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Our dedication to clinical excellence drives us to continuously innovate and improve our healthcare services. From world leading out-of-hospital cardiac arrest survival results, to a robust Medical Directorate keeping abreast of contemporary guidelines, to comprehensive educational programs and international partnerships, our clinical advancements are at the national forefront of transforming healthcare.

Our Victorian 黄片视频 Cardiac Arrest Registry results

Victoria has Australia鈥檚 best cardiac arrest survival rate and the third best in the world, following a record year as reported in the Victorian Cardiac Arrest Registry (VACAR) Annual Report.

Bystander cardiopulmonary resuscitation (CPR) was administered in 79 per cent of witnessed cases and 141 cases receiving a shock from a public Automated External Defibrillator (AED) 鈥� the highest number on record. As a result of these interventions, and the dedication of paramedics and first responders, 422 people who had experienced an out-of-hospital cardiac arrest were discharged from hospital, with 84 per cent returning home to their families.

With our highest internationally comparable survival rate, 41 per cent of patients survived to hospital discharge. The rise from 36 per cent in 2022-23 marks the largest annual increase in the past decade and is a testament to the efforts of all at AV.

These improvements in survival are not by chance 鈥� they reflect the unwavering dedication of our paramedics and first responders, the responsiveness of the community, and the targeted initiatives that have strengthened the chain of survival.

The 黄片视频 Cardiac Arrest Improvement Strategy 2023-28 continues to drive innovation in emergency response. In 2024-25, we continued the FIRST: First Responder Shock Trial alongside St John New Zealand to help GoodSAM responders use defibrillators more often when assisting patients.

The trial in Victoria and New Zealand has been running since 2022 and provides GoodSAM responders with a CellAED.

This device is a small portable defibrillator. The trial will determine if this device can help more people survive 30 days after a cardiac arrest outside of hospital. It will also determine if this can be a method for the public to provide help sooner when someone鈥檚 heart stops.

Additionally, the expansion of the Heart Safe Communities program has introduced 12 new communities this year.

With 17,327 GoodSAM responders now registered, and 10,304 AEDs available across Victoria, community involvement in cardiac arrest response continues to grow.

Leading clinical excellence

The Office of the Medical Director (OMD) serves as AV鈥檚 clinical leadership hub, overseeing the development, implementation, and continuous refinement of Clinical Practice Guidelines (CPGs) and procedures that ensure paramedics, first responders, nurses, and doctors deliver safe, evidence-based, and contemporary clinical care to the Victorian community.

The OMD delivered several critical guideline updates throughout 2024-25, each designed to enhance patient outcomes and clinician safety. In October 2024, the first major CPG update introduced revised acute behavioural disturbance guidelines that better balance optimal patient care with paramedic safety considerations. Three new guidelines were also launched, all addressing critical gaps in clinical guidance:

1. Withholding or Ceasing Resuscitation (paediatric)
2. Sepsis and infection (adult and paediatric)
3. Clinical Care Outside Scope of Practice

November 2024 saw the introduction of new clinical work instructions for stacked shocks, while March 2025 brought significant changes to intranasal fentanyl administration protocols. These updates, alongside targeted enhancements for Adult Retrieval Victoria (ARV) and wilderness paramedics, ensure AV鈥檚 clinical practices remain at the forefront of emergency medical care.

Improvement and innovation

The Standards for Safe and Timely 黄片视频 and Emergency Care for Victorians

The DH Standards for Safe and Timely 黄片视频 and Emergency Care for Victorians (the Standards) seek to improve whole-of-hospital flow so that patients arriving via ambulance can be consistently transferred to the care of a hospital in a timely manner.

It involves AV and our health service partners working together to meet new benchmarks for efficient transfers, clearing times, alternative care pathways, and hospital coordination. There are 10 Standards in total, and five where AV has a detailed role.

Our work towards meeting the Standards includes embedding clear processes, communicating and engaging with our people about strategies, improving reporting frameworks and aligning AV鈥檚 operational practices with system-wide healthcare goals.

We are also testing and refining care models through the Timely Emergency Care 2 (TEC2) project (read about TEC2 in the next section).

In improving our response performance and getting ambulances back out on the road more efficiently, we are best placed to deliver best care to our Victorian community.

Timely Emergency Care 2

Launched in September 2024, the TEC2 program is a partnership between AV, DH, and the Institute for Healthcare Improvement (IHI).

The program aims to embed a consistent, evidence-based approach to quality improvement across AV, and is also contributing to our work towards the Standards (as outlined in the section above).

Multidisciplinary teams comprising of staff who work directly with patients have been using the Model for Improvement framework to develop and test change ideas in real-world settings. The objective is to learn quickly, implement effective solutions, and scale successful initiatives across Victoria to improve efficiency and ensure timely access to care.

Focus areas and opportunities for TEC2 have been informed by engagement across our workforce. In total, 155 staff from a range of roles and locations engaged via survey or in-depth interview. Four key themes were identified:

1. Effective call taking and dispatch ensures emergency ambulances are available for patients with higher acuity needs.
2. Optimising alternate pathways and supporting care being provided in place, virtually and outside emergency departments would reduce avoidable hospital transports.
3. Timely handover at hospitals 鈥� helping paramedics get back on the road.
4. Resourcing and process improvements to maximise efficiency, enhance wellbeing and improve ambulance availability.

Priority projects were identified across four focus areas: Daily Operating System, Transfer, Clearing, and Safe in Place (in field). Change teams, comprised of members from the operational workforce, were established and supported by a capability program co-designed and delivered in partnership with DH and IHI.

In 2024-25, 53 AV staff participated in one or more TEC capability sessions 鈥� including leadership, operations and corporate roles.

Early promising results were seen at Box Hill Hospital, Ballarat Hospital, Goulburn Valley Health, and Sunshine Hospital, where updated clearing and transfer practices were tested as part of TEC2. Improved transfer and clearing times were demonstrated through earlier ePCR initiation, leadership presence in EDs and targeted communication to operational teams. This also includes the team-based approaches, such as 鈥榮tride or ride鈥�, or hospital-based approaches, such as the workstation-on-wheels.

Work will continue to drive continuous improvement across the four identified priority areas. In addition, efforts are now focused on developing a sustainable model to scale and embed the improvement capability established through TEC2.

This model will be utilised to support further implementation of performance standards and other strategic initiatives aligned with the delivery of timely and high-quality patient care.

Safer Together Program

The Safer Together Program is Safer Care Victoria鈥檚 (SCV) statewide safety improvement initiative. It aims to build a continuously learning and improving health system that is safer, more person-centred, sustainable, and delivers better outcomes for all Victorians.

Through our participation in this program, AV has collaborated with SCV and the broader health sector to:

• Design, implement and evaluate quality improvement projects.
• Share insights, findings and resources.
• Contribute to the development of a learning health system.

AV is currently participating in the collaborative streams of the Victorian Sepsis Program and the Enhancing Stroke Care Collaborative. These initiatives bring together AV, SCV and health services to improve the quality of sepsis and stroke care across the state through shared learning and coordinated action.