Your Health

Queensland can be tranquil and captivating, however care must be taken in what can be a harsh environment.

Each QR Traveltrain is fully equipped for these conditions and has extensive first aid kits on board as well as staff trained in first aid, should a medical incident occur. It is however the individuals responsibility to maintain a respect for this sometimes unforgiving landscape. It is essential that you take precautions against the elements by protecting yourself from the sun and dehydration by always carrying fresh water when exploring by foot.

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Rail Travel and Deep Vein Thrombosis

What is Deep Vein Thrombosis (DVT)?
Deep Vein Thrombosis is essentially the clotting of blood in the deep vein within the lower leg. Under normal conditions, especially with activity, the soleus muscle in the calf contributes to the circulation of blood through the body. But during periods of long inactivity, there is a possibility that blood flow through the legs can be slowed and clotting may occur – it is this clotting which is referred to as Deep Vein Thrombosis.

Immediate symptoms may include swelling and tenderness in the lower leg or calf.

When this thrombosis is dislodged (which may happen at the time it occurs or even weeks later), the clot or pieces of it can move through the body to the lungs and cause obstruction in an artery.

If the obstruction is large enough, this can result in anything from minor pain to the chest to severe shortness of breath. Even though the condition is relatively rare, it can be fatal.

How might DVT affect Long Distance Rail Travel?
QR cares about our passengers safety and comfort travelling on board our trains. The following information includes some recommended guidelines that passengers can follow to improve their comfort level during a long-distance rail journey. When compared to rail travel the very dry air in aeroplanes tends to increase dehydration, while the close seating, the use of the seat belt, and the instruction to passengers to remain seated, all serve to reduce passenger mobility. We hope this information will help you have a more pleasant journey.

Medical research indicates that the following personal factors may singularly or in combination increase the risk of DVT:

Recent surgery or injury, especially to the lower limbs or abdomen
Smoking
Personal or family history of heart attack and/or strokes
Varicose Veins
High Blood Cholesterol
Obesity
Dehydration
Pregnancy
Oestrogen Hormone Therapy; or
Oral Contraceptive Usage
The risk may also increase with age, especially those over forty years of age. If you are concerned about your health, it may be advisable to seek medical advice before undertaking long journeys.

How to Reduce the Risk of Deep Vein Thrombosis
Whether or not the risk factors in this leaflet apply to you personally, QR recommends the following precautions during long periods of rail travel.

They might also simply make your journey a more comfortable one.

Wear loose-fitting, comfortable clothing
Avoid girdles and stocking or socks with tight elastic (specialised anti-clotting stockings as used in hospitals can help prevent the development of DVT).
Avoid Dehydration
Drink at least 250mls (a medium sized glass) of water every hour. Avoid excess coffee, tea and alcohol, which actually increase dehydration.
Exercise
Get out of your seat and walk up and down the aisle periodically (when it is safe to do so).
If leaving your seat is not an option, there are simple exercises which can be done whilst seated which may help to stretch muscle groups and increase the body’s blood circulation while sitting. (Please try not to disturb other passengers – and do not perform the exercises if they cause pain).

Ankle Circles:
Ankle Circles Dia Lift heel off the floor. Draw imaginary circles with the toes, moving feet in opposite directions for 15 seconds. Then reverse the directions. Repeat as desired.
Foot Pumps:
Foot Pumps Dia Start with both heels on the floor, then point toes upwards as high as you can for 30 seconds. Return toes to floor so that feet are flat again. Now lift heels high, keeping balls of the feet on the floor for 30 seconds. Repeat as desired.
Knee Lifts:
Knee Lifts Dia Lift one leg, bending the knee whilst contracting the thigh muscle. Then repeat the action with your other leg. Repeat the action 20 – 30 times for each leg.
Knee to Chest:
Knee to Chest Dia Bend forward slightly. Clasp hands around left knee and hug it to your chest. Hold the stretch for 15 seconds. Keeping hands around the knee, slowly let it down. Alternate legs, repeat 10 times.
Forward Flex:
Forward Flex With both feet on the floor and stomach held in, slowly bend forward and walk your hands down the front of your legs toward your ankles. Hold stretch for 15 seconds and slowly sit back up.

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Medical Conditions

If you have any pre-existing medical condition that may need special attention during your holiday please advise your travel consultant prior to booking.