Clinical Updates: February 2025

Clinical Conversations

Feb 28, 2025•20 min

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Episode description

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