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Content provided by The Ambulance Victoria Office of the Medical Director. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by The Ambulance Victoria Office of the Medical Director or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ppacc.player.fm/legal.
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Clinical Updates: April 2025
Manage episode 480282351 series 3274429
Content provided by The Ambulance Victoria Office of the Medical Director. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by The Ambulance Victoria Office of the Medical Director or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ppacc.player.fm/legal.
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 valve checkfollowing a critical safety event
- Prevents misdiagnosis of failedventilation
- Reinforces value of checklists,even for experienced clinicians
Advanced Paramedic PracticeProposal
- Public consultation open
- Framework for advanced practiceregistration in primary care and critical care
- Facilitates further advancementssuch as prescribing rights and scope self-determination
- Big implications for AVparamedics — see link in show notes to respond
STEMI Transfer Pilot
- ALS paramedics trialing regionalSTEMI transfers
- Target: stable patientspost-thrombolysis
- Reflects data showing most STEMIpatients are low risk
Patient Safety Focus
- Standing height falls in theelderly: don’t underestimate risk
- Rhythm misinterpretation:shockable rhythms missed or misidentified
- No link between junior staff anderror rates — we all share responsibility, we are all vulnerable
Guideline Monitoring:Palliative Care CPG
- 9.9% increase in patients dyingat home — great outcome
- No major change in meds given —possibly due to barriers in the current CPG
- Evidence supports simplifying CPG
Case Reports on Viva Engage
- Recent cases: paediatricrespiratory failure, polypharmacy overdose, snake bite
- Submit your own case via the Vivatemplate
Paper of the Month: PACKMaNTrial
- RCT comparing ketamine vsmorphine for trauma pain
- Found no difference ineffectiveness
- Points to multimodal analgesia asa next step in research, which is already AV’s approach
Equipment
- Check Pop-off Valve position atstart of shift
- “Resus Ready” campaign comingsoon
- Cardiac Monitor ReplacementProgram- New device coming
- Discussion underway: do we needto carry everything all the time?
Professional DevelopmentOpportunities
- Critical Care Summit – May 15–16,Essendon
- Grand Rounds (CPG + RMH collab) –May 27, Sunshine Hub or virtual
- Trauma Grand Rounds – June 18 atRoyal Children’s or online
Small steps to transform youpractice
- Deliberate practice = highperformance, visualisation and mental rehearsal make a difference
- Practice rhythm recognition
- Rehearse SITREPs
Palliative paramedicine: An interrupted time series analysis of pre-hospital guideline efficacy
Proposal to regulate advanced practice paramedics
Get in touch
X / Twitter / Bluesky
James: @JamesOz1 | @jamesoz1.bsky.social
Ben: @ben_meadley
Producer: Liam Hennebry
28 episodes
Share
Manage episode 480282351 series 3274429
Content provided by The Ambulance Victoria Office of the Medical Director. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by The Ambulance Victoria Office of the Medical Director or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ppacc.player.fm/legal.
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 valve checkfollowing a critical safety event
- Prevents misdiagnosis of failedventilation
- Reinforces value of checklists,even for experienced clinicians
Advanced Paramedic PracticeProposal
- Public consultation open
- Framework for advanced practiceregistration in primary care and critical care
- Facilitates further advancementssuch as prescribing rights and scope self-determination
- Big implications for AVparamedics — see link in show notes to respond
STEMI Transfer Pilot
- ALS paramedics trialing regionalSTEMI transfers
- Target: stable patientspost-thrombolysis
- Reflects data showing most STEMIpatients are low risk
Patient Safety Focus
- Standing height falls in theelderly: don’t underestimate risk
- Rhythm misinterpretation:shockable rhythms missed or misidentified
- No link between junior staff anderror rates — we all share responsibility, we are all vulnerable
Guideline Monitoring:Palliative Care CPG
- 9.9% increase in patients dyingat home — great outcome
- No major change in meds given —possibly due to barriers in the current CPG
- Evidence supports simplifying CPG
Case Reports on Viva Engage
- Recent cases: paediatricrespiratory failure, polypharmacy overdose, snake bite
- Submit your own case via the Vivatemplate
Paper of the Month: PACKMaNTrial
- RCT comparing ketamine vsmorphine for trauma pain
- Found no difference ineffectiveness
- Points to multimodal analgesia asa next step in research, which is already AV’s approach
Equipment
- Check Pop-off Valve position atstart of shift
- “Resus Ready” campaign comingsoon
- Cardiac Monitor ReplacementProgram- New device coming
- Discussion underway: do we needto carry everything all the time?
