Wagga, but is working in the snow for the first time. "The medicine remains the same, but we have to adapt it to a challenging environment," he said. Mr Milne is not fully out of his comfort zone in the alps, given he's an experienced snowboarder. But he underwent an extensive induction process to prepare himself for the job, including back country training, avalanche training as well as specialist over-snow vehicle training. The team at Perisher have just received four new snowmobiles to replace older models and they have been integral to accessing injured patients quickly. "The snowmobiles allow our teams to get to the patients in, like a rapid responder, like a motorbike," Mr Gibbs said. "It's to get to the patients in a timely manner." Along with the four snowmobiles, paramedics also have access to two 4WD vehicles, and two larger over-snow vehicles. One is a snowcat, also known as The Kassbohrer, while the other, The Hagglund, is an all-terrain carrier on lease from Antarctica. The fleet is vital to accessing not only the main slopes, but the back country too. "One of my first cases was a gentleman that had injured himself cross-country skiing up near Porcupine Rocks," Mr Milne said. "The first responders went out on the snowmobiles, reached the patient and then determined that we were going to bring them back in the over-snow vehicle. "We see a lot of fractured legs, a lot of fractured arms … as well as heart attacks and strokes. "Broken legs is probably the thing we've seen the most this week. Amid the challenges of the job, the paramedics are finding the reward in helping others. "When family members meet us at the bottom of the hill or as we're loading into the ambulance, there's lots of thanks," Mr Milne said. "Up here, people are on holidays, so it's that added stress for them. "When we're able to take that stress away and tell them that their relative is going to be OK and that we're going to get them off to the care they need, that's hugely beneficial."


The Advertiser
28-07-2025
- The Advertiser
'My first thought was my kids won't remember me': mum's scary diagnosis
The hardest thing for Amanda Russell is the thought of leaving her three young children and husband behind. Amanda, 44, of Murrays Beach, was diagnosed with stage-four breast cancer last month. "My first thought was my kids won't remember me," she said. "And my husband Adam and I won't get to grow old together. "I'm not scared for me, I'm scared for them. My kids will have to grow up without a mum." Friend Alyssa Blenkey has started a GoFundMe, titled "Help Amanda Fight for More Time With Her Babies". "Amanda is a dedicated mum and paramedic who's always put others first. Now she needs our help," Alyssa said. She says Amanda is a "vibrant, strong and witty woman" with a big heart. "Despite everything, Amanda remains determined to fight and soak up every hug, bedtime story and messy breakfast." Her breast cancer diagnosis didn't come in the standard way. "I didn't have a lump in my breast. It was discovered because I had hip pain," she said. "I was diagnosed with bone metastases. Being a paramedic, I knew straight away what that meant." The devastating diagnosis has changed her priorities. "If I can't do all the things I imagined for the rest of my life, I have to ask myself what are the most important things from now." Curtis, Hayden and Ruby are aged 10, nine and six. "I want to make as many core memories with them as I can, especially with my six-year-old because she's so young," she said. Amanda and Adam are both paramedics. "They have spent their lives caring for others, showing up in people's darkest moments with strength and compassion," Alyssa said. They are both off work as Adam is having knee surgery. Amanda left NSW Ambulance after 21 years because she developed PTSD. "I work in the private sector now as a paramedic," she said. "At the moment, I can't work as I have a fracture in my spine." She dreamed of being a paramedic since high school and started in the role at age 21. "I loved my career. I was devastated when I had to leave," she said. "It was a very rewarding job, but it's also very difficult." Her cancer treatment has consisted of endocrine therapy with hormone blockers. Breast surgery isn't suitable, as the cancer has spread too far. "I've just had a hysterectomy. That's to stop the oestrogen, which is making the cancer grow." Amanda sought to highlight that free mammograms through BreastScreen NSW are aimed at women over 50. "You can now get a mammogram free from age 40, but they won't invite you to have one until you're 50," she said. BreastScreen NSW states that women in their 40s "are eligible and welcome" to get free mammograms. Indigenous people are "recommended to do a breast screen from age 40". "More than 75 per cent of breast cancers are found in women aged over 50." Amanda was previously told by a doctor that she was "too young to have a mammogram". "Had I had one at 40, would that have made a difference? I'll never know," she said. "There needs to be more education that mammograms are free from age 40." The hardest thing for Amanda Russell is the thought of leaving her three young children and husband