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

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 - Paediatrics
• A/Prof David Anderson – AV Medical Director

Get in touch

⁠clinicalguidelines@ambulance.vic.gov.au⁠

David: ⁠@expensivecare⁠ | @expensivecare.bsky.social | LinkedIn

James: https://linktr.ee/ClinicalConversations

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.

Further resources

• Occlusion myocardial infarction and artificial intelligence
• Hyperacute T-wave definition
• https://journals.sagepub.com/doi/full/10.1177/27536386251371078
• https://shortcourses.rmit.edu.au/collections/all
• https://mbs.edu/short-courses
• https://www.monash.edu/business/corporate-education/short-courses
• Linkedin.com/learning/

Get in touch

James: https://linktr.ee/ClinicalConversations

Ben: X/Twitter⁠ | Linkedin

clinicalguidelines@ambulance.vic.gov.au