[2] In 2018, paramedicine became a regulated profession, legally protecting the title of paramedic and establishing mandatory professional standards for practitioners.

[9] This team of elite paramedics brought intensive care to patients in the most extreme of situations, ranging from cliff falls to building collapses.

SCAT Paramedics were trained in a range of skills including climbing, winching, breathing apparatus, CBRNE, caving, canyoning, USAR, bushcraft, four wheel driving and wilderness survival.

Paramedics are highly trained in a broad variety of medical skills to assess patients’ conditions, make quick decisions, and perform life-saving procedures, often in high-pressure environments.

Their extensive experience and training allows them to conduct advanced medical procedures in the field and administer specialist drugs to seriously ill or injured patients.

As well as intensive care skills, they're trained in Special Operations, allowing them to work in hostile environments such as building collapses, floods, caves, cliffs and remote bushland.

They also have the ability to perform complex medical procedures and administer highly specialist drugs in the field to patients, under the authorisation of a Critical Care Doctor.

Their role is to bring paramedic level care to patients in any kind of hostile environment including cliffs, canyons, caves, floods, bushfires, building collapses, confined spaces, hazardous materials incidents, active shooters and the remote Australian wilderness.

[13][33][34] In some rural areas of Regional NSW, SOT are trained and equipped as primary rescue units, allowing them to extricate patients in addition to their medical access role.

The Alpine Operations Team utilises unconventional vehicles to access patients, from snowmobiles to over-snow ambulances and their paramedics are specifically trained in overnight camping, search and rescue and avalanche recovery.

[41] It operates from six bases across NSW, located at Bankstown, Albion Park, Orange, Belmont, Tamworth and Lismore, along with Hume in the Australia Capital Territory.

[48] Additional Fixed-Wing ambulances also operate in Dubbo and Broken Hill as part of a contract with Royal Flying Doctor Service.

Run by both General Duties and Intensive Care crews, Sprinters make up the large majority of the ambulance fleet across the state.

[53] ECPs operate a fleet of Hyundai iLoads and Toyota HiAces which are fitted out with an extensive range of extended care equipment.

[21][52] PICUs provide rapid response to emergencies across Metropolitan NSW, utilising a range of Holden Captivas, and Kia Sorentos.

Staffed with a mix of GD and IC Paramedics, they're able to provide immediate lifesaving care to patients in the busy areas of Sydney and Newcastle.

NSW Ambulance also operate three Motorcycles, staffed by IC Paramedics, which are able to negotiate the tight and congested areas of Sydney's inner city.

[52] DOMs operate a range of response vehicles, predominantly SUVs and Utilities, which allow them to respond rapidly to incidents and provide immediate on site expertise and oversight.

Each vehicle is also fitted out with an array of medical equipment, often featuring the same general duties kits found in emergency ambulances, allowing them to provide treatment to patients.

[13] They also operate a number of specialist support vehicles from the Special Operations HQ at Bankstown including; – Forward Control Vehicle (Mercedes Sprinter fitted out as a mobile forward command post) – Rescue Support Vehicle (Mercedes Sprinter fitted out with rescue and extrication gear, often used for training) – Logistics Support Vehicle (Hino Truck used to carry bulk equipment and medical supplies) – Major Incident Support Units (Two Mercedes Sprinters with custom bodies fitted out to carry major incident support equipment) – SOT Multi Purpose Vehicle (Mercedes Sprinter MPV used for special operations) Each of the six SOT Rescue Units is also assigned a Hino Rescue Truck.