A little girl has died in a freak kayaking incident in the NSW Hunter Region.
Emergency crews responded to calls for help in Lemon Tree Passage, in Port Stephens, just after 2.30pm on Tuesday.
Four crews and the Toll Ambulance Rescue Helicopter, including a critical care doctor and critical care paramedic, were dispatched to the scene.
Paramedics performed CPR on the young child but despite their best efforts, she was unable to be revived.
The little girl was transported to John Hunter Hospital where she was confirmed to have died.
NSW Ambulance said bystanders and other emergency services joined forces in a battle to save her life.
"This was an incredibly distressing scene for bystanders, family members and first responders," NSW Ambulance Inspector Mark Gardiner said.
"We need to be alert to the extreme dangers of the ocean, it only takes a split second for anyone to get into serious trouble in the water."
The circumstances that led to her death are being investigated and a report will be prepared for the coroner.
Do you have a story tip? Email: firstname.lastname@example.org.