Your monthly clinical update covering:
VVED Consultations for small infants
- New requirement: VVEDconsultation for non-transport of infants ≤28 days
- Strong recommendation for 29days–3 months
- Driven by patient safety reviewand expert consensus
- Not about removing autonomy —it’s about adding clinical support
RSI Checklist Update
- Addition of a pop-off valve checkfollowing a critical safety event
- Prevents misdiagnosis of failedventilation
- Reinforces value of checklists,even for experienced clinicians
Advanced Paramedic PracticeProposal
- Public consultation open
- Framework for advanced practiceregistration in primary care and critical care
- Facilitates further advancementssuch as prescribing rights and scope self-determination
- Big implications for AVparamedics — see link in show notes to respond
STEMI Transfer Pilot
- ALS paramedics trialing regionalSTEMI transfers
- Target: stable patientspost-thrombolysis
- Reflects data showing most STEMIpatients are low risk
Patient Safety Focus
- Standing height falls in theelderly: don’t underestimate risk
- Rhythm misinterpretation:shockable rhythms missed or misidentified
- No link between junior staff anderror rates — we all share responsibility, we are all vulnerable
Guideline Monitoring:Palliative Care CPG
- 9.9% increase in patients dyingat home — great outcome
- No major change in meds given —possibly due to barriers in the current CPG
- Evidence supports simplifying CPG
Case Reports on Viva Engage
- Recent cases: paediatricrespiratory failure, polypharmacy overdose, snake bite
- Submit your own case via the Vivatemplate
Paper of the Month: PACKMaNTrial
- RCT comparing ketamine vsmorphine for trauma pain
- Found no difference ineffectiveness
- Points to multimodal analgesia asa next step in research, which is already AV’s approach
Equipment
- Check Pop-off Valve position atstart of shift
- “Resus Ready” campaign comingsoon
- Cardiac Monitor ReplacementProgram- New device coming
- Discussion underway: do we needto carry everything all the time?
Professional DevelopmentOpportunities
- Critical Care Summit – May 15–16,Essendon
- Grand Rounds (CPG + RMH collab) –May 27, Sunshine Hub or virtual
- Trauma Grand Rounds – June 18 atRoyal Children’s or online
Small steps to transform youpractice
- Deliberate practice = highperformance, visualisation and mental rehearsal make a difference
- Practice rhythm recognition
- Rehearse SITREPs
Resources
Paramedic analgesia comparing ketamine and morphine in trauma (PACKMaN): a randomised,double-blind, phase 3 trial
Palliative paramedicine: An interrupted time series analysis of pre-hospital guideline efficacy
Proposal to regulate advanced practice paramedics
Rhythm recognition
Get in touch
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