Episodes
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Your monthly clinical update covering:
· Clinical Practice Update:
Forthcoming CPG changes including AF referral pathways, low‑risk chest pain risk scoring, and paediatric gastro guidelineEbola 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
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Get in touch
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James
Ben
Producer: Liam Mylebry
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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
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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 instructionCWI 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 availableThe 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 / [email protected]
Get in touch: [email protected]Linkedin
James
Ben
Producer
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Missing episodes?
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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
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James: @JamesOz1
Ben: @ben_meadley
Linkedin
James
Ben
Producer: Liam Hennebry
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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.
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Socials
David: @expensivecare | @expensivecare.bsky.social | LinkedIn
James: https://linktr.ee/ClinicalConversations
Producer: Liam Hennebry
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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
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James: @JamesOz1
Ben: @ben_meadley
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James
Ben
Producer: Liam Hennebry
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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
Socials
David: @expensivecare | @expensivecare.bsky.social | LinkedIn
James: https://linktr.ee/ClinicalConversations
Producer: Liam Hennebry -
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 touchX / Twitter
James: @JamesOz1
Ben: @ben_meadley
Linkedin
James
Ben
Producer: Liam Hennebry
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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
Socials
David: @expensivecare | @expensivecare.bsky.social | LinkedIn
James: https://linktr.ee/ClinicalConversations
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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
James: https://linktr.ee/ClinicalConversations
Ben: @ben_meadley , Ben - Linkedin
Producer: Liam Hennebry
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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 touchX / Twitter / Bluesky
James: @JamesOz1 | @jamesoz1.bsky.social
Ben: @ben_meadley
Linkedin
James
Ben
Producer: Liam Hennebry
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James Oswald is joined by an expert panel to discuss the background, evidence and rationale behind the retirement of intubation facilitated by sedation:
Richard Armour – MICA paramedic, PhD candidate, CPG specialist.Dr Claire Wilkin – PEM, AV Medical Advisor - PaediatricsA/Prof David Anderson – AV Medical DirectorGet in touch
David: @expensivecare | @expensivecare.bsky.social | LinkedIn
James: https://linktr.ee/ClinicalConversations
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Your monthly clinical update from James Oswald (Clinical Practice Guideline Specialist) and A/Prof Ben Meadley (Director of Paramedicine):
Clinical Update
Warm IV fluid (13:38): Stop warming IV fluids in overhead compartments or with hot water bottles. Risks scalding/superheating. Store in equipment towers only.Paediatric distraction (03:26): kits available now. Evidence-based, non-digital active tools work best. Order via iProc. Document use in VACIS.Paediatric NIV (9:20): pathways with RCH/Monash/PIPER. Use patient device if feasible; alternatives include Flow-Safe and Zoll Z-Vent. More guidance coming.Patient safety
Low acuity, high risk (12:32): Some high-risk patients sit in apparently low acuity cases. Advocate, self-upgrade when risk warrants. Lodge cases in RiskMan.Standing height falls (14:49): Standing-height falls in older adults: great feedback from the field, we discuss common themes.Paper of the Month (19:26): measurable “hyperacute T-wave” definition predicts OMI even without STEMI criteria.
Equipment (21:40): new neonatal BVMs; syringe-holder prototypes to separate RSI meds.
CPD (24:21): short courses and LinkedIn Learning suggestions.
Occlusion myocardial infarction and artificial intelligenceHyperacute T-wave definitionhttps://journals.sagepub.com/doi/full/10.1177/27536386251371078https://shortcourses.rmit.edu.au/collections/allhttps://mbs.edu/short-courseshttps://www.monash.edu/business/corporate-education/short-coursesLinkedin.com/learning/
Further resourcesGet in touch
James: https://linktr.ee/ClinicalConversations
Ben: X/Twitter | Linkedin
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This month James and David look at cardiogenic shock: recognition and classification, oxygen targets, fluid resuscitation, vasopressors, inotropes, and the possibility of shock centres in the future. They're joined by Professor Dion Stub, an interventional cardiologist, prolific researcher, professor at Monash University, member of the Australian Resuscitation Council, and medical advisor to Ambulance Victoria.
Further resources
Avoid trial: https://www.ahajournals.org/doi/10.1161/circulationaha.114.014494
DETO2XAMI: https://www.nejm.org/doi/full/10.1056/NEJMoa1706222#:~:text=The%20Determination%20of%20the%20Role,not%20have%20hypoxemia%20at%20baseline.
EXACT pilot trial: Concerns regarding the safety of prehospital titrated oxygen in post-cardiac arrest patients https://pubmed.ncbi.nlm.nih.gov/29684433/
PANDA Trial (AV Staff) https://ambulancevic.sharepoint.com/sites/OneAVQualityandClinicalInnovation/SitePages/PANDA-TRIAL-(.aspx
Get in touch
Socials
David: @expensivecare | @expensivecare.bsky.social | LinkedIn
James: https://linktr.ee/ClinicalConversations
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Your monthly clinical update covering:
Mandatory VVED Consults for Infants <28 Days – trends, rationale for policy, clarifications, and case example demonstrating impact.
