Best The Ambulance Victoria Medical Directorate Podcasts (2025)

1
Paediatric assessment, consultation and virtual emergency care 57:39

5h ago57:39

57:39

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 b…

1
Clinical Updates: April 2025 30:35

25d ago30:35

30:35

Your monthly clinical update covering: VVED Consultations for small infants New requirement: VVEDconsultation for non-transport of infants ≤28 days Strong recommendation for 29days–3 months Driven by patient safety reviewand expert consensus Not about removing autonomy —it’s about adding clinical support RSI Checklist Update Addition of a pop-off v…

1
Sedation safety for acute behavioural disturbance (Part 2) 31:44

2M ago31:44

31:44

In Part 2 of their sedation safety conversation, hosts James Oswald (paramedic and clinical guidelines specialist) and Dr. David Anderson (Medical Director of Ambulance Victoria) cover preparation for sedation and how to recognize and respond to deterioration. They break the problem into three evidence‑backed pillars: Prevent deterioration (have a …

1
Clinical Updates: March 2025 22:10

2M ago22:10

22:10

Your monthly clinical update covering: Cardiac arrest outcomes An update on the sedation safety guideline Lessons learned from the patient safety team: appropriate use of the CT-6 traction splint and having a high index of suspicion for spinal and head injuries in older adults followingstanding height falls BVM blow off valve reminder Paper of the …

1
Sedation safety for acute behavioural disturbance 53:38

2M ago53:38

53:38

In this episode of Clinical Conversations, hosts James Oswald (paramedic and clinical guidelines specialist) and Dr. David Anderson (Medical Director of Ambulance Victoria) dive into one of the most ethically and clinically complex areas of pre-hospital care—the questions of safety for during sedation for acute behavioural disturbance (ABD). They e…

1
Clinical Updates: February 2025 20:13

3M ago20:13

20:13

James and Ben cover the latest clinical news from across Ambulance Victoria, including: Intranasal Fentanyl Update – Using IV preparation for intranasal use. Other guidelines updates: Extrication monitoring, shoulder reduction, wilderness pain relief. Blood Administration – New pre-hospital blood transfusion training coming. Rocuronium Storage – He…

1
"He's going to die" - Breaking bad news 53:41

3M ago53:41

53:41

In this episode of Clinical Conversations, James Oswald (Paramedic and Clinical Practice Guidelines Specialist) and Dr. David Anderson (Ambulance Victoria Medical Director) tackle one of the most challenging aspects of paramedicine—delivering bad news. Joined by guest Liz Perry (MICA Paramedic), they explore the difficulties paramedics face when co…

1
Clinical Updates: January 2025 22:17

4M ago22:17

22:17

James Oswald and Director of Paramedicine Dr Ben Meadley discuss the important clinical messages for January 2025: patient safety during sedation and the importance of planning for resuscitation; the exploration of low acuity pathways; and they review a significant research paper on physician-led teams in pre-hospital care. The episode also covers …

1
Pain (Part 3) - Systems issues and special circumstances 43:36

4M ago43:36

43:36

Pain is one of the most common reasons people seek help from paramedics and other healthcare professionals. Do we take it seriously? Could we be doing better? James sits down with paramedicine luminary and pain researcher A/Prof Bill Lord for a three-part series on pain. In Episode 3, we look at challenges in building a system that leads to good pa…

1
Clinical Updates: December 2024 22:53

5M ago22:53

22:53

A monthly summary of clinical information from the Ambulance Victoria Office of the Medical Director. Overview 1. Clinical Practice Updates • CPG App Update Details: o Secondary triage review o Changes to pediatric analgesia guidelines o Stacked shock CWI updates o Minor error corrections • Pediatric Cannulation: o ALS IV access is supported for: M…

1
Pain (Part 2) - Management 52:13

5M ago52:13

52:13

Pain is one of the most common reasons people seek help from paramedics and other healthcare professionals. Do we take it seriously? Could we be doing better? James sits down with paramedicine luminary and pain researcher A/Prof Bill Lord for a three-part series on pain. In Episode 2, we look at best practice in the management of pain. Further reso…

