Clinical Conversations

Clinical Updates: October 2025

Clinical Conversations

Show Notes

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 ...

More from Clinical Conversations

Oct 23, 2026

Your monthly clinical update covering: Clinical practice update: - Needle sizes for IM injections - New clinician health channel and forthcoming CSO forum - Prehospital whole blood Patient safety update: What we can learn the Coroner’s inquest into the death of Philip Walton - Inquest into the death of Phillip Walton - Transp...

Oct 7, 2026

When is a clinical examination reliable enough to clear the spine? In this first episode of our spinal series, James and David unpack clinical spinal clearance - stable and unstable injuries, challenge common assumptions about neurological deterioration, compare NEXUS with the Canadian C-Spine Rule, and work through the modified NEXUS approach used in Victoria. We also explain why low-energy falls, older age and bone-weakening conditions deserve particular caution. Further reso...

Sep 3, 2026

Your monthly clinical update from Ambulance Victoria covering: Clinical Practice Update:2026 CPG changes Respiratory illness Avian influenza Calcium gluconate precipitation Dual sequential and vector change defibrillation Patient safety update: Shortened RSI checklist Cutting the bougie for cricothyroidotomyGuideline monitoring: Evaluation of sedation for acute behavioural disturbance Paper of the month: STEMI care in Victoria Temporal imp...

Aug 6, 2026

Your monthly clinical update from Ambulance Victoria covering: Paediatric anaphylaxis and asthma – a message from Safer Care VictoriaPre-hospital blood productsPatient safety update: CSO Matt Shepard on paediatric airway managementGuideline monitoring: Head injury guidelinePaper(s) of the month: Torniquet use for severe bleeding | Pre-hospital vital signsEquipment updateProfessional development opportunitiesSmall steps to transform your practiceResources Paediatric Anaphylaxis: Acute Pa...

Jul 28, 2026

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 hea...

See all episodes →