Stroke updates - performing ACT-FAST on all MASS positive patients, changes to VACIS and a plug for IV access.
Complex Paediatric Respiratory Patients – Managing patients on home non-invasive ventilation, maintaining continuity of care, and upcoming resources.
Trauma Updates –
Blood component therapy expansion and compliance requirements.STAB-5 mnemonic and minimising scene time in major trauma.PANDA trial enrolment reminder.Standing-Height Falls in Elderly – Missed spinal injury cases, cultural pendulum shift, guideline review, and call for feedback.
Manual Handling & Patient Safety in ED Cohorting – Safe movement of high-risk patients and preventing deterioration during cohorting.
Paper of the Month – Danish machine learning study outperforming NEWS2 for predicting deterioration from first-five-minute vitals, with explainable AI.
Equipment Committee Updates – New traction splints, medication safety devices via 3D printing, thermal blanket effectiveness, and syringe driver software updates.
Professional Development & Resources – Coroner’s Communiques, ACP International Conference, new paramedic podcasts.
Small Steps to Transform Practice –
Treat elderly standing-height falls as potential spinal injuries.Minimise scene time for major trauma unless safety or critical intervention requires it.Further resources
ACP Conference
Thermal blanket study
Machine learning study
STAB-5
Coroner's communique
Get in touch
X / Twitter / Bluesky
James: @JamesOz1 | @jamesoz1.bsky.social
Ben: @ben_meadley
Linkedin
James
Ben
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In this special Q&A episode of Clinical Conversations, James Oswald and Dr. David Anderson respond to the most common — and most complex — questions we've received on sedation, CPG implementation, and the evolving role of paramedics. We also reflect on why clinical guidelines are becoming more detailed, how to balance complexity with emergency care, and what the future holds for paramedics.
Get in touch
Socials
David: @expensivecare | @expensivecare.bsky.social| LinkedIn
James: https://linktr.ee/ClinicalConversations | LinkedIn
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Your monthly update on clinical issues including:
Clinical Practice
Care and Control Powers (02:38 – 07:10)
Overview of section 232 and 241 powers.
Documentation: VACIS + RiskMan entries are essential.
More info: See Mental Health Crisis Reform on OneAV.
Verification of Death (07:10 – 08:48)
Verifying death is voluntary for paramedics.
Review WinOps 025 for current processes.
AV is working with VicPol to improve processes.
Encourage local discussion with TM/CSO about your approach.
Resus Ready Campaign (08:48 –10:34)
Aims to boost preparedness for cardiac arrest.
Includes: equipment checks, airway readiness, skills rehearsal.
Backed by patient safety reviews and cardiac arrest strategy.
Goal: Ensure every paramedic is ready regardless of experience/frequency.
Case 1: Pediatric respiratory case attended with only adult equipment.
Reflect on the potential trajectory of cases with reference to the balance of between taking all equipment vs minimising manual handling risk
Case 2: Chest rise/fall insufficient alone to assess ventilation.
Use waveform capnography early and consistently.
Case 3: CO₂ of 6mmHg was the only clue of incorrect tube placement in intubated asthma patient.
Always consider full clinical picture and question if data doesn’t make sense.
Paper of the month (14:46 – 20:55)
Parental Concern in Pediatric Deterioration
Asking "Are you worried your child is getting worse?" adds predictive value.
Parents who said “yes” had children:
4x more likely to go to ICU/be ventilated.More likely to be admitted or have longer stays.Concern was a stronger predictor than abnormal vital signs.
Recommendation: Make carer concern an active, routine part of pediatric assessment.
Equipment Update (20:55 – 22:55)
New absorbent transfer sheet ("large bluey") improves:
Patient hygiene and comfort.Paramedic safety.Part of AV's broader equipment strategy under new Clinical Technology & Equipment Committee.
Professional Development: Postgraduate Study (22:55 – 24:59)
Encouragement for paramedics to pursue study outside paramedicine:
Public health, digital health, systems leadership, etc.Builds capability to:
Lead teams, influence policy, improve care.Resource guide in show notes; feedback encouraged.Small Steps to Transform Practice (24:59 – 26:42)
Ben’s tip: Don’t rely on chest rise alone—use capnography toassess ventilation.
James’s tip: Proactively ask parents if they’re worried their child is deteriorating.
Resources
Association between caregiver concern for clinicaldeterioration and critical illness in children presenting to hospital: a prospective cohort study https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(25)00098-7/abstract
Clinical Technology andEquipment Committee
https://ambulancevic.sharepoint.com/sites/OneAV-resource-hub/_layouts/15/viewer.aspx?sourcedoc={1633f009-99d3-4d08-9805-d5fb409fec3b}
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In this episode of Clinical Conversations, we explore the complexities of managing acute behavioural disturbance (ABD) in children and adolescents—a small but increasingly common and high-risk cohort. Host James Oswald and AV Medical Director Dr. David Anderson are joined by paediatric emergency physician Dr. Claire Wilkin, who brings deep expertise in paediatric critical care. Together, they discuss the causes of ABD in younger patients, differences from adult presentations, principles of de-escalation, the role of sedation, and how to assess and manage risk.
