Clinical Conversations

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 instruction
CWI 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 available
The 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

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 2026
Posterior Stroke
Patient Care Records
Evaluation data of droperidol and dexamethasone as antiemetics
Paper of the Month: IV vs IO in cardiac arrest
Equipment update
Professional development opportunities
Small steps to transform your practice
Paper 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
[email protected]
X / Twitter 
James: ⁠⁠⁠@JamesOz1⁠⁠ 
Ben: ⁠@ben_meadley⁠
Linkedin
James
Ben
Producer: Liam Hennebry

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.
 
Get in touch
⁠[email protected]⁠
 
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).
Cardiac Arrest Update with AV Resuscitation Coordinator Steve Musgrave
Patient Safety Update: Stroke Assessment and Elderly Falls
Alpine and Wilderness Response Alagaesia
Toxicology Evaluation
Alcohol Withdrawal Guideline
Equipment Update: Syringe Drivers
Paper 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
[email protected]
X / Twitter 
James: ⁠⁠⁠@JamesOz1⁠⁠ 
Ben: ⁠@ben_meadley⁠
Linkedin
James
Ben
Producer: Liam Hennebry

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
⁠[email protected]⁠
 
Socials
David: ⁠@expensivecare⁠ | @expensivecare.bsky.social | LinkedIn
James: https://linktr.ee/ClinicalConversations

Producer: Liam Hennebry