NED Victoria

NED Victoria * Nursing/Paramedic CPD
* First Aid Training (Healthcare, Community, Education and Corporate sectors

NED Victoria is owned and operated by critical care nurses who are qualified and experienced in providing quality and relevant education to nurses, midwives, ambulance paramedics, students, nursing assistants and PCAs. We are also training partners of RTO no. 3856 which allows us to provide Nationally Recognised Training for the community. Visit our website www.nedvic.com.au for course information, policies, disclaimers, terms and conditions.

Lest we forget
25/04/2026

Lest we forget

This Anzac Day, we want to tell you about Sister Rachel Pratt.

She was born in 1874 in Mumbannar, a small town in western Victoria. She started her nursing training at Ballarat Hospital in 1909, and had to understate her age by almost five years just to be accepted. She qualified, kept working at Ballarat, then moved to Melbourne to join the Women's Hospital.

When war came, she enlisted in May 1915. She was 40 years old.

Within weeks, she was aboard a ship bound for Lemnos, assigned to the 3rd Australian General Hospital, caring for soldiers wounded at Gallipoli. From there, Egypt. Then England. Then, in May 1917, France - attached to the 1st Australian Casualty Clearing Station at Bailleul.

At 3.40am on the night of 3โ€“4 July 1917, a bomb dropped close to the tent where she was on duty, attending to a patient.

Shrapnel tore into her right shoulder and lung.

She kept working.

"๐˜ ๐˜ง๐˜ฆ๐˜ญ๐˜ต ๐˜ฏ๐˜ฐ ๐˜ฑ๐˜ข๐˜ช๐˜ฏ ๐˜ช๐˜ฎ๐˜ฎ๐˜ฆ๐˜ฅ๐˜ช๐˜ข๐˜ต๐˜ฆ๐˜ญ๐˜บ," she said later, "๐˜ฃ๐˜ถ๐˜ต ๐˜ซ๐˜ถ๐˜ด๐˜ต ๐˜ต๐˜ฉ๐˜ฆ ๐˜ค๐˜ฐ๐˜ฏ๐˜ด๐˜ค๐˜ช๐˜ฐ๐˜ถ๐˜ด๐˜ฏ๐˜ฆ๐˜ด๐˜ด ๐˜ฐ๐˜ง ๐˜ฉ๐˜ข๐˜ท๐˜ช๐˜ฏ๐˜จ ๐˜ฃ๐˜ฆ๐˜ฆ๐˜ฏ ๐˜ฉ๐˜ช๐˜ต ๐˜ฃ๐˜บ ๐˜ด๐˜ฐ๐˜ฎ๐˜ฆ ๐˜ต๐˜ฆ๐˜ณ๐˜ณ๐˜ช๐˜ง๐˜ช๐˜ค ๐˜ธ๐˜ฆ๐˜ช๐˜จ๐˜ฉ๐˜ต."

She tended to her patient until she collapsed. The report filed afterwards noted she "exhibited the utmost coolness and bravery, and by so doing was a conspicuous example to the patients and others, whose confidence was thereby absolutely maintained."

She was evacuated and underwent surgery. The shrapnel could not be removed. It stayed in her lung for the rest of her life.

She was promoted to Sister the following day. She was awarded the Military Medal for conspicuous gallantry. One of only seven Australian nurses to receive it in the entire war.

She returned to Australia on 24 October 1918.

The years that followed were hard. Chronic bronchitis. Ongoing mental health struggles. Debilitating depression that marked the final two decades of her life. Those who knew her remembered her as "a most charming lady, well-spoken and highly regarded." But the war never really left her.

Sister Rachel Pratt died on 23 March 1954, from complications related to her service, more than 35 years after it ended.

From Ballarat to Bailleul. From a training ward to a bombed field hospital at 3 in the morning. She showed up, she stayed, and she paid a price for it that lasted a lifetime.

Lest we forget. ๐ŸŒบ

14/04/2026
Emerging Drugs Network of Australia. https://www.youred.org.au/read/edna-a-real-world-example-of-research-driven-excelle...
14/04/2026

Emerging Drugs Network of Australia.
https://www.youred.org.au/read/edna-a-real-world-example-of-research-driven-excellence?fbclid=IwdGRjcARKY6BjbGNrBEpDeGV4dG4DYWVtAjExAHNydGMGYXBwX2lkDDM1MDY4NTUzMTcyOAABHiYvVi1uDktgDO0kyevRuGaQTBw1mYjxzufHH5cOCKcp8QJ4HlWVLS87lWoP_aem_bn-anWeDUzALhouisnX_Mg

โ€˜Having a system in place like this really makes a difference to the hospitals, to public health, and to patients.โ€™ ย Professor Daniel Fatovich discusses the need for the Emerging Drugs Network of Australia (EDNA) project and his passion for research.

Congratulations Di! Such an amazing achievement ๐Ÿฅณ
02/04/2026

Congratulations Di! Such an amazing achievement ๐Ÿฅณ

This June marks 30 years in nursing for Di Bissett, including 25 years in the emergency department and more than two decades shaping the next generation of nurses through education.

From clinical roles at Eastern Healthโ€™s Box Hill Hospital to senior clinical nurse educator, Di has built a career grounded in both practice and teaching. Now in a project role, she still picks up shifts in ED to stay connected to the frontline.

A career highlight has been supporting learners and staff over many years and watching them grow as critical thinkers. In 2018, she also presented at the College of Emergency Nursing Australasia national conference.

