29/01/2026
When Dr Cristy Rowe’s alarm sounds in the early hours of a Darwin morning, she’s never quite sure what the day will bring. Within minutes she could be airborne − heading hundreds of kilometres across the Northern Territory to retrieve a critically ill patient from a remote community or hospital.
Dr Rowe is one of two ANZCA trainees currently working as registrars with CareFlight Top End, the aeromedical retrieval service based in Darwin. Alongside fellow registrar Dr Max Margalit, she is spending six months with the service as part of her final year of anaesthesia training.
Both doctors say the experience has been one of the most challenging and rewarding of their careers.
“Anaesthesia gives you such a strong foundation in airway management, resuscitation, and critical care physiology,” Dr Rowe says.
“Out here, you use all of that but you’re also operating with limited resources, often in very small teams. It really develops your adaptability and your non-technical skills.”
That adaptability can be crucial. A typical shift may involve several flights to retrieve multiple patients based on clinical need, all while the logistics team and pilots are balancing factors such as flight hours and weather conditions.
CareFlight’s retrieval teams usually comprise just two clinicians − a doctor and a highly skilled flight nurse − working alongside the pilots or helicopter crew.
“You can’t press a buzzer and call for help,” Dr Margalit says.
“So the induction training is very rigorous. There’s a huge focus on simulation, planning and minimising human error. It’s about making sure you can safely manage those uncommon but high-acuity situations.”
That preparation is essential for the diverse range of missions CareFlight undertakes.
Both registrars note the unique professional mix within the Darwin base. Registrars rotate through from anaesthesia, emergency medicine and intensive care, and the retrieval consultants hail from those same disciplines.
The registrars also undertake regular education and simulation days at the Darwin base, reinforcing the clinical and procedural skills needed for such diverse retrievals.
Both Dr Rowe and Dr Margalit encourage other ANZCA trainees to consider a CareFlight rotation if the opportunity arises.
Read the full story in the latest ANZCA Bulletin: https://bit.ly/45Ev6Fb