Development and implementation of Victorian prehospital Clinical Practice Guidelines: the supraventricular tachycardia example

Gavin Smith, Jeff Kenneally

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2 Citations (Scopus)


The Ambulance Victoria (AV) Clinical Practice Development Committee (CPDC) is tasked with periodic review of all of the AV Clinical Practice Guidelines (CPG?s).This paper will highlight the framework underpinning CPG development in a Victorian prehospital emergency care system, using the major revision of CPG A0403 (supraventricular tachycardia) as an example of the process. The CPDC applied the AV CPD process, based upon national and internationally accepted methods of guideline assessment and development. Literature review, analysis of current practice data and extensive expert consultation were also used to formulate the supraventricular tachycardia guideline examined here. The CPDG delivered a revised CPG which removed calcium channel blocker therapy, introduced adenosine, and expanded the use of vagal manoeuvres to all operational paramedics. This revised guideline will improve the continuum of emergency health care between prehospital and hospital providers, expand the therapies available to treat SVT patients by paramedics, and provide arrhythmia recordings for further electrophysiological investigations of the patient condition. The development and implementation of new clinical practice guidelines in Victoria has evolved to embody the principles of evidence based practice, and the evidence which is being produced in support of such change. The revised CPG will provide better patient care for Victorian citizens, and will enable further development resulting from periodic review.
Original languageEnglish
Pages (from-to)1 - 11
Number of pages11
JournalAustralasian Journal of Paramedicine
Issue number4 (Art. ID: 4)
Publication statusPublished - 2013

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