To the Editor: The Royal Flying Doctor Service (RFDS) has provided aerial emergency services to patients in the remote Kimberley and Pilbara regions of Western Australia since 1935. Until the 1980s, most evacuations were regional, and only small numbers of patients were transferred to Perth. Demand for long-distance transfers from northern WA has increased as a result of economic growth, improved resuscitation of the seriously ill, advances in treatment only available in major cities, and community expectations of more equitable access to tertiary care.
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