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 resourcesACP ConferenceThermal blanket studyMachine learning studySTAB-5Coroner's communique Get in [email protected] / Twitter / BlueskyJames: ⁠⁠⁠@JamesOz1⁠⁠ | @jamesoz1.bsky.socialBen: ⁠@ben_meadley⁠LinkedinJamesBen

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