All of the paramedics in Moree were still working on Wednesday as floodwaters were set to inundate their own homes.
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Ambulance NSW said its crews based in the town all lived in the evacuation zone, but each were still turning up for duty.
Ambulance NSW Acting Superintendent for the New England Greg Marshall told the Leader the added challenge had been the SES forecasts for the town to be split in two.
"All of the paramedics actually live in the evacuation zone, so they're providing a level of service and at the same time moving themselves out of harms way as well," he said.
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"And, I have to say they're doing a sterling job in the circumstances.
"We're moving resources around, and we have provided additional crews, on top of the usual deployment."
A four-wheel-drive with specialist operational rescue paramedics from the Hunter was also deployed to the town to cover the flooding disaster, as well as extra paramedic resources including a Tamworth-based manager, and staff for the emergency control centre which is coordinating the response.
He said they were working hand-in-hand with other agencies.
"When the town is split by the river, which is predicted, they will have a resource on either side, and we have one crew on each side," Acting Superintendent Marshall said.
"We are actually hosting a Fire and Rescue NSW vehicle at the ambulance station, and on the other side, they are are hosting one of us."
He said crews had moved into position as the water "started coming into the township", and health emergencies and rescues were the top priority, but the reality of what was ahead was unknown until the peak hit.
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