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Advanced Life Support in Obstetrics

Australian Resusciation Council (ARC) ALS/ILS -  ALS & ALS2

Definitive Surgical Trauma Care & Definitive Perioperative Nurses Trauma Care Courses

Early Management of Severe Trauma (EMST) course

Emergency Management of Severe Burns Course (EMSB)

Emergency Trauma Management (ETM) course 

International Trauma Life Support (ITLS) course

Trauma Nurse Core Course (TNCC)

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Advanced Paediatric Life Support

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Pre-Hospital Trauma Life Support (PHTLS) course

Rural Emergency Skills Training (REST) course  

FACE/Advanced Trainee Critical ED Procedures Course - multiple dates

CENA- Trauma Nursing Program (TNP)

Developing Debriefing for Learner Centred Outcomes
 

  • Trauma System Guidelines
  • Victorian Trauma System
  • Pre-Hospital Triage
  • Inter-Hospital Transfer
  • Preparation for Retrieval
  • Teamwork and Communication
  • Specialist Clinical Guidelines
  • Early Trauma Care
  • Burns
  • Obstetric Trauma
  • The Deteriorating Trauma Patient
  • Traumatic Brain Injury
  • Spinal Trauma
  • Anticoagulation Trauma
  • Paediatric Trauma
  • Cardiac Arrest in Trauma
  • Imaging in Trauma
  • Older Person Trauma
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  • ©2022 Victorian Department of Health
  • Last Update: 28 May 2021
  • Trauma System Guidelines
    • Victorian Trauma System
      • Key Messages
        • Clinical emphasis points
      • Introduction
        • Definition of Major Trauma
          • Key features of the Victorian State Trauma System
            • Victorian State Trauma System Outcomes
              • Resources
                • References
                • Pre-Hospital Triage
                  • Key Messages
                    • Clinical emphasis points
                  • Rapid Reference Guideline
                    • Identification of Potential Major Trauma
                      •  Vital signs
                      •  Injuries found or suspected
                      • Isolated head injury in older people
                      •  High-risk criteria
                    • On Scene
                      • Scene Time
                      • ARV Notification
                    • Transport Time
                      • Persisting hypovolaemic shock
                    • References
                    • Inter-Hospital Transfer
                      • Key Messages
                        • Clinical emphasis points
                      • Rapid Reference Guideline
                        • Identification of Potential Major Trauma
                          •  Vital signs
                          •  Injuries found or suspected
                          • Specialised trauma transfer indications
                          •  High-risk criteria
                        • Deterioration
                          • Contact Retrieval Service
                            • Telemedicine
                            • Pre-transport communication and coordination
                          • Retrieval and transfer
                            • Ensuring patient readiness for transfer
                          • References
                          • Preparation for Retrieval
                            • Key Messages
                              • Clinical emphasis points 
                            • Rapid Reference Guide
                              • Introduction
                                • Retrieval Coordination
                                  • Choice of Transport Vehicle
                                    • Process of Transfer
                                      • Pre-transport communication and coordination
                                      • Ensuring patient readiness for transfer
                                    • Patient Preparation
                                      •  Airway
                                      •  Breathing
                                      •  Circulation and C-spine
                                      •  Documentation
                                      •  Alert
                                      • Other
                                    • References
                                    • Teamwork and Communication
                                      • Key Messages
                                        • Clinical emphasis points
                                      • Key attributes of an effective team
                                        • Trauma team structure
                                          • Trauma team positions
                                          • Modified trauma team positions
                                        • The role of the team leader
                                          • What is situational awareness?
                                        • Effective Communication
                                          • What is a shared mental model?
                                          • Briefing the team
                                          • Tacit vs explicit communication
                                          • Closed-loop communication
                                          • Handover
                                          • Remote support and communication
                                        • Dealing with issues
                                          • Graded assertiveness
                                          • Five-step advocacy
                                        • Trauma Team Training
                                          • References
                                        • Specialist Cinical Guidelines
                                          • Early Trauma Care
                                            • Key Messages
                                              • Clinical emphasis points
                                            • Rapid Reference Guideline
                                              • Introduction
                                                • Early Activation
                                                  • Ambulance handover
                                                  • Reception and resuscitation
                                                • Primary Survey
                                                  • Airway with cervical spine protection
                                                  •  Breathing and ventilation
                                                  •  Circulation with haemorrhage control
                                                  •  Disability
                                                  •  Exposure and environment
                                                • Secondary Survey
                                                  • History
                                                  • Head-to-toe examination
                                                  • Head and face
                                                  • Neck
                                                  • Chest
                                                  • Abdomen
                                                  • Limbs
                                                  • Back
                                                  • Buttocks and perineum
                                                  • Genitalia
                                                • Planning and Communication
                                                  • Early Management
                                                    • Airway management
                                                    • Fluid resuscitation
                                                    • Analgesia
                                                    • Fractures and dislocations
                                                    • Prevent hypothermia
                                                    • In-dwelling catheter
                                                    • Monitoring
                                                    • Glasgow Coma Scale
                                                    • Pathology tests
                                                    • X-ray or FAST scan
                                                    • Naso/orogastric tube (N/OGT)
                                                    • Wound care
                                                    • Tetanus immunisation
                                                    • Antibiotics
                                                    • Reassess
                                                  • Retrieval and Transfer
                                                    • References
                                                    • Burns
                                                      • Key Messages
                                                        • Clinical emphasis points:
                                                      • Rapid Reference Guideline
                                                        • Introduction
                                                          • Early Activation
                                                            • Primary Survey
                                                              •  Airway with cervical spine protection
                                                              •  Breathing and ventilation
                                                              •  Circulation with haemorrhage control
                                                              •  Disability: neurological status
                                                              •  Exposure/environmental control
                                                            • Secondary Survey
                                                              • History
                                                              • Head-to-toe examination
                                                              • Measuring burns
                                                              • Head-to-toe examination
                                                            • Planning and Communication
                                                              • Early Management
                                                                • Airway management
                                                                • Fluid resuscitation
                                                                • Compartment Syndrome
                                                                • Analgesia
                                                                • Wound care
                                                                • Minimise heat loss
                                                                • In-dwelling catheter
                                                                • Monitoring
                                                                • Glasgow Coma Scale
                                                                • Pathology tests
                                                                • X-ray/FAST scan
                                                                • Naso/orogastric tube (N/OGT)
                                                                • Tetanus immunisation
                                                                • Antibiotics
                                                                • Reassess
                                                              • Retrieval and Transfer
                                                                • References
                                                                • Obstetric Trauma
                                                                  • Key Messages
                                                                    •  Clinical emphasis points
                                                                  • Rapid Reference Guideline
                                                                    • Introduction
                                                                      • Changes in pregnancy
                                                                      • Complications associated with trauma
                                                                    • Early Activation
                                                                      • Primary Survey
