Bloodied and bruised: police help a man early on Sunday morning during an operation targeting alcohol-related crime. Photo: Daniel Shaw

Veteran paramedic Norm Spalding gives his crews advice before they head out on a weekend night shift. ''Remember to duck and weave, duck and weave.''

Inspector Spalding has been with the ambulance service for 37 years but says the increased severity of violence on Sydney's streets means he prepares his paramedics as if they were soldiers.

''[There is] no question that, in my mind, there is definitely an increase in the violence, but it's more the nature of it,'' Inspector Spalding said.


Looking for trouble: a suspect is handcuffed and escorted by an officer. Photo: Daniel Shaw

''It just seems to be more aggressive and more violent.''

The weekend before Christmas police and paramedics were confronted with violent scenes of blood, broken noses, bruises and knocked-out teeth. Most of these incidents were in front of pubs and clubs.

Police arrested 41 people and laid 25 charges during an operation targeting alcohol-related crime in Sydney's inner city.


Confronting: a man injured and bloodied in another violent incident. Photo: Daniel Shaw

As the operational commander for Bondi and Sydney ambulance centres, Inspector Spalding said the nature of the aggression had increased in the past three years.

''There definitely seems to be an increase and in the last two to three years it just seems to be more violent than it ever was,'' he said.

What scared him was that while alcohol was often involved, it seemed as though some men were going out with the intention of causing harm, irrespective of whether they were drunk.

''I know we all the talk about the alcohol and we can't say it is not a huge factor but its not always a factor. Some of these people aren't drunk [and] they are just purely out for violence. They are looking for trouble.'' Surry Hills police commander Superintendent Tony Crandell agreed the nature of the violence had increased in severity but said the randomness of it all was most concerning.

''It is not only the level of violence but the randomness,'' Superintendent Crandell said.

''I suppose what I saw over the weekend there wasn't a lot of premeditation.''

Police did their best but that did not stop the blood pouring from the faces of many.

In one instance, three men in their 30s were randomly attacked as they walked along George Street about 1.30am on Saturday.

Police have yet to make any arrests but were looking at security images to find the attackers.

Just two hours later police were called to Taylor Square, Darlinghurst, after reports of several people fighting with a security guard.

Two men and a woman were arrested and charged with affray.

"There were three incidents last night alone where people who left clubs or pubs as innocent bystanders were randomly attacked by alcohol-affected people," Superintendent Crandell said. "I again plead with people over the Christmas and New Year period to enjoy themselves but be mindful of drinking too much or drinking to get drunk, which often carries the most serious consequences.''