A medical centre in outback South Australia has launched an internal review after a man suffering from a suspected heart attack was refused entry and had to be treated at the local pub instead.

The 85-year-old Adelaide man and the off-duty paramedics treating him were denied access to Innamincka's Cooper Basin Royal Flying Doctor Service (RFDS) medical clinic.

The man had become ill while volunteering in a working bee in Innamincka on August 27.

Three off-duty paramedics administered aid before requesting access to the medical clinic, but were denied due to it being unstaffed by RFDS SA/NT personnel.

The paramedics were then left to treat the man the Innamincka Hotel.

With the closest RFDS staff located over the New South Wales border in Broken Hill, RFDS SA contacted the Far West NSW

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