                                                                        •  Airway with cervical spine protection
                                                                        •  Breathing and ventilation
                                                                        •  Circulation with haemorrhage control
                                                                        •  Disability: neurological status
                                                                        •  Exposure/environmental control
                                                                      • Secondary Survey
                                                                        • History
                                                                        • Head-to-toe examination
                                                                      • Planning and Communication
                                                                        • Pre-hospital triage
                                                                        • Inter-hospital transfer
                                                                      • Early Management
                                                                        • Patient positioning
                                                                        • Airway management
                                                                        • Radiology
                                                                        • Pathology tests
                                                                        • Preventing hypothermia
                                                                        • Analgesia and antiemetics
                                                                        • Sedation
                                                                        • Monitoring
                                                                        • Wound care
                                                                        • In-dwelling catheter
                                                                        • Nasogastric tube
                                                                        • Tetanus prophylaxis
                                                                        • Antibiotics
                                                                        • Cardiac arrest
                                                                        • Blood matters
                                                                        • Reassess
                                                                      • Retrieval and Transfer
                                                                        • References
                                                                        • The Deteriorating Trauma Patient
                                                                          • Key Messages
                                                                            • Clinical emphasis points
                                                                          • Rapid Reference Guideline
                                                                            • Introduction
                                                                              • Deteriorating trauma patients
                                                                              • Track and Trigger
                                                                            • Clinical Observation of Major Trauma Patient
                                                                              • Recognising and responding to clinical deterioration
                                                                            • Team Role in Recognising Deterioration
                                                                              • ABCDEFG for deteriorating patients
                                                                            • Early Activation or Consultation
                                                                              • Further Information
                                                                                • References
                                                                                • Traumatic Brain Injury
                                                                                  • Key Messages
                                                                                    • Clinical emphasis points
                                                                                  • Rapid Reference Guideline
                                                                                    • Introduction
                                                                                      • Early Activation
                                                                                        • Primary Survey
                                                                                          •  Airway with cervical spine protection
                                                                                          •  Breathing and ventilation
                                                                                          •  Circulation with haemorrhage control
                                                                                          •  Disability: neurological status
                                                                                          •  Exposure/environmental control
                                                                                        • Secondary Survey
                                                                                          • History
                                                                                          • Neurological assessment
                                                                                          • Head-to-toe examination
                                                                                        • Planning and Communication
                                                                                          • Indications for ARV consultation and/or transfer to a major trauma service
                                                                                        • Early Management
                                                                                          • Airway management
                                                                                          • Imaging
                                                                                          • The intoxicated patient with head trauma
                                                                                          • Anticoagulation and head trauma
                                                                                          • Patient positioning
                                                                                          • Seizure Prophylaxis
                                                                                          • Pathology tests
                                                                                          • Thermoregulation
                                                                                          • Analgesia
                                                                                          • Sedation
                                                                                          • Monitoring
                                                                                          • Wound care
                                                                                          • In-dwelling catheter
                                                                                          • Nasogastric tube
                                                                                          • Tetanus immunisation
                                                                                          • Antibiotics
                                                                                          • Steroids
                                                                                          • Reassess
                                                                                        • The Rapidly Deteriorating TBI Patient
                                                                                          • Additional management points
                                                                                          • Hyperventilation
                                                                                          • Osmotherapy
                                                                                          • Burr hole evacuation
                                                                                        • Retrieval and Transfer
                                                                                          • References
                                                                                          • Spinal Trauma
                                                                                            • Key Messages
                                                                                              • Clinical emphasis points
                                                                                            • Rapid Reference Guideline
                                                                                              • Introduction
                                                                                                • Early Activation
                                                                                                  • Early rapid neurological assessment
                                                                                                    • Primary Survey
                                                                                                      •  Airway with cervical spine protection
                                                                                                      •  Breathing and ventilation
                                                                                                      •  Circulation with haemorrhage control
                                                                                                      •  Disability: neurological status
                                                                                                      •  Exposure/environmental control
                                                                                                    • Secondary Survey
                                                                                                      • History
                                                                                                      • Head-to-toe examination
                                                                                                      • Neck
                                                                                                      • Chest
                                                                                                      • Abdomen
                                                                                                      • Limbs
                                                                                                      • Back
                                                                                                      • Buttocks and perineum
                                                                                                      • Genitalia
                                                                                                    • Planning and Communication
                                                                                                      • Early Management
                                                                                                        • Airway management
                                                                                                        • Fluid resuscitation
                                                                                                        • Monitoring
                                                                                                        • Medical imaging