1
Clinical Updates: November 2024 21:07

5M ago21:07

21:07

A monthly summary of clinical information from the Ambulance Victoria Office of the Medical Director. Quick summary (0:30) Patient Safety (1:30) Discussing the lessons from specific adverse events is challenging due to patient privacy/consent, crew psychological safety, and investigation timelines. We need to find a way to collectively share these …

1
Pain (Part 1) - Assessment, bias and disparities in care 50:17

6M ago50:17

50:17

Pain is one of the most common reasons people seek help from paramedics and other healthcare professionals. Do we take it seriously? Could we be doing better? James sits down with paramedicine luminary and pain researcher A/Prof Bill Lord for a three-part series on pain. In Episode 1, we look at assessment, bias, and disparities in pain care. In th…

1
Clinical Updates: October 2024 18:23

7M ago18:23

18:23

This is the first in a new series of monthly clinical updates for Ambulance Victoria clinical staff. Director of Paramedicine A/Prof Ben Meadley and Clinical Guideline Specialist James Oswald summarise the need-to-know clinical information, all in one spot. This month: New CPG updates, trends in our patient safety data, and new cardiac monitors. Ti…

1
The Future of Paramedicine 41:33

7M ago41:33

41:33

In this episode, James speaks with critical care paramedic, academic, and newly appointed Director of Paramedicine, Associate Professor Ben Meadley. We discuss strategic clinical leadership and the future of the profession. X / Twitter David: ⁠⁠⁠@expensivecare⁠⁠⁠ James: ⁠⁠⁠@JamesOz1⁠⁠ Ben: ⁠@ben_meadley⁠…

1
Sepsis (Part 2) - Management 44:09

8M ago44:09

44:09

Part 2 of David's discussion with Associate Professor Andrew Udy on Sepsis Management. Get in touch ⁠[email protected]⁠ X / Twitter David: ⁠@expensivecare⁠ James: ⁠@JamesOz1 Resources mentioned [PHANTASI trial] Alam N, Oskam E, Stassen PM, Exter Pv, van de Ven PM, Haak HR, et al. Prehospital antibiotics in the ambulance for se…

1
Sepsis (Part 1) - Assessment and diagnosis 45:52

8M ago45:52

45:52

Sepsis is arguably the most common time critical emergency we face as paramedics. This is the first of a two part series on sepsis with Professor Andrew Udy. Andrew is Head of Research at The Alfred ICU, and Deputy Director, Australian and New Zealand Intensive Care Research Centre. He was involved in the development of the recently released Ambula…

1
Penetrating trauma 50:39

8M ago50:39

50:39

In Australia, penetrating truncal trauma is rare and the care of these patients involves a quite different mindset than we're used to. This is a cohort where our stay-and-play approach can do harm. James and David discuss the evidence relating to penetrating trauma and practical recommendations for your practice. Further resources Over view of majo…

1
National clinical practice guidelines - are they the future? 45:07

10M ago45:07

45:07

Clinical practice varies between the different state ambulance services in Australia. Yet we all claim to be evidence-based. So why is this, how big of a problem is it and what should we do about it? Are national guidelines the answer? James speaks with paramedic and PhD candidate Matt Wilkinson-Stokes to find out, while David shares his perspectiv…

1
Tranexamic acid 39:13

11M ago39:13

39:13

For over a decade after a large study showed a mortality benefit, this drug remained controversial. David and James look at the TXA saga.

1
We're back: Why a podcast? 15:25

11M ago15:25

15:25

Clinical conversations is back. But where have we been, what have we been doing and what do we have planned for the future?

