Section | Title | Details of Change |
---|---|---|
General | ||
Authority to Practice | Updates:
| |
Medications Matrix | Updates:
| |
Patient not Transported (PnT) | Include reference to paediatric patients | |
Skills Matrix | Updates:
| |
Suspected Abuse | New CPG | |
Falls Prevention Guideline | New CPG | |
Clinical Practice Guidelines | ||
Overview | Patient Assessment | Reference made to calculating an Early Warning Score (EWS) under Vital Signs |
Overview | Recognising and Responding to Acute Deterioration | New CPG |
Metabolic | Renal Dialysis Emergencies | Align with new sepsis guideline (refers to Septic shock CPG in additional information) |
Circulation: Shock | Sepsis | New CPG |
Respiratory | Tracheostomy / Laryngectomy Airway Emergencies | New CPG |
Clinical Skills | ||
Airway | Advanced Airway Management | Various Updates:
|
Airway | Basic Airway Management | Change Basic to “Essential” |
Breathing | Bag Valve Mask Ventilation |
|
Advanced Airway Management | Cricothyrotomy | Updates:
|
Advanced Airway Management | Endotracheal Intubation (ETI) | Updates:
|
Advanced Airway Management | Failed intubation drill |
|
Advanced Airway Management | Supraglottic Airway (SGA) | Spelling fixed |
Advanced Airway Management | Suction - Tracheostomy | New CPG |
Airway | Suction | Hyperlink to new Tracheostomy Suction skill |
Airway | Nasopharyngeal Airway (NPA) | Change Basic to "Essential" |
Supporting Resources | ||
NEWS 2 Online Calculator | Supporting resource for new CPG | |
NEWS 2 QRG Paramedic | Supporting resource for new CPG | |
NEWS 2 QRG EHS | Supporting resource for new CPG | |
NEWS 2 QRG PTS/Volunteer | Supporting resource for new CPG | |
NEWS 2 Scoring chart | Supporting resource for new CPG | |
Sepsis Decision Tree | Supporting resource for new CPG | |
Medication Protocols | ||
Atropine Sulphate | Remove erroneous line in Introduction section - removed reference to presentation | |
Naloxone | Updates:
| |
Noradrenaline | Align with new sepsis guideline - Indications updated: "Primarily distributive shock such as septic shock, neurogenic shock, drug-induced" | |
Tranexamic Acid | Indications Updated: Post Tonsillectomy Bleed, PPH | |
Library | ||
Distributive Shock | Align with new sepsis guideline |
Section | Title | Details of Change |
---|---|---|
General | ||
Clinical Practice Guidelines | ||
Clinical Skills | ||
Assessment | Rapid Antigen Testing |
|
Medication Protocols | ||
Infection Prevention & Control | ||
COVID-19 Interim Guidelines | ||
Section | Title | Details of Change |
---|---|---|
General | ||
Clinical Practice Guidelines | ||
Clinical Skills | ||
Medications | Nebuliser | |
Medication Protocols | ||
Infection Prevention & Control | ||
COVID-19 Interim Guidelines | ||
Quick Reference Guide |
| |
Clinical Response |
| |
Patient Clinical Management |
| |
Personal Protective Equipment |
| |
Patient not Transported (PnT) |
|
Section | Title | Details of Change |
---|---|---|
General | ||
Clinical Practice Guidelines | ||
Anaphylaxis |
| |
Clinical Skills | ||
Breathing | Oxygen Delivery |
|
Medications | Nebuliser |
|
Medication Protocols | ||
Adrenaline |
| |
Glyceryl Trinitrate (GTN) |
| |
Ipratropium Bromide |
| |
Oxygen |
| |
Salbutamol Sulphate |
| |
COVID-19 Interim Guidelines | ||
Graded Assessment and Approach |
| |
Quick Reference Guide |
| |
Personal Protective Equipment |
| |
Medications and skills |
|
Section | Title | Details of Change |
---|---|---|
General | ||
General | Voluntary Assisted Dying | NEW guidance |