                                                                                                        • Wound care
                                                                                                        • Pressure area care
                                                                                                        • Analgesia
                                                                                                        • Prevent hypothermia
                                                                                                        • Glasgow Coma Scale
                                                                                                        • Pathology
                                                                                                        • In-dwelling catheter
                                                                                                        • Nasogastric tube
                                                                                                        • Antibiotics
                                                                                                        • Reassess
                                                                                                        • Other
                                                                                                      • Retrieval and Transfer
                                                                                                        • Isolated spinal cord injury
                                                                                                        • Potential multi-trauma
                                                                                                      • References
                                                                                                      • Thoracic Trauma
                                                                                                        • Key Messages
                                                                                                          • Clinical Emphasis Points
                                                                                                        • Rapid Reference Guideline
                                                                                                          • Introduction
                                                                                                            • Immediately life threatening injuries
                                                                                                              • Tension pneumothorax
                                                                                                              • Massive Haemothorax
                                                                                                              • Cardiac Tamponade
                                                                                                              • Open pneumothorax
                                                                                                              • Flail Chest & Pulmonary Contusions
                                                                                                              • Major tracheobronchial injuries – larynx/ trachea
                                                                                                            • Early activation
                                                                                                              • Primary survey
                                                                                                                • Airway with cervical spine protection 
                                                                                                                • Breathing and Ventilation
                                                                                                                • Circulation with haemorrhage control
                                                                                                                • Disability: Neurological status
                                                                                                                • Exposure and environmental control
                                                                                                                • Investigations
                                                                                                                • Analgesia
                                                                                                              • Secondary survey
                                                                                                                • History
                                                                                                                • Head-to-toe examination
                                                                                                              • Planning and Communication
                                                                                                                • Early management
                                                                                                                  • Airway management
                                                                                                                  • Fluid resuscitation
                                                                                                                  • Monitor
                                                                                                                  • Administer
                                                                                                                  • Wound Care
                                                                                                                • Retrieval and Transfer
                                                                                                                  • References
                                                                                                                  • Anticoagulation in Trauma
                                                                                                                    • Key Messages
                                                                                                                      • Clinical Emphasis Points
                                                                                                                    • Rapid Reference Guideline
                                                                                                                      • Introduction
                                                                                                                        • Types of Oral Anticoagulation
                                                                                                                          • Vitamin K Antagonists
                                                                                                                          • Direct (or Novel) Oral Anticoagulants (DOAC’s/NOAC’s)
                                                                                                                          • Half-life and Elimination
                                                                                                                        • Monitoring and Pathology Tests
                                                                                                                          • Interpretation of coagulation screen
                                                                                                                        • Management Agents
                                                                                                                          • Transfusion support
                                                                                                                          • Anti-fibrinolytic agents
                                                                                                                          • Pro-haemostatic agents
                                                                                                                          • Reversal agents
                                                                                                                        • Early Management
                                                                                                                          • Head Injury and Oral Anticoagulants
                                                                                                                            • Retrieval and Transfer
                                                                                                                              • References
                                                                                                                              • Paediatric Trauma
                                                                                                                                • Key Messages
                                                                                                                                  • Clinical emphasis points
                                                                                                                                • Rapid Reference Guideline
                                                                                                                                  • Introduction
                                                                                                                                    • Early Activation
                                                                                                                                      • Primary Survey and Early Management
                                                                                                                                        •  Airway with cervical spine protection
                                                                                                                                        •  Breathing and ventilation
                                                                                                                                        •  Circulation with haemorrhage control
                                                                                                                                        •  Disability: neurological status
                                                                                                                                        •  Exposure/environmental control
                                                                                                                                      • Secondary Survey
                                                                                                                                        • History
                                                                                                                                        • Neurological exam
                                                                                                                                        • Head-to-toe examination
                                                                                                                                      • Additional points for early management
                                                                                                                                        • Trauma imaging
                                                                                                                                        • Analgesia
                                                                                                                                        • In-dwelling catheter
                                                                                                                                        • Orogastric tube (OGT)
                                                                                                                                        • Antibiotics
