The Ambulance Victoria (AV) Clinical Practice Guidelines (CPGs) support paramedics to deliver quality evidence based care to the state of. It was developed by the Ambulance Victoria (AV) CPG Working Group with specialist advice from the AV Corporate Communications Department, and provided. Book Title: Ambulance Victoria Clinical Practice Guidelines for Ambulance and MICA Paramedics ; Author: Ambulance Victoria; Item Number.

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This is compounded by the threat they may pose to our safety, which we cannot help but take a little personally! Obviously the pharmacology we have is different: We sometimes can have an unfortunate tendency to think of these patients as bad, not sick.

These are not irritable people who punched a wall, mouthed off at the cops, or were otherwise angry, uncooperative, or generally have shit on the liver. This site uses cookies. Which brings us to the next point of confusion: It is entirely possible that these patients may have an organic disorder, either exacerbated by stimulants, or in isolation without drug use.

Clinical Practice Guidelines – Ambulance Victoria

Ok, so this is not entirely about ketamine, but ketamine does come into it. To find out more, including how to control cookies, see here: Then, when the ketamine is in, and the drama is over, we relax. But the truly ketamine deficient patient is relatively rare, and jabbing everyone with ketamine will do nobody any favours. These behaviours are a symptom, not the disease. Unfortunately we all quite naturally focus on victria behaviours the patient displays, often to their detriment.


The content in these CPGs is for information and educational purposes only and is not intended to serve as medical advice or treatment. Pharmatherapie beim aggressiven Patienten — News Papers. Evidence based clinical resources for Major Trauma Management in Victoria.

If you rely on the information in these CPGs you are responsible for ensuring by independent verification its ambulacne, currency or completeness. Disclaimer added to splash screen.

AV does not guarantee the accuracy or currency in the information provided in the CPG. They are sick patients with severely deranged physiology, and they need managed aggressively and appropriately. Access personal CPF information on the go! Home About Contact me Welcome. More information about the guidelines and a copy of the complete guideline can be viewed from the Ambulance Victoria website: A Review of Synthetic Cathinones.

AV does not accept any responsibility for loss or damage caused by the use of the information contained in the CPG. The CPG we have has a graduated approach to the patient with agitation, similar to the approach outlined here: In my next post I will continue the discussion with some of the practicalities of managing the patient with extreme agitation: The CPG app is an abbreviated quick reference smart phone app.


The patients who need rapid takedown and control with ketamine — the highly agitated, violent, dangerous, excited delirium patient — are people who are at risk of rapid deterioration and death.

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Ambulance Victoria

So, when do we give ketamine? They are typically hypermetabolic, hyperthermic, and acidotic as a result of the drugs which affect dopamine and serotonin transportand physical activity.

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Account Options Sign in. You are commenting using your Facebook account. Notify me of new comments via email. Attention all other users: Department of Home Affairs. The CPG we have has a graduated approach to the patient with agitation, similar to the approach outlined here:.

However, it seems that the message coming out of training is that any victoriia who needs managed, especially if they need mechanical restraint, needs ketamine.