The RFDS in NSW/ACT
Medical Chests
In the Aussie outback, where the nearest hospital or medical centre can be hours away, RFDS Medical Chests serve as vital lifelines for those living, working and travelling in remote areas.
These secure, steel containers house a practical range of medications and medical supplies that support both emergency situations and non-emergency healthcare needs. For communities without access to hospitals or clinics, the chests provide a vital connection to professional medical care, treating everything from common illnesses to critical medical events.
With over 400 medical chests positioned across remote homesteads, pastoral stations, roadhouses, outback schools and remote work sites throughout NSW and ACT, they form a critical part of the healthcare safety net for those living and working in Australia's most remote areas and their presence provides peace of mind to those who call the outback home.
What is a Medical Chest?
Medical Chests are lockable steel containers containing a comprehensive range of pharmaceutical and non-pharmaceutical items, which enable both emergency and non-emergency treatment to be given to people in remote areas where there is no immediate access to a hospital or clinic.
Each chest is designed to serve a community of up to 30 people and contains:
- Prescription medications
- Over-the-counter medications for common ailments
- Medical supplies for wound care and injury management
- Basic diagnostic equipment to help RFDS doctors assess patients remotely
How it works
Each Medical Chest is managed by a Medical Chest Custodian – trained volunteers from within local communities who maintain the chests and provide on-the-ground support for acute conditions when needed.
- 24/7 access to medical advice: For emergency and urgent care in remote areas, Medical Chest Custodians can phone our 24/7 line (1800 DRS FLY) to speak directly to an RFDS doctor.
- Guided support: The doctor on-call will assess the situation and may direct you to access your Medical Chest under their guidance.
- Emergency response coordination: In the case that the patient requires further attention, the doctor will arrange evacuation if necessary.
Becoming a Medical Chest Custodian
Who is Eligible?
People living at remote locations who are isolated from medical services can apply to become a custodian of a Medical Chest. We consider:
- Distance from medical care: Typically, locations greater than 80 kilometres from professional medical care, or communities closer than 80 kilometres which may face access issues (e.g., roads cut off during wet season)
- Telecommunications: Custodians must have reliable phone service to call RFDS for guidance
- Responsible person: At least one person must agree to act as the responsible custodian
- Community size: Each chest is designed to service a population of up to 30 people
Frequently Asked Questions
As a Medical Chest Custodian, I have a medical issue and need advice. Which number do I call?
For emergency and non-emergency care call our 24/7 line at 1800 DRS FLY (1800 377 359) to speak directly with an RFDS doctor who can provide immediate medical guidance.
How do I access a Medical Chest?
If you need to use an item from an RFDS Medical Chest, call our 24/7 line at 1800 DRS FLY (1800 377 359). An RFDS doctor will assess your situation and can authorise the use of appropriate items within the Medical Chest.
Is the Chest only for emergencies?
No - this is a common misconception. While Medical Chests do contain critical items for emergency situations, most items are designed for managing urgent, non-emergency medical conditions such as acute infections of the upper and lower respiratory tract, skin, urogenital system, and minor traumatic injuries. However, it is expected that, wherever possible, patients will be seen for follow up and treatment, in person, or via telehealth, by an appropriate health professional.
Do I need special training to have or use an RFDS Medial Chest?
The Medical Chest is designed to be user-friendly without requiring specialised medical training. However, we strongly encourage all custodians and users to complete a Senior First Aid certificate.
Most Chest contents are classified as 'prescription-only' medications and must only be used after direct consultation with an RFDS doctor. While the doctor is responsible for diagnosis and prescribing, custodians are responsible for following these instructions precisely.
Can I use the items in a Medical Chest on animals?
No. Medical Chests are strictly for human use only. For animal health concerns, please consult with a veterinarian.
Can I call a local GP, or a doctor who I know to prescribe items from my chest?
No. As the Custodian of an RFDS Medical Chest, you must contact the RFDS directly at 1800 DRS FLY (1800 377 359) for approval to use its items.
RFDS Doctors are specifically trained and familiar with all Medical Chest contents and protocols. This ensures you receive the most appropriate guidance for your situation. This essential service is free and available 24 hours a day, 7 days a week.
Can I purchase a Chest for my business or organisation?
Medical Chests are provided to those people in remote areas who meet eligibility criteria under a subsidy program funded by the Australian Government.
Commercial entities (such as remote mine sites) may be eligible for a Medical Chest for use on a subscription basis. For enquiries, please email medicalchest@rfdsse.org.au
Can I nominate myself as a Medical Chest Custodian?
Yes, you can apply here.
How often should I check my Chest?
We strongly recommend performing a thorough check of your Medical Chest monthly. This includes:
- Checking for expired medications
- Confirming all items are present and properly stored
- Verifying that prescribed/used items have been recorded and replenished
- Ensuring the chest remains secure and in good condition
- Regular checks provide peace of mind and ensure the Chest is fully operational when medical assistance is needed in your community.
Regular communications are provided to Custodians to provide advice and reminders to check Medical Chests on a regular basis.
What do I do if drugs are stolen from my chest?
Extreme care must be taken to prevent illicit access to medical chests. In the event of theft, the police must be notified immediately and a report/event number obtained. The RFDS must then be notified in writing, quoting the police report number. The RFDS is obliged to report any drug thefts to the appropriate authorities. It will be at the RFDS Chief Medical Officer’s discretion as to whether the Medical Chest is forfeited.
Are you the custodian of an RFDS Medical Chest?
Belinda is a Medical Chest Custodian and supports her community in Tilpa, NSW
Learn more about Belinda's story
The RFDS helped Will over 25 years ago. Today, he gives back to his community as a Medical Chest Custodian.
Read about Will and our services in Louth
Medical Chests are part of a network of care to support people in the outback.
Learn more about our other services