                                                                                                                                        • Tetanus immunisation
                                                                                                                                        • Reassess
                                                                                                                                      • Planning and Communication
                                                                                                                                        • Paediatric Burns Sub Guideline
                                                                                                                                          • Overview
                                                                                                                                          • Assessment
                                                                                                                                          • Management
                                                                                                                                        • Paediatric Spinal Sub Guideline
                                                                                                                                          • Overview
                                                                                                                                          • Assessment
                                                                                                                                          • Management
                                                                                                                                        • Paediatric Traumatic Brain Injury Sub-Guideline
                                                                                                                                          • Overview
                                                                                                                                          • Advice and Retrieval
                                                                                                                                          • Primary Survey Assessment
                                                                                                                                          • Management
                                                                                                                                          • CT scanning
                                                                                                                                        • Retrieval and Transfer
                                                                                                                                          • References
                                                                                                                                          • Abdominal Trauma
                                                                                                                                            • Key Messages
                                                                                                                                              • Clinical Emphasis Points
                                                                                                                                            • Rapid Reference Guideline
                                                                                                                                              • Introduction
                                                                                                                                                • Blunt abdominal trauma
                                                                                                                                                • Angioembolisation
                                                                                                                                                • Penetrating abdominal trauma
                                                                                                                                                • Solid organ versus hollow viscus injury
                                                                                                                                              • Early Activation
                                                                                                                                                • Primary Survey
                                                                                                                                                  • Airway with cervical spine protection 
                                                                                                                                                  • Breathing and ventilation 
                                                                                                                                                  • Circulation with haemorrhage control 
                                                                                                                                                  • Disability: Neurological status 
                                                                                                                                                  • Exposure and environment 
                                                                                                                                                  • Emergency Laparotomy
                                                                                                                                                  • Imaging
                                                                                                                                                • Secondary Survey
                                                                                                                                                  • History
                                                                                                                                                  • Head-to-toe examination
                                                                                                                                                • Planning and Communication
                                                                                                                                                  • Early Management
                                                                                                                                                    • Haemostatic resuscitation
                                                                                                                                                    • Permissive hypotension
                                                                                                                                                    • Damage control surgery
                                                                                                                                                    • Naso/orogastric tube (N/OGT)
                                                                                                                                                    • Urinalysis
                                                                                                                                                    • Imaging
                                                                                                                                                    • Blunt trauma
                                                                                                                                                    • Penetrating wounds
                                                                                                                                                    • Laboratory tests
                                                                                                                                                    • Fluid resuscitation
                                                                                                                                                    • Analgesia
                                                                                                                                                    • Prevent hypothermia
                                                                                                                                                    • Monitoring
                                                                                                                                                    • Glasgow Coma Scale
                                                                                                                                                    • Tetanus immunisation
                                                                                                                                                    • Antibiotics
                                                                                                                                                    • Reassess
                                                                                                                                                  • Retrieval and Transfer
                                                                                                                                                    • References
                                                                                                                                                    • Traumatic Cardiac Arrest
                                                                                                                                                      • Key Messages
                                                                                                                                                        • Clinical Emphasis Points:
                                                                                                                                                      • Rapid Reference Guideline
                                                                                                                                                        • Introduction
                                                                                                                                                          • Pre-hospital considerations
                                                                                                                                                            • Management
                                                                                                                                                              • Haemorrhage
                                                                                                                                                              • Tension pneumothorax
                                                                                                                                                              • Airway obstruction
                                                                                                                                                            • Conventional BLS and ALS considerations
                                                                                                                                                              • External chest compressions & ventilation
                                                                                                                                                              • Adrenaline
                                                                                                                                                              • Defibrillation
                                                                                                                                                              • Reversible causes