1
OMI vs STEMI 34:25

2y ago34:25

34:25

We’re all familiar with the concept of STEMI. But the definition is built around a single ECG sign – not the underlying problem itself. Is that the best way to do it? Should we be thinking about this in a totally different way? Is Occlusive Myocardial Infarction (OMI) the new STEMI? Notes OMI Manifesto Amal Mattu on YouTube Subtle STEMI iOS app The…

1
Capnography 42:56

2y ago42:56

42:56

Capnography plays a crucial role in the treatment of a range of life-threatening conditions. Its central role following intubation is undeniable and it's also an important part of our approach to cardiac arrest and sedated patients of all kinds. Yet it is not always as straightforward as it might seem. In this episode, David and James speak with Ma…

1
Shock 38:08

2+ y ago38:08

38:08

Shock is the quintessential critical illness. Bread and butter for everyone involved in prehospital and critical care. But do we really understand it? Could we be doing better for these patients? James is joined by Assoc. Prof. David Anderson, intensivist and Ambulance Victoria Medical Director, for a... shocking discussion.…

1
Acute Behavioural Disturbance 44:04

3y ago44:04

44:04

People experiencing acute behavioral disturbance are some of the most vulnerable patients we treat. It’s a deeply distressing situation for the patient and extremely confronting for clinicians and carers. In this episode, we speak with psychiatrist Dr Alison Taylor about important changes we're making to improve care for these patients.…

1
Family violence 30:46

4y ago30:46

30:46

Family violence is a deeply confronting and serious problem that occurs across all ages, genders, and socioeconomic groups. It has a profound impact on the health and well-being millions of people across the globe. How can we identify family violence? How should we respond to a disclosure of family violence? How can we help victim survivors? Ambula…

1
Withholding or ceasing resuscitation 50:16

4y ago50:16

50:16

The decision to withhold or cease resuscitation is one of the most impactful and also one of the more confronting decisions that paramedics make in the field. AV Medical Director Associate Professor David Anderson discuss Dr Natalie Anderson, PhD discuss the decision making process and how to better approach these difficult cases. MyGriefToolbox - …

1
Pain Relief and Intranasal Ketamine 23:52

4+ y ago23:52

23:52

Ambulance Victoria recently introduced intranasal ketamine for the treatment of moderate and severe pain. It has proven to be effective but we have identified opportunities to do better. Clinical Practice Development Specialist James Oswald and Medical Director David Anderson discuss the new Clinical Practice Guideline and some of the lessons we've…

Podcasts Worth a Listen

The Ambulance Victoria Medical Directorate Podcasts

Podcasts Worth a Listen

1
Clinical Conversations

The Ambulance Victoria Office of the Medical Director

1
Paediatric assessment, consultation and virtual emergency care 57:39

1
Clinical Updates: April 2025 30:35

1
Sedation safety for acute behavioural disturbance (Part 2) 31:44

1
Clinical Updates: March 2025 22:10

1
Sedation safety for acute behavioural disturbance 53:38

1
Clinical Updates: February 2025 20:13

1
"He's going to die" - Breaking bad news 53:41

1
Clinical Updates: January 2025 22:17

1
Pain (Part 3) - Systems issues and special circumstances 43:36

1
Clinical Updates: December 2024 22:53

1
Pain (Part 2) - Management 52:13

1
Clinical Updates: November 2024 21:07

1
Pain (Part 1) - Assessment, bias and disparities in care 50:17

1
Clinical Updates: October 2024 18:23

1
The Future of Paramedicine 41:33

1
Sepsis (Part 2) - Management 44:09

1
Sepsis (Part 1) - Assessment and diagnosis 45:52

1
Penetrating trauma 50:39

1
National clinical practice guidelines - are they the future? 45:07

1
Tranexamic acid 39:13

1
We're back: Why a podcast? 15:25

1
OMI vs STEMI 34:25

1
Capnography 42:56

1
Shock 38:08

1
Acute Behavioural Disturbance 44:04

1
Family violence 30:46

1
Withholding or ceasing resuscitation 50:16

1
Pain Relief and Intranasal Ketamine 23:52

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