James and Ben cover the latest clinical news from across Ambulance Victoria, including:

• Intranasal Fentanyl Update – Using IV preparation for intranasal use.
• Other guidelines updates: Extrication monitoring, shoulder reduction, wilderness pain relief.
• Blood Administration – New pre-hospital blood transfusion training coming.
• Rocuronium Storage – Heat-related potency issues; rotate every 30 days.
• Communication Book – New tool for patients with communication disabilities.
• MICA targeted Dispatch – 8-week trial, enter any patient safety concerns in Riskman or ROAM app
• Paper of the Month – ALS paramedics safely managing post-thrombolysis STEMI.
• Equipment Update – Check serial numbers when reporting medical device issues.
• Professional Development – Advanced mechanical ventilation workshop available.

Chapters

00:00 Introduction and Overview of ClinicalUpdates

01:21 Rapid summary

02:50 Updates on Intranasal Fentanyl

5:40 Other CPG updates: Extrication monitoring, shoulder reduction, wilderness pain relief.

07:50 Blood Product Administration andSafety

10:00 Rocuronium storage and efficacy concerns

11:18  Emergency Healthcare Communication Book

12:11 Medical Advisor on Call and PatientSafety

12:50 MICA targeted Dispatch and PatientSafety Reporting

14:12 Extrication related adverse events

15:30 Case reports

16:01 Paper of the Month: STEMI CareInsights

17:30 Equipment updates

18:31 External Professional DevelopmentOpportunities

19:25 Small Steps to Transform YourPractice

Further resources

Adverse events and paramedic interventionsduring extended ground transport in a rural pharmaco-invasive STEMI program https://onlinelibrary.wiley.com/doi/full/10.1111/1742-6723.70005?saml_referrer=

Ventilator workshop: https://www.alfredicu.org.au/files/general/Documents/2025_EVENT_FLYER_CURRENT.pdf

Medication stability in hot environments: https://www.sciencedirect.com/science/article/pii/S2211419X23000630

Get in touch

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James: ⁠⁠⁠@JamesOz1⁠⁠

Ben: ⁠@ben_meadley⁠

Linkedin

James

Ben

Bluesky Social

James: ⁠⁠@jamesoz1.bsky.social