Clinical Update

Your monthly clinical update covering:Clinical Practice 03:10 – Respiratory CPG Update: Pulmonary edema, COVID, ILI, paediatric asthma changes coming soon. 04:00 – First Responder Analgesia: Supply challenges beingaddressed; updates coming. 05:10 – Button Batteries: New blue dye marker—importantvisual sign but not universally present. 06:00 – Mushroom Season Warning: Watch for toxidromes; VPIC support emphasized. 06:40 – VVED changes: Easier access to emergency physicians. Patient Safety 08:30 Case: Declined transport with adverse outcome. Consent must be truly informed—document clearly, especially under cognitive load or red flags. Guideline monitoring 11:15 Sedation Safety Update: Improved safety with guidelinechanges. Case Reports & Engagement 13:10 Case reports welcome—CPG team happy to assist. Paper of the month 13:40 Comparison of demand valve vs. standard BVM. No differencein oxygenation delivery in healthy volunteers. Nasal prongs speed time to oxygenation saturation. Continue using both tools in RSI prep. New ACS Guidelines Summary (ft. Andrew Bishop) (18:30) ACOMI terminology replaces STEMI/Non-STEMI binary. Key ECG findings added. Serial ECGs every 10 mins; prehospital thrombolysis within 30mins. Equipment 23:50 Asset Numbers: Include in Riskman reports to aid faultresolution. Professional Development 24:30 AICG Highlight: Leadership training relevant across paramedicine—CPD eligible and recommended. Small Steps to Transform Practice 26:30 Get in touch X / Twitter / Bluesky James: ⁠⁠⁠@JamesOz1⁠⁠ | @jamesoz1.bsky.social Ben: ⁠@ben_meadley⁠ Linkedin James Ben