behind. Amanda, 44, of Murrays Beach, was diagnosed with stage-four breast cancer last month. "My first thought was my kids won't remember me," she said. "And my husband Adam and I won't get to grow old together. "I'm not scared for me, I'm scared for them. My kids will have to grow up without a mum." Friend Alyssa Blenkey has started a GoFundMe, titled "Help Amanda Fight for More Time With Her Babies". "Amanda is a dedicated mum and paramedic who's always put others first. Now she needs our help," Alyssa said. She says Amanda is a "vibrant, strong and witty woman" with a big heart. "Despite everything, Amanda remains determined to fight and soak up every hug, bedtime story and messy breakfast." Her breast cancer diagnosis didn't come in the standard way. "I didn't have a lump in my breast. It was discovered because I had hip pain," she said. "I was diagnosed with bone metastases. Being a paramedic, I knew straight away what that meant." The devastating diagnosis has changed her priorities. "If I can't do all the things I imagined for the rest of my life, I have to ask myself what are the most important things from now." Curtis, Hayden and Ruby are aged 10, nine and six. "I want to make as many core memories with them as I can, especially with my six-year-old because she's so young," she said. Amanda and Adam are both paramedics. "They have spent their lives caring for others, showing up in people's darkest moments with strength and compassion," Alyssa said. They are both off work as Adam is having knee surgery. Amanda left NSW Ambulance after 21 years because she developed PTSD. "I work in the private sector now as a paramedic," she said. "At the moment, I can't work as I have a fracture in my spine." She dreamed of being a paramedic since high school and started in the role at age 21. "I loved my career. I was devastated when I had to leave," she said. "It was a very rewarding job, but it's also very difficult." Her cancer treatment has consisted of endocrine therapy with hormone blockers. Breast surgery isn't suitable, as the cancer has spread too far. "I've just had a hysterectomy. That's to stop the oestrogen, which is making the cancer grow." Amanda sought to highlight that free mammograms through BreastScreen NSW are aimed at women over 50. "You can now get a mammogram free from age 40, but they won't invite you to have one until you're 50," she said. BreastScreen NSW states that women in their 40s "are eligible and welcome" to get free mammograms. Indigenous people are "recommended to do a breast screen from age 40". "More than 75 per cent of breast cancers are found in women aged over 50." Amanda was previously told by a doctor that she was "too young to have a mammogram". "Had I had one at 40, would that have made a difference? I'll never know," she said. "There needs to be more education that mammograms are free from age 40." The hardest thing for Amanda Russell is the thought of leaving her three young children and husband behind. Amanda, 44, of Murrays Beach, was diagnosed with stage-four breast cancer last month. "My first thought was my kids won't remember me," she said. "And my husband Adam and I won't get to grow old together. "I'm not scared for me, I'm scared for them. My kids will have to grow up without a mum." Friend Alyssa Blenkey has started a GoFundMe, titled "Help Amanda Fight for More Time With Her Babies". "Amanda is a dedicated mum and paramedic who's always put others first. Now she needs our help," Alyssa said. She says Amanda is a "vibrant, strong and witty woman" with a big heart. "Despite everything, Amanda remains determined to fight and soak up every hug, bedtime story and messy breakfast." Her breast cancer diagnosis didn't come in the standard way. "I didn't have a lump in my breast. It was discovered because I had hip pain," she said. "I was diagnosed with bone metastases. Being a paramedic, I knew straight away what that meant." The devastating diagnosis has changed her priorities. "If I can't do all the things I imagined for the rest of my life, I have to ask myself what are the most important things from now." Curtis, Hayden and Ruby are aged 10, nine and six. "I want to make as many core memories with them as I can, especially with my six-year-old because she's so young," she said. Amanda and Adam are both paramedics. "They have spent their lives caring for others, showing up in people's darkest moments with strength and compassion," Alyssa said. They are both off work as Adam is having knee surgery. Amanda left NSW Ambulance after 21 years because she developed PTSD. "I work in the private sector now as a paramedic," she said. "At the moment, I can't work as I have a fracture in my spine." She dreamed of being a paramedic since high school and started in the role at age 21. "I loved my career. I was devastated when I had to leave," she said. "It was a very rewarding job, but it's also very difficult." Her cancer treatment has consisted of endocrine therapy with hormone blockers. Breast surgery isn't suitable, as the cancer has spread too far. "I've just had a hysterectomy. That's to stop the oestrogen, which is making the cancer grow." Amanda sought to highlight