Man narrowly avoids being hit by train after falling onto tracks

A man is lucky to be alive after he fell onto railway tracks and was narrowly missed by an oncoming train in Sydney's south.

Emergency services were called to Penshurst train station just after 9am this morning after a man in his 40s suffered a medical episode and fell onto the train tracks.

"The train was coming into the station at quite high speed and the way he fell was between the carriages and he ended up laying alongside the platform and railway tracks," NSW Ambulance Inspector Shane Whittaker said.

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Man falls onto train tracks as train approaches in Penshurst.

"Incredibly lucky not to be impacted by the wheels of the train."

Paramedics treated the man at the scene while he was still trapped under the train and platform.

"When paramedics arrived on scene we worked alongside the fire and rescue crew in an effort to carefully free this male patient, who was lying trapped between the train and the tracks," Whittaker said.

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Man falls onto train tracks as train approaches in Penshurst.

"We were able to get the patient onto the platform for an assessment and treated him on the scene for quite a significant head wound."

He was taken to hospital in a stable condition.

The incident has caused train delays on the T4 South Coast line.

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