Clinical Conversations

The Ambulance Victoria Office of the Medical Director
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The podcast for paramedics and anyone involved in out-of-hospital care that is critical, urgent, or unplanned. Hosted by James Oswald (Paramedic and clinical guideline developer) and A/Prof David Anderson (Medical Director).Keyword: Paramedic, paramedicine, Emergency Medical Service, EMS, Emergency Medical Technician, EMT, prehospital, pre-hospital critical care, retrieval medicine, ambulance, Helicopter Emergency Medical Service, HEMS, air ambulance, emergency, first responder, first aid.

  1. Clinical Updates: March 2026

    27/03

    Clinical Updates: March 2026

    Your monthly clinical update from James Oswald (Clinical Practice Guideline Specialist) and A/Prof Ben Meadley (Director of Paramedicine). This month's episode covers: Planned updates to CPGs in 2026Posterior StrokePatient Care RecordsEvaluation data of droperidol and dexamethasone as antiemeticsPaper of the Month: IV vs IO in cardiac arrestEquipment updateProfessional development opportunitiesSmall steps to transform your practicePaper of the Month Vascular access by paramedics during cardiopulmonary resuscitation in out-of-hospital cardiac arrest: A retrospective study of insertion success rates and survival outcomes of intravenous versus intraosseous route  https://www.sciencedirect.com/science/article/abs/pii/S0735675726000628  Professional Development Opportunities The Australasian College of Paramedicine | Primary Care Conference 2026 ACP 2026 Education Grants: 2026 Education Grants Open Posterior Stroke Not so FAST: pre-hospital posterior circulation stroke - PMC Get in touch clinicalguidelines@ambulance.vic.gov.au X / Twitter  James: ⁠⁠⁠@JamesOz1⁠⁠  Ben: ⁠@ben_meadley⁠ Linkedin James Ben Producer: Liam Hennebry

    19 min

  2. 1/03

    Paramedics DO diagnose: diagnostic safety with A/Professor Carmel Crock

    In this episode of Clinical Conversations, we're joined by Associate Professor Carmel Crock (Director of the Emergency Department at the Royal Victorian Eye and Ear Hospital and Chair of the Quality & Patient Safety Committee at the Australasian College of Emergency Medicine) to unpack what diagnosis is, how diagnostic error happens, and how we can make diagnosis safer. We explore common pitfalls like premature closure and diagnostic momentum, and practical ways to improve diagnostic safety.   Get in touch ⁠clinicalguidelines@ambulance.vic.gov.au⁠   Socials David: ⁠@expensivecare⁠ | @expensivecare.bsky.social | LinkedIn James: https://linktr.ee/ClinicalConversations Producer: Liam Hennebry

    1 h 4 min
  3. Clinical Updates: February 2025

    15/02

    Clinical Updates: February 2025

    Your monthly clinical update from James Oswald (Clinical Practice Guideline Specialist) and A/Prof Ben Meadley (Director of Paramedicine). Cardiac Arrest Update with AV Resuscitation Coordinator Steve MusgravePatient Safety Update: Stroke Assessment and Elderly FallsAlpine and Wilderness Response AlagaesiaToxicology EvaluationAlcohol Withdrawal GuidelineEquipment Update: Syringe DriversPaper of the Month Prehospital transesophageal echocardiography versus conventional advanced life support in out-of-hospital cardiac arrest (PHTEE–OHCA) – a randomized controlled pilot study: https://link.springer.com/article/10.1186/s13054-025-05805-w Professional Development Opportunities Fast-Tracked Higher Education Pathway for AV Clinical Instructors:  https://ambulancevic.sharepoint.com/sites/OneAV-news-and-updates/SitePages/Exciting-Opportunity-Fast-Tracked-Higher-Education-Pathway-for-AV-Clinical-Instructors.aspx?web=1  ACP Primary Care Conference Canberra: 21-22 May  ACPIC Melbourne : 8-11 September EMS Asia Singapore 7-13 November  Grad Cert MH: https://victoriauniversity.online/ppc/graduate-certificate-mental-health  https://www.latrobe.edu.au/courses/graduate-certificate-in-mental-health#/overview?location=ON&studentType=dom&year=2026  https://online.scu.edu.au/online-courses/graduate-certificate-mental-health  https://handbook.monash.edu/2024/courses/m4039  AICG: Clinical Governance, Effective Leadership, Clinical Education, Clinical Feedback.  https://www.aicg.edu.au/education/online-courses/  Get in touch clinicalguidelines@ambulance.vic.gov.au X / Twitter  James: ⁠⁠⁠@JamesOz1⁠⁠  Ben: ⁠@ben_meadley⁠ Linkedin James Ben Producer: Liam Hennebry