that free mammograms through BreastScreen NSW are aimed at women over 50. "You can now get a mammogram free from age 40, but they won't invite you to have one until you're 50," she said. BreastScreen NSW states that women in their 40s "are eligible and welcome" to get free mammograms. Indigenous people are "recommended to do a breast screen from age 40". "More than 75 per cent of breast cancers are found in women aged over 50." Amanda was previously told by a doctor that she was "too young to have a mammogram". "Had I had one at 40, would that have made a difference? I'll never know," she said. "There needs to be more education that mammograms are free from age 40." The hardest thing for Amanda Russell is the thought of leaving her three young children and husband behind. Amanda, 44, of Murrays Beach, was diagnosed with stage-four breast cancer last month. "My first thought was my kids won't remember me," she said. "And my husband Adam and I won't get to grow old together. "I'm not scared for me, I'm scared for them. My kids will have to grow up without a mum." Friend Alyssa Blenkey has started a GoFundMe, titled "Help Amanda Fight for More Time With Her Babies". "Amanda is a dedicated mum and paramedic who's always put others first. Now she needs our help," Alyssa said. She says Amanda is a "vibrant, strong and witty woman" with a big heart. "Despite everything, Amanda remains determined to fight and soak up every hug, bedtime story and messy breakfast." Her breast cancer diagnosis didn't come in the standard way. "I didn't have a lump in my breast. It was discovered because I had hip pain," she said. "I was diagnosed with bone metastases. Being a paramedic, I knew straight away what that meant." The devastating diagnosis has changed her priorities. "If I can't do all the things I imagined for the rest of my life, I have to ask myself what are the most important things from now." Curtis, Hayden and Ruby are aged 10, nine and six. "I want to make as many core memories with them as I can, especially with my six-year-old because she's so young," she said. Amanda and Adam are both paramedics. "They have spent their lives caring for others, showing up in people's darkest moments with strength and compassion," Alyssa said. They are both off work as Adam is having knee surgery. Amanda left NSW Ambulance after 21 years because she developed PTSD. "I work in the private sector now as a paramedic," she said. "At the moment, I can't work as I have a fracture in my spine." She dreamed of being a paramedic since high school and started in the role at age 21. "I loved my career. I was devastated when I had to leave," she said. "It was a very rewarding job, but it's also very difficult." Her cancer treatment has consisted of endocrine therapy with hormone blockers. Breast surgery isn't suitable, as the cancer has spread too far. "I've just had a hysterectomy. That's to stop the oestrogen, which is making the cancer grow." Amanda sought to highlight that free mammograms through BreastScreen NSW are aimed at women over 50. "You can now get a mammogram free from age 40, but they won't invite you to have one until you're 50," she said. BreastScreen NSW states that women in their 40s "are eligible and welcome" to get free mammograms. Indigenous people are "recommended to do a breast screen from age 40". "More than 75 per cent of breast cancers are found in women aged over 50." Amanda was previously told by a doctor that she was "too young to have a mammogram". "Had I had one at 40, would that have made a difference? I'll never know," she said. "There needs to be more education that mammograms are free from age 40."

ABC News
15-07-2025
- ABC News
Man, 45, dies after emergency services respond to 'mental health episode' in Waterloo
A man has died after emergency services attempted to subdue him during a suspected mental health episode in inner-city Sydney. The 45-year-old man died at Royal Prince Alfred Hospital on Tuesday after police and paramedics were called to a Pitt Street, Waterloo unit block for a concern for welfare call about 2am. Assistant Commissioner Peter McKenna told reporters police were requested by NSW Ambulance for "urgent" assistance, but was unsure if the man was sedated or not. "We believe [the man was] suffering or possibly suffering from a mental health episode," he said. "At first the male was compliant ... at some point that male has become non-compliant, and has resisted aggressively. The male was subdued by police. "Where the ambulance had the intention of sedating him, I'm unaware if he actually was sedated or not at this point in time, but shortly thereafter that male has gone into cardiac arrest." Assistant Commissioner McKenna said officers had not used any other restraint other than handcuffs during the incident. The call to sedate the man, he said, came from NSW Ambulance paramedics. "It's unfortunate that this male is now deceased, but all of the circumstances around that will be thoroughly investigated." The man's death is being treated as a critical incident, meaning both the NSW Police Professional Standards Command and the Law Enforcement Conduct Commission will investigate the circumstances.