A woman had to be rescued after falling about 20 metres while rock climbing at North Nowra just before midday today.
The experienced climber aged in her 40s suffered suspected leg and pelvis injuries in the fall.
A Special Casualty Access Team paramedic abseiled down the cliff beside Yurunga Drive in an effort to attend to the woman, while others walked through bushland at The Grotto to reach her.
The Toll Ambulance Rescue helicopter arrived and hovered just above the tree tops before lowering a doctor and critical care paramedic down close to where the woman lay injured.
The medical and emergency personnel worked to stabilise the woman and give her pain relief, before carrying her to a clearing when the helicopter returned.
She, the doctor and critical care paramedic were winched up to the helicopter before being flown to Bankstown Airport, from which she was taken by road ambulance to hospital in a serious but stable condition.
Inspector Nathan O'Brien from NSW Ambulance said the woman was fortunate to not suffer more serious injuries.
“Although the scene was difficult to access we were well prepared for the situation," Inspector O'Brien said.
“It was great to work with other emergency services to ensure it was a safe rescue.”
He said paramedics believed the woman was climbing on her own at the time of the fall, and was found by her partner when she did not return home.
He contacted emergency services.
Shortly before they arrived a nearby resident who had been placing painted rocks around The Grotto heard a person calling out, but was unable to clarify what they were saying or even if the voice was male or female.
Nearby residents said they had often seen the woman's car parked beside the well-known abseiling and rock climbing destination.
Images: Glenn Ellard