Your monthly clinical update covering:
Mandatory VVED Consults for Infants <28 Days – trends, rationale for policy, clarifications, and case example demonstrating impact.
Stroke updates - performing ACT-FAST on all MASS positive patients, changes to VACIS and a plug for IV access.
Complex Paediatric Respiratory Patients – Managing patients on home non-invasive ventilation, maintaining continuity of care, and upcoming resources.
Trauma Updates –
- Blood component therapy expansion and compliance requirements.STAB-5 mnemonic and minimising scene time in major trauma.PANDA trial enrolment reminder.
Standing-Height Falls in Elderly – Missed spinal injury cases, cultural pendulum shift, guideline review, and call for feedback.
Manual Handling & Patient Safety in ED Cohorting – Safe movement of high-risk patients and preventing deterioration during cohorting.
Paper of the Month – Danish machine learning study outperforming NEWS2 for predicting deterioration from first-five-minute vitals, with explainable AI.
Equipment Committee Updates – New traction splints, medication safety devices via 3D printing, thermal blanket effectiveness, and syringe driver software updates.
Professional Development & Resources – Coroner’s Communiques, ACP International Conference, new paramedic podcasts.
Small Steps to Transform Practice –
- Treat elderly standing-height falls as potential spinal injuries.Minimise scene time for major trauma unless safety or critical intervention requires it.
Further resources
ACP Conference
Thermal blanket study
Machine learning study
STAB-5
Coroner's communique
Get in touch
clinicalguidelines@ambulance.vic.gov.au
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James: @JamesOz1 | @jamesoz1.bsky.social
Ben: @ben_meadley
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