External aortic compression (EAC) has long been used to control exsanguinating post-partum hemorrhage, but it has only recently been described in the prehospital trauma setting. This paper reports four cases where manual EAC was used during transport to manage life-threatening bleeding, twice from stab wounds, once from ruptured ectopic pregnancy, and once from severe lower-limb trauma. It showed that EAC has life-saving potential in the prehospital setting, but that safety and efficacy during transport requires the use of a hands-free compression device, such as an aortic tourniquet.

Despite the emphasis within Australian child protection upon family-based care as the preferred placement option, it has been increasingly recognised that some young people may be best served in specialist care placements, such as residential or therapeutic care. This paper presents a thematic analysis of 20 interviews undertaken with professional carers who, at the time, were working in a specialist care programme in South Australia known as Individual Packages of Care. The analysis suggests that three key issues were at stake for participants: (1) the impact of role conflict between engaging in caring relationships with young people and maintaining professional boundaries; (2) the impact of additional stakeholders (such as mental health professionals) upon the stability of the placement; and (3) the use of restraint as a form of behaviour management. The paper concludes by discussing the interesting relationship identified in the data between caring relationships and the use of restraint, and makes recommendations from the data for issues requiring further consideration with regard to specialist care placements.

The aim of this study was to explore the role that professional foster care – and specifically Individual Packages of Care (IPC) in South Australia – plays in providing an alternative care option for young people who are unable to live with their birth parents due to issues of abuse or neglect, but who also, due to behavioural concerns, are not well suited to a traditional foster care placement. Participants in the study were nine young people who had previously lived in an IPC placement. The findings highlight participants’ experiences of living in the context of an IPC placement, experiences that were at times challenging, but which also provided opportunities for growth and positive change that may not have been possible in a traditional foster care placement.