Clinical Updates: August 2025

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 [email protected] X / Twitter / Bluesky James: ⁠⁠⁠@JamesOz1⁠⁠ | @jamesoz1.bsky.social Ben: ⁠@ben_meadley⁠ Linkedin James Ben