    31 min

  4. 2/02

    Non-Invasive Ventilation (CPAP and BiPAP)

    In this episode of Clinical Conversations, James Oswald and Ambulance Victoria Medical Director Dr David Anderson unpack non-invasive ventilation (NIV) for prehospital care. They explain the key physiology (oxygenation vs ventilation), the practical difference between CPAP and BiPAP, and how this guides use in COPD, acute pulmonary oedema, COVID, asthma, and undifferentiated dyspnoea. The discussion also covers patient coaching, mask fit troubleshooting, essential monitoring, and how to recognise early success vs failure—including when to escalate and call for help. Get in touch ⁠clinicalguidelines@ambulance.vic.gov.au⁠   Socials David: ⁠@expensivecare⁠ | @expensivecare.bsky.social | LinkedIn James: https://linktr.ee/ClinicalConversations Producer: Liam Hennebry

    46 min
  5. Clinical Updates: December 2025

    23/12/2025

    Clinical Updates: December 2025

    Your monthly clinical update from James Oswald (Clinical Practice Guideline Specialist) and A/Prof Ben Meadley (Director of Paramedicine). Hear from Louise Reynolds (Victoria’s Chief Paramedic Officer) on the women’s pain inquiry findings—and what it means for paramedic practice.Spotlight the VVED back pain pathway: for many patients, opioids + ED isn’t the answer—community physio support can be surprisingly effective.Adam Ho (AV Senior Pharmacist) answers the most common medication questions.Paper of the Month: a must-read on post-intubation hypotension.Ben runs through key professional development opportunities for 2025 and what’s coming in 2026.Equipment update.And we wrap with small steps to transform your practiceFurther resources VVED Back pain pathway presentation (AV employees only): https://engage.cloud.microsoft/main/threads/eyJfdHlwZSI6IlRocmVhZCIsImlkIjoiMzU5OTQ5NzU4NzMzNTE2OCJ9?trk_copy_link=V1 AI Professional Development Courses Free micro-skill course in AI: https://www.australianindustrygroup.com.au/education-training/centre-for-education-and-training/blog/free-introduction-to-artificial-intelligence-microskill-course Digital health 101: https://digitalhealthworkforce.org.au/education-and-resources/ Australian Institute of Digital Health AI essentials: https://cpd.digitalhealth.org.au/course/ai-essentials   AI Podcasts NEJM AI Grand rounds (AI Podcast): https://store.nejm.org/signup/ai/podcasts Beyond the prompt (AI podcast): https://www.beyondtheprompt.ai/ Paper of the month Prehospital Postintubation Hypotension and Survival in Severe Traumatic Brain Injury: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2841682 Ketamine or Etomidate for Tracheal Intubation of Critically Ill Adults: https://www.nejm.org/doi/abs/10.1056/NEJMoa2511420 Get in touch clinicalguidelines@ambulance.vic.gov.au X / Twitter  James: ⁠⁠⁠@JamesOz1⁠⁠  Ben: ⁠@ben_meadley⁠ Linkedin James Ben Producer: Liam Hennebry

    38 min

  6. 22/12/2025

    Clinical Conversations: Medical Director Live Q&A

    In our first ever live episode of Clinical Conversations, James Oswald (CPG specialist and paramedic) is joined by Ambulance Victoria Medical Director Dr David Anderson for an end-of-year Q&A on the latest CPG updates. We work through staff questions on the “why” behind key changes—including respiratory care and oxygen targets, NIV expansion and mask issues, airway and RSI updates (including crash induction and consultation for single-responder MICA), and several medication updates such as magnesium compatibility, levetiracetam after midazolam, IV GTN in APO, and opioid choice and multimodal analgesia. They also cover practical operational issues like VVED wait times and what to do when access delays are affecting crews. Get in touch ⁠clinicalguidelines@ambulance.vic.gov.au⁠   Socials David: ⁠@expensivecare⁠ | @expensivecare.bsky.social | LinkedIn James: https://linktr.ee/ClinicalConversations

