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A project control group or committee is required and must contain leaders or ‘influencers’ from key infrastructure and support groups, and other key stakeholders. • Identify implementation milestones: Implementation milestones are the markers that the developmental steps required are being taken. There is a need to focus on the short, medium, and long-​term phases of a retrieval service’s immediate development. Examples of such milestones are: • Immediate • Ensure access to appropriate retrieval transport platforms; • Improving system governance; • Improving telecommunications; • Increasing management capacity; and • Improving critical care bed management.

RFDS, and most of the retrieval services under state auspices, provide aeromedical transfer, telehealth, and outreach support to remote communities in a country where travel distances are huge. Critical care primary and secondary retrieval are provided by state government services. html; MedSTAR in South Australia; Queensland Retrieval Service; NSW Medical Retrieval Unit (and Greater Sydney Area HEMS); and the Tasmanian Retrieval Service. Each International systems service has fixed wing, rotary wing, and road response elements and integrates with the local ambulance system.

Well-​ documented and accessible guidelines, manuals, and SOPs should be available to support staff. Equipment management systems Standardized kits, supported by uniform checking and stocking systems, as well as appropriate regular biomedical engineering support ensures reliability of kits and equipment. Retrieval staff must feel confident that every kit and every piece of equipment taken on a mission is complete and in top working order. Kits should be checked on a daily basis and sealed when complete, to be available for subsequent use.