Get in touch
X / Twitter / Blusky
David: @expensivecare | @expensivecare.bsky.social
James: @JamesOz1 |
Linkedin
James
David
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Your monthly clinical update covering:Clinical Practice
03:10 – Respiratory CPG Update: Pulmonary edema, COVID, ILI, paediatric asthma changes coming soon.
04:00 – First Responder Analgesia: Supply challenges beingaddressed; updates coming.
05:10 – Button Batteries: New blue dye marker—importantvisual sign but not universally present.
06:00 – Mushroom Season Warning: Watch for toxidromes; VPIC support emphasized.
06:40 – VVED changes: Easier access to emergency physicians.
Patient Safety 08:30
Case: Declined transport with adverse outcome.
Consent must be truly informed—document clearly, especially under cognitive load or red flags.
Guideline monitoring 11:15
Sedation Safety Update: Improved safety with guidelinechanges.
Case Reports & Engagement 13:10
Case reports welcome—CPG team happy to assist.
Paper of the month 13:40
Comparison of demand valve vs. standard BVM. No differencein oxygenation delivery in healthy volunteers. Nasal prongs speed time to oxygenation saturation. Continue using both tools in RSI prep.
New ACS Guidelines Summary (ft. Andrew Bishop) (18:30)
ACOMI terminology replaces STEMI/Non-STEMI binary. Key ECG findings added. Serial ECGs every 10 mins; prehospital thrombolysis within 30mins.
Equipment 23:50
Asset Numbers: Include in Riskman reports to aid faultresolution.
Professional Development 24:30
AICG Highlight: Leadership training relevant across paramedicine—CPD eligible and recommended.
Small Steps to Transform Practice 26:30
Get in touch
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James: @JamesOz1 | @jamesoz1.bsky.social
Ben: @ben_meadley
Linkedin
James
Ben
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James Oswald and Dr David Anderson explore how consultation has evolved from a perceived weakness to a hallmark of clinical maturity. They discuss the growing role of virtual emergency care, particularly the Victorian Virtual Emergency Department (VVED), in supporting paramedics with decision-making—especially when assessing young infants. Joined by pediatric emergency specialist Dr Harith Al-Rawi, the episode dives into the challenges of remote pediatric assessment, the value of collaboration between paramedics and virtual care clinicians, and the structured information required during remote consultation to safely support care at home. The conversation highlights that newborns are a uniquely high-risk group, and outlines why VVED consultation is now a must for infants aged 28 days or younger.
Get in touch
X / Twitter / Blusky
David: @expensivecare | @expensivecare.bsky.social
James: @JamesOz1
Linkedin
James
David
Producer: Liam Hennebry
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Your monthly clinical update covering:
VVED Consultations for small infants
New requirement: VVEDconsultation for non-transport of infants ≤28 daysStrong recommendation for 29days–3 monthsDriven by patient safety reviewand expert consensusNot about removing autonomy —it’s about adding clinical supportRSI Checklist Update
Addition of a pop-off valve checkfollowing a critical safety eventPrevents misdiagnosis of failedventilationReinforces value of checklists,even for experienced cliniciansAdvanced Paramedic PracticeProposal
Public consultation openFramework for advanced practiceregistration in primary care and critical careFacilitates further advancementssuch as prescribing rights and scope self-determinationBig implications for AVparamedics — see link in show notes to respondSTEMI Transfer Pilot
ALS paramedics trialing regionalSTEMI transfersTarget: stable patientspost-thrombolysisReflects data showing most STEMIpatients are low riskPatient Safety Focus
Standing height falls in theelderly: don’t underestimate riskRhythm misinterpretation:shockable rhythms missed or misidentifiedNo link between junior staff anderror rates — we all share responsibility, we are all vulnerableGuideline Monitoring:Palliative Care CPG
9.9% increase in patients dyingat home — great outcomeNo major change in meds given —possibly due to barriers in the current CPGEvidence supports simplifying CPGCase Reports on Viva Engage
Recent cases: paediatricrespiratory failure, polypharmacy overdose, snake biteSubmit your own case via the VivatemplatePaper of the Month: PACKMaNTrial
RCT comparing ketamine vsmorphine for trauma painFound no difference ineffectivenessPoints to multimodal analgesia asa next step in research, which is already AV’s approachEquipment
Check Pop-off Valve position atstart of shift“Resus Ready” campaign comingsoonCardiac Monitor ReplacementProgram- New device comingDiscussion underway: do we needto carry everything all the time?Professional DevelopmentOpportunities
Critical Care Summit – May 15–16,EssendonGrand Rounds (CPG + RMH collab) –May 27, Sunshine Hub or virtualTrauma Grand Rounds – June 18 atRoyal Children’s or onlineSmall steps to transform youpractice
Deliberate practice = highperformance, visualisation and mental rehearsal make a differencePractice rhythm recognition Rehearse SITREPsResources
Paramedic analgesia comparing ketamine and morphine in trauma (PACKMaN): a randomised,double-blind, phase 3 trialPalliative paramedicine: An interrupted time series analysis of pre-hospital guideline efficacy
Proposal to regulate advanced practice paramedics
Rhythm recognition
Get in touchX /
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