                                                                                                                                                            • Resuscitation procedures
                                                                                                                                                              • Ultrasonography
                                                                                                                                                              • Pericardiocentesis
                                                                                                                                                              • Resuscitative Thoracotomy
                                                                                                                                                            • Resource Limited Facility
                                                                                                                                                              • Return of Spontaneous Circulation ROSC
                                                                                                                                                                • Damage control resuscitation
                                                                                                                                                              • Endpoint to Resuscitation
                                                                                                                                                                • Debriefing
                                                                                                                                                                  • Paediatric Considerations
                                                                                                                                                                    • References
                                                                                                                                                                    • Imaging in Trauma
                                                                                                                                                                      • Key Messages
                                                                                                                                                                        • Clinical Emphasis Points:
                                                                                                                                                                      • Introduction
                                                                                                                                                                        • Modalities of Imaging
                                                                                                                                                                          • Plain film X-rays
                                                                                                                                                                          • Ultrasound
                                                                                                                                                                          • CT scanning
                                                                                                                                                                          • MRI
                                                                                                                                                                        • Early Activation
                                                                                                                                                                          • Indications for Imaging
                                                                                                                                                                            • Head
                                                                                                                                                                            • Spine
                                                                                                                                                                            • Chest
                                                                                                                                                                            • Abdomen
                                                                                                                                                                          • Radiation and contrast considerations
                                                                                                                                                                            • Paediatric considerations
                                                                                                                                                                              • Trauma imaging
                                                                                                                                                                            • Education Modules
                                                                                                                                                                              • Adult
                                                                                                                                                                              • Paediatric
                                                                                                                                                                            • References
                                                                                                                                                                            • Older Person Trauma
                                                                                                                                                                              • Key Messages
                                                                                                                                                                                • Clinical Emphasis Points
                                                                                                                                                                              • Rapid Reference Guideline
                                                                                                                                                                                • Introduction
                                                                                                                                                                                  • Older person Anatomy and Physiology
                                                                                                                                                                                  • Mechanism of Injury
                                                                                                                                                                                • Early Activation
                                                                                                                                                                                  • Primary Survey
                                                                                                                                                                                    • Airway with cervical spine protection 
                                                                                                                                                                                    • Breathing and ventilation 
                                                                                                                                                                                    • Circulation with haemorrhage control 
                                                                                                                                                                                    • Disability: neurological status 
                                                                                                                                                                                    • Exposure/Environmental Control 
                                                                                                                                                                                  • Secondary Survey
                                                                                                                                                                                    • History
                                                                                                                                                                                    • Head-to-toe examination
                                                                                                                                                                                  • Planning and Communication
                                                                                                                                                                                    • Limitation of Treatment Orders
                                                                                                                                                                                      • Early Management
                                                                                                                                                                                        • Diagnostic imaging
                                                                                                                                                                                        • ECG
                                                                                                                                                                                        • Optimising oxygenation
                                                                                                                                                                                        • Fluid resuscitation
                                                                                                                                                                                        • Insert
                                                                                                                                                                                        • Monitor
                                                                                                                                                                                        • Administer
                                                                                                                                                                                        • Monitor blood results
                                                                                                                                                                                        • Wound Care
                                                                                                                                                                                        • Psychological health
                                                                                                                                                                                      • Transfer and Retrieval
                                                                                                                                                                                        • References
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