Seven-year-old Elsa was presented with her award in front of her fellow NAC students on Wednesday morning with NSW Ambulance Chief Superintendents Joel Bardsley and Jordan Emery making the presentation.

On September 7, Elsa (then six years old) and her two-year-old brother Ollie were with their grandmother Colleen Edwards, when Mrs Edwards tripped and fell, hitting her head on a windowsill and was unable to get back up from the floor.

With the only adult in the house injured and needing assistance, Elsa telephoned her mum Natalie for help.

Natalie in turn dialled triple-0 for an ambulance.

Ambulance control centre officer Janelle Gaskin then contacted the house to speak with Elsa and provided instructions and support as paramedics and Natalie rushed to the home.

“Elsa accurately described the situation to me over the phone and carefully followed all instructions,” Ms Gaskin said.

“She located towels and bravely applied first aid to her injured grandmother before paramedics arrived.

“She also kept an eye on her younger brother and opened the door and turned the outside lights on for the paramedics. 

“She did say she was scared but displayed maturity and responsibility beyond her years.

“She did a fantastic job.”

Mrs Edwards, who was treated at the scene by paramedics before being transported to Shoalhaven Hospital, has largely recovered from her serious head injury.

She said she was extremely proud of her granddaughter’s actions.

“Elsa was just amazing,” she said.

“There was about a five-second period where she wondered what to do and then she just went into action.

“Initially, she had to find the phone, which wasn’t in its usual position, which she did and then rang her mum.

“Ollie saw me on the floor and came along and jumped on me, at which I screamed, and he in turned screamed and got upset as well.

“Elsa had to deal with all that as well as taking the call. She went and turned off the bath which was running and shut the door so her little brother couldn’t get into it.

“She then worked on keeping him relaxed. The fall happened around 6.40pm so it was dark outside, so she turned on the light for the paramedics and then opened the door when they arrived.

“I knew they must have been giving her directions as she got a towel and put it on my head.

“She asked if I could speak and I could, but only just.

“She was incredible and the paramedics were just wonderful and so lovely.”

Elsa’s mum and dad, Natalie and Shoalhaven City Councillor Andrew Guile praised their daughter for her actions.

“We’re so proud of her. She handled the situation and held it together to give as much help as she could,” Mrs Guile said.

“Extremely proud,” Cr Guile said.

“It was a crazy day, it was the day of the federal election and I was in Sydney when it all went down, but Elsa was incredible.”

Mrs Guile also praised Ms Gaskin and the paramedics Kim Saunders, Alan Joyce and David Palmer for their role.

“The call taker and paramedics were just amazing with how lovely they were. Even at the hospital, just the way they explained everything so well and showed great care and concern for the children and my mum,” she said.

The quietly spoken youngster seemed more overawed receiving her award in front of her peers.

She said it was pretty scary at the time.

“I just wanted to help Ya Ya, my nan,” she said.

NSW Ambulance commends the bravery shown by children when faced with difficult medical circumstances. 

Being able to recognise an emergency and knowing what to do often played a key role in successful outcomes for patients.