A Comparison of Australasian Jurisdictional Ambulance Services’ Paramedic Clinical Practice Guidelines Series: Adult Sepsis

Introduction This article forms part of a series that seeks to identify interjurisdictional differences in the scope paramedic practice and patient treatment based upon which jurisdiction is geographically located within at time their complaint. Methods The current CPGs each JAS were accessed during June 2020, updated August 2021. Content was extracted verified. Results Nine services provide antibiotics for meningococcal septicaemia, with dosage ranging from 1 – 4 grams. Five non-meningococcal sepsis (three under doctor approval), choice antibiotic including Ceftriaxone, Benzylpenicillin, Amoxicillin, Gentamicin. Three antipyretics, one provides corticosteroids approval, all fluids (with 20 60 ml/kg). ICPs are allowed adrenaline infusions nine services, noradrenaline three (one requiring metaraminol services. Two additional restrict specialist paramedics, these approval. perform phlebotomy takes lactate. Paramedics unassisted intubation service, restricting this ICPs. Facilitated or Ketamine-only performed by service. Rapid delayed sequence induction six restricted specialists two Conclusion domestic jurisdictional ambulance Australasia have created unique clinical guidelines heterogeneous treatments scopes practice. A review evidence underlying intervention appropriate determining best