    49 min

  7. 03/12/2025

    Clinical Updates: November 2025

    Your monthly clinical update from James Oswald (Clinical Practice Guideline Specialist) and A/Prof Ben Meadley (Director of Paramedicine): 02:10 – CPG Update Released • Highlights major 2025 CPG changes, app issues, and expected three-month transition period (IFS ceases immediately).  • Emphasis on professional judgment, understanding over memorisation, and upcoming live Q&A.  • Request for staff feedback on new learning methods. 05:42 – Women’s Pain Inquiry Findings • Large Victorian inquiry confirms women’s pain is frequently dismissed; implications for paramedic practice. 06:58 – Registration & Professional Capabilities • Registration season brings opportunity to review Paramedicine Board capabilities: communication, cultural safety, risk management, lifelong learning. 08:05 – Paper 1: AI ECG for STEMI • AI ECG analysis outperforms clinicians in complex cases and may reduce cath lab false activations; human–AI collaboration is the future. 10:20 – Paper 2: Community Paramedicine Study • Time-and-motion study shows community paramedicine is a thinking-intensive role with few interventions. 13:40 – Paper 3: Methoxy vs Fentanyl vs Morphine • Methoxyfluorane provides fastest early analgesia; supports multimodal pain management with methoxy as a strong first-line option. 17:56 – Equipment Update • Reminder not to pre-connect sensitive devices (e.g., EtCO₂ adapters, Yankauer) due to temperature and contamination risks. 19:54 – AI Professional Development Workshop • Upcoming Monash workshop on trustworthy generative AI for healthcare, available in-person and virtually. Resources   Inquiry into women’s pain: https://www.health.vic.gov.au/inquiry-into-womens-pain  Gender disparities in EMS care: https://pubmed.ncbi.nlm.nih.gov/36369725/  Sex Differences in Patients With Acute Chest Pain:  https://www.sciencedirect.com/science/article/pii/S0735109723000839  Professional capabilities: https://www.paramedicineboard.gov.au/Professional-standards/Professional-capabilities-for-registered-paramedics.aspx    Papers of the month  Community paramedicine: https://www.sciencedirect.com/science/article/pii/S2588994X25000909?via%3Dihub  Pain relief study: https://www.sciencedirect.com/science/article/abs/pii/S0140673625015752  AI-Enabled ECG Analysis: https://www.jacc.org/doi/10.1016/j.jcin.2025.10.018  Professional development  Building Trustworthy GenAI for Healthcare Innovation: https://shop.monash.edu/masterclass-building-trustworthy-genai-for-healthcare-innovation.html  Get in touch  ⁠clinicalguidelines@ambulance.vic.gov.au⁠ James: https://linktr.ee/ClinicalConversations Ben: ⁠@ben_meadley⁠ , Ben - Linkedin  Producer: Liam Hennebry

    23 min
  8. Clinical Updates: October 2025

    02/11/2025

    Clinical Updates: October 2025

    Your monthly clinical update from James Oswald (Clinical Practice Guideline Specialist) and A/Prof Ben Meadley (Director of Paramedicine): 01:40 – 2025 Clinical Update Coming Soon 02:20 – IFS Retirement & Paediatric RSI Feedback 07:05 – STEMI Performance Update 08:50 – Free Birth: Paramedic Implications 11:50 – PANDA Trial Update 13:50 – Patient Safety: Cognitive bias & discounting concerning symptoms 19:20 – Missing PCRs in Severe Adverse Events 21:50 – Guideline Monitoring: Minor Head Injury & VVED Outcome Data 22:50 – Paper of the Month & New Cardiac Arrest Guidelines 25:45 – Equipment Updates 26:59 – Professional Development Opportunities 28:15 – Small Steps to Transform Your Practice Further resources Freebirth - Position statement | Safer Care Victoria EMCRIT episode on paediatric FONA: https://emcrit.org/emcrit/pediatric-tracheotomy/  ERC 2025 Guidelines: https://www.erc.edu/science-research/guidelines/guidelines-2025/guidelines-2025-english/ AHA 2025 Guidelines: https://cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines Opinion piece - Iain Beardsell: https://www.bmj.com/content/390/bmj.r2051  ACP Regional Paramedic Symposium: https://paramedics.org/events/rps-2025?tab=About Emergency, Trauma & Critical Care Conference: https://www.fltr-ed.com/    Get in touch X / Twitter / Bluesky James: ⁠⁠⁠@JamesOz1⁠⁠ | @jamesoz1.bsky.social Ben: ⁠@ben_meadley⁠ Linkedin James Ben Producer: Liam Hennebry

    29 min
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Sobre

The podcast for paramedics and anyone involved in out-of-hospital care that is critical, urgent, or unplanned. Hosted by James Oswald (Paramedic and clinical guideline developer) and A/Prof David Anderson (Medical Director).Keyword: Paramedic, paramedicine, Emergency Medical Service, EMS, Emergency Medical Technician, EMT, prehospital, pre-hospital critical care, retrieval medicine, ambulance, Helicopter Emergency Medical Service, HEMS, air ambulance, emergency, first responder, first aid.

Informação

  • Autoria
    The Ambulance Victoria Office of the Medical Director
  • Anos em atividade
    2021 - 2026
  • Episódios
    44
  • Classificação
    Para todos
  • Copyright
    © 2026 Clinical Conversations
  • Site do programa
    Clinical Conversations

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