Royal Flying Doctor Service of Australia



The Royal Flying Doctor Service of Australia (RFDS, informally known as The Flying Doctors) is an air ambulance service for those living in the remote inland areas of Australia. It is a not-for-profit organization which provides both emergency assistance and primary health care to people who cannot easily access a hospital or general practice due to the prohibitive distances of the Outback. The Service also assists with distance education.

A "Mantle of Safety" for the Outback
The service began in 1928, originally as an experiment known as the Aerial Medical Service (AMS) which was to run for a single year. This experiment was based in Cloncurry, Queensland. It was formed by Reverend John Flynn, the first Superintendent of the Australian Inland Mission (AIM), a branch of the Presbyterian Church of Australia.

Flynn's missionary work involved the establishment of hospitals in bush communities. This, however, did not help those who lived far from any major community. In his public speaking he would often retell the tragic circumstances that had befallen several bush settlers. The fate of Jimmy Darcy was one of these stories.
 * Darcy was a stockman in Western Australia. After being found injured by some friends, he was transported over 30 miles (12 hours), to the nearest town, Halls Creek. Here, Darcy was met by FW Tuckett, the Postmaster, and the only man in the settlement trained in first aid. Tuckett said there was nothing he could reliably do for injuries so serious, and tried unsuccessfully to contact doctors at Wyndham, and then Derby, by telegraph. He eventually got through to a doctor in Perth. Through communication by morse code, Dr Holland guided Tuckett through two rather messy bladder operations utilising the only sharp instrument available, a pen knife. Holland then travelled 10 days to Halls Creek on a boat for cattle transport, a Model T Ford, a horse drawn carriage, and even on foot, only to find that Darcy had died the day before. To rub salt in the wound, the operations had been successful, but the stockman had died from an undiagnosed case of malaria and ruptured abscess in his appendix.

It was from stories such as this that Flynn, and his following at the AIM, became inspired to develop a route of communications that could solve the problem of remoteness. However, no feasible technology seemed apparent.

An issue of bad aeroplane drivers-drunks
Victorian Lieutenant Clifford Peel, had heard Flynn's public speeches, and on being shipped out to France for World War I in 1917, sent Flynn a letter explaining how he had seen a missionary doctor visiting isolated patients utilising a plane. Assisted by costing estimates by Peel, Flynn immediately took the idea of using aircraft to incept his idea, and published Peel's idea in the church's newsletter. Sadly Peel died in combat in 1918, probably not even knowing the impact he had in the creation of an Australian icon.

Along with motorised flight, another new technology was being developed that could replace the complicated means of communication by telegraph. Together with Alfred Traeger, Flynn began experiments with radio in the mid 1920s to enable remote outposts to contact a centralised medical base. The pedal radio was the first result of this collaboration. These were distributed gradually to stations, missions and other human residences around Cloncurry, the base site for a 50-watt transmitter.

By 1928, Flynn had gathered sufficient funds through fundraising activities to launch the experiment of the AMS on 15 May. Its supporters included industrialist HV McKay, medical doctor George Simpson, and Hudson Fysh, one of the founders of Queensland and Northern Territory Air Service, the company which would go on to become Qantas. Qantas supplied the first aircraft to the fledgling organisation, a De Havilland DH.50, dubbed "Victory". On 17 May, two days after inception, the service's first official flight departed from Cloncurry, 85 miles to Julia Creek in Central Queensland, where the plane was met by over 100 people at the airstrip. Qantas charged two shillings per mile for use of the Victory during the first year of the project.

Success, and continued success
Within the first year of operations, the service flew approximately 20,000 miles in 50 flights, becoming the first comprehensive air ambulance service in the world. The service persisted through some very tough first few years, dealing with postwar Australia and the Great Depression of the 1930s. During its first few decades the service relied heavily on community fundraising, volunteer support and donations. This is still the mainstay of the services funding, but it benefits greatly from State and Federal Government funding programmes that have since been introduced. Until the 1960s the service predominantly hired aircraft, pilots and service technicians from contractors. After this point, the service moved on to purchasing its own equipment and employing its own pilots and mechanics.

In 1932, the success from its operations in Cloncurry, and the increasing public awareness to this quite vital rural service, resulted in a push for a national network of flying doctors, hopefully with sponsorship from the government. In 1934 this was realised with the new Australian Aerial Medical Service opening up "Sections" across the nation. Bases were set up in Wyndham, Port Hedland, Kalgoorlie, Broken Hill, Alice Springs and Meekatharra. The Queensland experiment was expanded with two additional bases opening in Charters Towers and Charleville. An official Federal Council for the organisation was formed in 1936. In 1942 it was again renamed to Flying Doctor Service, with Royal being bestowed upon the service in 1955. Sister Myra Blanch was one of the first nurses, known as "Flying Sisters", to join the service. She was key in the New South Wales Section operations during the 1940s and 50s, even though Flying Nurses didn't actually become regular until the 1960s. Today, 80% of emergency evacuations are performed with only a nurse and pilot being present in person, a doctor directing such actions from a remote location. Nurses have been responsible for two innovations to the service, the "medical chest" (1942), which was later to incorporate the RFDS official "body chart" (1951). The chart is an anatomical representation of a human being, with areas clearly numbered. With such a chart on the scene of a situation, a remote doctor can ask the patient "which number is the pain felt?" and receive an easily comprehensible reply. The medicines contained within the chest are similarly numbered for ease in the communications of specific medical instructions.

Trivia

 * On 22 October 1958, Holden car manufacturers donated their 500,000th vehicle to the service in Melbourne.
 * The RFDS was the subject of the TV drama series The Flying Doctors. The series followed the lives of an RFDS crew based in a fictional township called 'Coopers Crossing' and the members of the local population that they served.