General | Virtual Emergency Medicine | NEW guidance |
General | Skills and Medications Matrices |
|
General | Authority to Practice |
|
Clinical Practice Guidelines | ||
Neurological | Disturbed & Abnormal Behaviour | Comprehensive Review of CPG including;
|
Neurological | Transient Loss of Consciousness (Syncope) |
|
Circulation | Cardiac Arrest - Paediatric |
|
Circulation | Determination of Death (ROLE/TOR) |
|
Circulation | Cardiac Dysrhythmia |
|
Circulation | Chest Pain/Acute Coronary Syndrome |
|
Trauma | Pneumothorax | Comprehensive Review of CPG including;
Review intended to align with ILCOR and FPHC (RCSEd) |
Trauma | Pelvic Trauma |
|
Trauma | Rapid Sequence / Delayed Sequence Induction | NEW CPG - CCP |
Trauma | VAPOX | NEW CPG - CCP |
Metabolic | Adrenal Insufficiency | NEW CPG
|
Obstetrics | Childbirth |
|
Metabolic | Hypoglycaemia |
|
Clinical Skills | ||
Airway | Suction |
|
Breathing | Bag Valve Mask |
|
Breathing | Non-Invasive Ventilation |
|
Breathing | End Tidal CO2 Waveform Capnography | NEW Skill |
Trauma | Needle Thoracocentesis |
|
Trauma | Pelvic Splints |
|
Trauma | Unconscious Lateral Trauma Position | NEW Skill |
Assessment | Glasgow Coma Scale |
|
Medication Protocols | ||
Adrenaline Auto-Injector (EpiPen®) |
| |
Amiodarone |
| |
Droperidol | NEW medicine (Paramedic) | |
Ketamine | Comprehensive Review of CPG including;
| |
Midazolam | Comprehensive Review of CPG including;
| |
Olanzapine | NEW medicine (Paramedic) | |
Cephazolin |
| |
Noradrenaline | NEW medicine (CCP) | |
Tranexamic Acid |
| |
Midazolam & Morphine | NEW medicine - re-filled syringe (CCP) | |
Salbutamol Sulphate |
| |
Fentanyl 500 micrograms |
| |
Glucose 10% |
| |
Naloxone |
| |
Infection Prevention & Control | ||
Standard and Transmission Based Precautions |
|
Section | Title | Details of Change |
---|---|---|
General | ||
Skill Matrix | Clarified EMR/EMA roles; merged EHS volunteer roles | |
General | Patient Not Transported | Minor improvement to VIRCA criteria (to address Patient Capacity & Consent) |
Clinical Practice Guidelines | ||
Anaphylaxis | Wording & definition from ASCIA | |
Trauma | Burn Trauma | CCP Only: MEQU Blood & Fluid Warmer |
Overview | Clinical Handover | New guideline |
Trauma | Haemorrhage | CCP Only: MEQU Blood & Fluid Warmer |
Environmental | Hypothermia | CCP Only: MEQU Blood & Fluid Warmer |
Overview | Interfacility Transfers | Significant improvement |
Overview | Patient Capacity & Consent | Significant improvement & Capacity Assessment Tool |
Trauma | Pelvic Trauma | Clarity of indications & risk assessment |
Overview | Relief of Pain | Addressing ramped patients |
Trauma | Spinal Trauma | Clarity of what 'spinal precautions' entails; inclusion of thoracic & lumbar spine |
Clinical Skills | ||
Airway | Foreign Body Airway Obstruction | Inclusion of Laryngoscope/Magill Forceps for paramedics |
Medications | MEQU Fluid & Blood Warmer | New CCP Skill |
Breathing | Non-invasive Positive Pressure Ventilation | New CCP Skill |
Circulation | Pressure Immobilisation Technique (P.I.T) | Inclusion of new snakebite bandage |
Trauma | Pelvic Splints | New indication, inclusive of Pelvic Binder decision tool |
Medication Protocols | ||
Cophenylcaine | Maximum dosages not to be repeated within 24 hours | |
Fentanyl | Cautious use in ramped patients | |
Hydrocortisone | New Medication Protocol | |
Ketamine | Cautious use in ramped patients | |
Naloxone | New contraindication, update in precautions & dosages | |
Packed Red Blood Cells | CCP Only: MEQU Blood & Fluid Warmer | |
