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. 5d ago

    AI in paramedicine

    Can a machine diagnose, triage, document a case, or show empathy? AI is everywhere and the pace of change makes it difficult to know when to stop and take stock. In this episode, we explain how AI works for clinicians, what the evidence shows, what the risks and benefits are in healthcare, and what it means for our clinical practice.    Disclaimer: While we did our best to ensure the content was accurate, we don’t script everything  and sometimes we do make mistakes. If you hear something in this episode that you disagree with, we want to hear from you, so please get in touch.   Further resources  AI-Assisted Decision Trees for Emergency Call Classification: The IAppel Project | Springer Nature Link  Transforming Health Care Through Chatbots for Medical History-Taking and Future Directions: Comprehensive Systematic Review - PubMed  Clinical Reasoning of a Generative Artificial Intelligence Model Compared With Physicians - PMC  A systematic review and meta-analysis of diagnostic performance comparison between generative AI and physicians - PubMed  Large Language Model Influence on Diagnostic Reasoning: A Randomized Clinical Trial  Assessing the potential of GPT-4 to perpetuate racial and gender biases in health care: a model evaluation study  Comparing ambient scribes: a randomized crossover clinical trial addressing ambient scribe technologies’ impact on physician burnout  Ambient AI Scribes in Clinical Practice: A Randomized Trial    Get in touch  ⁠clinicalguidelines@ambulance.vic.gov.au⁠    Socials  David: ⁠@expensivecare⁠ | @expensivecare.bsky.social | LinkedIn  James: https://linktr.ee/ClinicalConversations    Producer: Liam Mylebry

  2. Jun 19

    Clinical Update: June 2026

    Your monthly clinical update covering: · Clinical Practice Update: Forthcoming CPG changes including AF referral pathways, low‑risk chest pain risk scoring, and paediatric gastro guideline  Ebola bulletin and CHO advisory Cardiac Arrest Team Performance Report: insights and practical takeaways for improving CPR quality PANDA trial update · Patient safety update: Non-transport decisions, assessment, trusting our equipment · Paper of the month:  Naloxone and Clinical Outcomes in Suspected Opioid-Associated Out-of-Hospital Cardiac Arrests | Emergency Medicine | JAMA Network Open | JAMA Network  Naloxone for Out-of-Hospital Cardiac Arrest Due to Opioid Toxicity | Emergency Medicine | JAMA Network Open | JAMA Network  · Equipment update: Hypothermia, auxiliary purchase list updates, and giving sets · Professional development opportunities: Expression of Interest - 2026 CAA Congress Attendance  Grand Round | 23 June 2026  · Small steps to improve your practice ======= Get in touch  clinicalguidelines@ambulance.vic.gov.au  Linkedin  James  Ben      Producer: Liam Mylebry

    Clinical Update: June 2026

  3. May 11

    Clinical Updates: May 2026

    Your monthly clinical update covering: ·  CPG updates: New measles CPG + updated CPP for ACOs & CERTs  ·  Hand hygiene refresher: Back to basics in challenging environments  ·  Cardiac arrest outcomes: Conversation with Ziad Nehme on recent improvements  ·  Survey plug: Clinical & Operational Service Delivery Plan  ·  Patient safety: Case review – consulting via the Clinician when engaging external agencies (e.g. PIPER)  ·  Tourniquets: Balancing risks and benefits  ·  Paper of the month: Ambulance offload delays and causes of ramping  ·  Equipment update  ·  Professional development highlights  ·  Small steps: Practical changes to transform your practice  ======= CPG update: CPG update – April 2026 VOD update: Updated guidance - Requests for Verification of Death (VOD) Hand hygiene: Take Five for Hand Hygiene Transmission based precautions clinical work instruction CWI OPS 184 Infection Prevention and Control Transmission Based Precautions.pdf Paper of the month: Initiatives to reduce ambulance offload delays in emergency departments: a scoping review - PubMed Professional development: Fast Tracked Higher Education Pathway for AV Clinical Instructors – Now Open for Mid-Year Intake Clinical Insights: Issue 8 now available The Australasian College of Paramedicine Conference | ACPIC26 CAA Congress | The Council of Ambulance Authorities Inc. Trauma 2026 Conference - Trauma Conference SAS Events – Safe Airway Society Clinical Technology and Equipment Committee Idea Sharing: Clinical Technology and Equipment Committee / CTEC@ambulance.vic.gov.au  Get in touch: clinicalguidelines@ambulance.vic.gov.au Linkedin James Ben     Producer

    Clinical Updates: May 2026

  4. Mar 27

    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

    Clinical Updates: March 2026

  5. Mar 1

    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

  6. Feb 15

    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

    Clinical Updates: February 2025

  7. Feb 2

    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

  8. 12/23/2025

    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

    Clinical Updates: December 2025
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About

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.

Information

  • Creator
    The Ambulance Victoria Office of the Medical Director
  • Years Active
    2021 - 2026
  • Episodes
    47
  • Rating
    Clean
  • Copyright
    © 2026 Clinical Conversations
  • Show Website
    Clinical Conversations

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