Her advice for nurses starting out in emergency care is simple but powerful: Learn from your patients. Ask for help and escalate early. Always think worst case scenario and make it safe.

After 30 years, Di continues to contribute to the strength and future of the CENA community.

13/03/2026

How fantastic!

Interesting read...
23/01/2026

Interesting read...

๐Ÿš‘ Your patient achieves ROSC โ€” the SBP is 86 mmHg.

How aggressive do you need to be?

Post-ROSC hypotension is common, but this large prehospital study suggests it may be far more dangerous than weโ€™ve appreciated.

How low....and for how long... the pressure drops both matter.

๐Ÿ“Š This study analyzed 17,280 out-of-hospital cardiac arrest (OHCA) patients using national EMS data, focusing on prehospital hypotension after ROSC and its relationship to survival.

Over one-third of patients (37.8%) had at least one systolic BP < 90 mmHg after ROSC.

What they found was clear:
โžก๏ธ Higher blood pressures were consistently associated with better outcomes
โžก๏ธ Deeper and longer hypotension was associated with worse survival and more re-arrest
โžก๏ธ For every 10 mmHg increase in average SBP, the odds of survival increased by 19%.
โžก๏ธ For every 10 mmHg increase in the lowest systolic BP, survival increased by 20%.

On the flip side, increasing hypotension dose (how low ร— how long) was independently associated with:
โžก๏ธ Lower survival
โžก๏ธ Higher rearrest rates

Interestingly, patients with post-ROSC hypertension (>140 mmHg) had the highest survival rates, outperforming even normotensive patients. This challenges the traditional โ€œSBP โ‰ฅ90 mmHg is good enoughโ€ mindset.

๐Ÿšจ What about treatment?
Different hypotension management strategies (fluids, push-dose pressors, or infusions) were not associated with improved survival or faster resolution of hypotension. Vasopressor use was actually associated with higher rearrest, likely reflecting sicker patients rather than harm, but it reinforces that prevention matters more than rescue.

๐Ÿ’ก Why this matters for EMS
Post-ROSC care is not benign. Even brief or moderate hypotension may worsen secondary brain injury.

These data suggest we may need to:
โžก๏ธ Treat hypotension earlier
โžก๏ธ Avoid โ€œpermissive hypotensionโ€ post-ROSC
โžก๏ธ Reconsider whether an SBP of 90 mmHg is too low a target

๐Ÿ”‘ Bottom line:
After ROSC, depth and duration of hypotension matter. Higher systolic pressures were associated with better survival, and the traditional SBP โ‰ฅ90 mmHg threshold may be insufficient in postโ€“cardiac arrest care.

Want More? The Florida EMS Webinar has highlighted Mike Humphrey and Adam Perrett from Lethbridge Fire & EMS who have been deeply invested in this topic for some time. https://youtu.be/lObg1s06o3o

๐Ÿ“š Full study: https://ow.ly/A8Hi50Y08uT

Thinking about everyone impacted by the devastaging fires accross Victoria...
11/01/2026

Thinking about everyone impacted by the devastaging fires accross Victoria...

If you are feeling overwhelmed by extreme weather or the threat of bushfires itโ€™s normal to feel anxious, scared, or stressed. Talking to someone can help you feel supported and less alone.

We are here for you 24/7.

If you or someone you know needs support, please call Lifeline anytime on 13 11 14, or text us on 0477 13 11 14. You can visit lifeline.org.au for our online chat service or lifeline.org.au/toolkit for resources to self-manage what youโ€™re going through.

We had a little helper today at Basic Life Support training๐Ÿ˜๐Ÿ˜Luckily, we had a spare   manikin for her to have her own s...
21/11/2025

We had a little helper today at Basic Life Support training๐Ÿ˜๐Ÿ˜
Luckily, we had a spare manikin for her to have her own skill station.
Picture posted with her mum's permission ๐Ÿ‘

05/07/2025

On Tuesday 15 July, weโ€™re hosting a webinar on sepsis with guest presenter Professor Simon Finfer AO.

Join us online as we explore the importance of early sepsis recognition and intervention, using case studies and real-world application.

Free for members at bit.ly/ACP-Sepsis25

27/06/2025

Welcome to 5 Minute Fridays! Check out the resource and share your thoughts and experiences below!

If you would like to share this resource with your colleagues, head over to www.cena.org.au/education/5-minute-fridays/ to download a copy. Alternatively, share on social media using the hashtag

If you've got more food for thought or would like to request a topic, email your 5 Minute Friday suggestions to cenaeducator@cena.org.au.

Happy Friday!

26/06/2025
19/06/2025

The AMA has been pushing for reform to funding for wound care including taking the issue up with former Health Minister, Greg Hunt in 2017. We also proposed a Free Medicare Chronic Wound Care Scheme in our submissions to the MBS Review Taskforce.

The $50 million scheme, which begins today, provides fully subsidised wound care products for Australians with diabetes aged 65+ (50+ for First Nations people), saving patients around $4,000 annually.

The scheme helps 20,000 Australians access free wound care products delivered to their homes, with healthcare professionals enrolling patients through an online portal.

Whilst we celebrate this important first step, the scheme must be expanded to cover all Australians living with chronic wounds, regardless of age or underlying condition.

We will continue advocating for expanded access to ensure no Australian suffers needlessly due to cost barriers in wound care.

Read our research report: https://www.ama.com.au/solutions-to-the-chronic-wound-problem-in-australia

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