Intravenous Crystalloid Solutions (Normal Saline) | CCP Only: MEQU Blood & Fluid Warmer | |
Infection Prevention & Control | ||
COVID-19 | Moved from Connect to Clinical Resources |
Section | Title | Details of Change |
---|---|---|
General | ||
General | Patient Care Record Completion |
|
General | Skills Matrix |
|
Clinical Practice Guidelines | ||
Neurological | Stroke (cerebrovascular accident) |
|
Circulation | Chest Pain / Acute Coronary Syndrome |
|
Trauma | Spinal Trauma |
|
Trauma | Crush Injury |
|
Clinical Skills | ||
Assessment | Spinal assessment |
|
Assessment | Blood Glucose Monitor |
|
Assessment | Electrocardiography |
|
Breathing | Oxygen Masks |
|
Circulation | Pressure Immobilisation Technique (P.I.T) |
|
Circulation | Defibrillation |
|
Vascular Access | Prehospital Blood Sample Collection |
|
Vascular Access | Intraosseous Access |
|
Trauma | Minor Wounds |
|
Medication Protocols | ||
Fentanyl |
| |
Glucose Oral Gel |
| |
Intravenous Crystalloid Solutions (Normal Saline) |
| |
Ketamine |
| |
Salbutamol Sulphate |
| |
Sodium Bicarbonate |
| |
Calcium Gluconate |
| |
Infection Prevention & Control | ||
Section | Subsection | Title | Overview |
---|---|---|---|
Clinical Practice Guidelines | Circulation | Autonomic Dysreflexia | A new CPG that details the background, clinical presentation and management of Autonomic Dysreflexia |
Clinical Skills | Trauma | QuikClot Combat Gauze | New skill for Clinical Support and Critical Care Paramedics |
Title | Overview |
---|---|
Standard & Transmission Based Precautions | Incorporates the lessons learned from COVID-19 into standard practice with respect to transmission based precautions, aerosol generating procedures and PPE requirements. |
Personal Protective Equipment (PPE) |
Section | Updated | Details of Change |
---|---|---|
Circulation | Chest Pain / Acute Coronary Syndrome | STEMI Protocol flow chart – Expanded the Inclusion criteria to advocate for older patients on a case by case basis. |
Trauma | Pneumothorax | Pneumothorax
Changes:
|
Section | Updated | Details of Change |
---|---|---|
Circulation | Chest Pain / Acute Coronary Syndrome | Description –
Indications –
Information Needed –
Management –
|
Title | Details of Change |
---|---|
Atropine Sulphate | An added scope for Special Operations Paramedics, authorising the sequential doubling of atropine dosages for the management of organophosphate poisoning |
Fentanyl | Presentation of intranasal fentanyl has been adjusted to reflect the recent change to 450mcg in 1.5mL |
Glucagon | Rewording the indications for Glucagon for clarity |
IV Glucose 10% | Rewording the indications for IV glucose for clarity. |
Glyceryl Trinitrate (GTN) | Indications – Added Autonomic Dysreflexia Management – Added dosage for management of Autonomic Dysreflexia (0.4mg (1 spray) sublingually. Repeat doses at 5 minute intervals until symptoms resolve or systolic BP < 160mmHg.) |
Ketamine | Added Ketamine 25mg Sublingual Wafer (Wafermine) |
Title | Details of Change |
---|---|
Needle Thoracocentesis | Indications updated permitting procedure to be performed by Critical Care, Clinical Support and Special Operations Paramedics |
Spinal Immobilisation | Wording added to precautions to reduce emphasis on rolling of the patient |
Section | Title | Details of Change |
---|---|---|
General | ||
Clinical Practice Guidelines | ||
Clinical Skills | ||
Medication Protocols | ||
Infection Prevention & Control | ||
St John Ambulance Western Australia Ltd © Copyright 2020, All Rights Reserved