Professional DevelopmentOpportunities
- Critical Care Summit – May 15–16,Essendon
- Grand Rounds (CPG + RMH collab) –May 27, Sunshine Hub or virtual
- Trauma Grand Rounds – June 18 atRoyal Children’s or online
Small steps to transform youpractice
- Deliberate practice = highperformance, visualisation and mental rehearsal make a difference
- Practice rhythm recognition
- Rehearse SITREPs
Palliative paramedicine: An interrupted time series analysis of pre-hospital guideline efficacy
Proposal to regulate advanced practice paramedics
Get in touch
X / Twitter / Bluesky
James: @JamesOz1 | @jamesoz1.bsky.social
Ben: @ben_meadley
Producer: Liam Hennebry
28 episodes
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Similar to Clinical Conversations
The BMJ brings you interviews with the people who are shaping medicine and science around the world.
…
continue reading
The American healthcare system is one of the most innovative in the world. But it’s also riddled with complex challenges, such as access to affordable medications, inefficiency and administrative burdens, and communication barriers between providers. There’s clearly a better way—and at Surescripts, we have a unique sightline into what that may be. In this series, host Melanie Marcus, Chief Marketing Officer of Surescripts, sits down with today’s most inspiring and innovative leaders in healt ...
…
continue reading
Concise summaries of everything published in the latest weekly issue of the New England Journal of Medicine (NEJM). NEJM publishes new medical research findings, review articles, and editorial opinion on topics of importance to biomedical science and clinical practice.
…
continue reading
A top podcast for healthcare leaders, with over one million downloads, Radio Advisory is your weekly download on how to untangle the industry's most pressing challenges to help leaders like you make the best business decisions for your organization. From unpacking major trends in care delivery—like site-of-care shifts and the rise of high-cost drugs—to demystifying stakeholder dynamics, to shining a spotlight on priorities that may get overlooked, we're here to help. Our hosts and seasoned r ...
…
continue reading
Move more of your body more often and in more interesting ways with the Get-Fit Guy! If you want to begin an exercise routine and don't know where to start, or if you've been working out for a while and aren't getting the results you want, Kevin Don will give you the tips you need to reach your fitness and movement goals. Get expert information on the latest fitness trends and advice on everything from toning your arms to running a 5K or simply building more movement into your day. With his ...
…
continue reading
Morning meditations created for women or anyone who feels called to listen. 💗 Start your day with a moment of mindfulness with the Morning Meditation for Women podcast. Whether you’re new to meditation, trying to kickstart your meditation practice, or a seasoned meditator, you’ll love these quick meditations designed to start your day with intention, love and a deep sense of peace. Brought to you by the Women’s Meditation Network and hosted by Katie Krimitsos. Get more meditation resources a ...
…
continue reading
Sleep meditations created for women or anyone who feels called to listen 💗. Can’t sleep? Insomnia? Mind racing with worries and a never-ending to-do list? Tune in to the Sleep Meditation for Women podcast and let these guided meditations help you ease into sleep peacefully. Brought to you by the Women’s Meditation Network and hosted by Katie Krimitsos. Get comfy, press play and let yourself be guided into dreamland. Get more meditation resources at https://WomensMeditationNetwork.com
…
continue reading
Emergency Medicine Cases – Where the Experts Keep You in the Know. For show notes, quizzes, videos and more learning tools please visit emergencymedicinecases.com
…
continue reading
What does exercise do to your brain? Can psychedelics treat depression? From smart daily habits to new medical breakthroughs, welcome to TED Health, with host Dr. Shoshana Ungerleider. TED speakers answer questions you never even knew you had, and share ideas you won't hear anywhere else, all around how we can live healthier lives. Follow Dr. Shoshana Ungerleider on Instagram at @shoshanamd and LinkedIn at @shoshanaungerleidermd Hosted on Acast. See acast.com/privacy for more information.
…
continue reading
We’ve all had a moment where we arrived at the grocery store and can’t remember passing any of the stoplights along the way. We’re halfway down an aisle and scrambling to remember what we even needed. Our mind is in overdrive trying to sort through our ever-growing to-do list. We’ve been there when just making it through the next task is hard. But the normal stresses of life aren’t the only thing YOU have to deal with. Nora McInerny hosts The Head Start: Embracing the Journey, a new podcast ...
…
continue reading
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Go offline with the Player FM app!
Go offline with the Player FM app!
