Clinical Conversations
Episodes
Clinical Updates: December 2025
23 Dec 2025
Contributed by Lukas
Your monthly clinical update from James Oswald (Clinical Practice Guideline Specialist) and A/Prof Ben Meadley (Director of Paramedicine).Hear from Lo...
Clinical Conversations: Medical Director Live Q&A
22 Dec 2025
Contributed by Lukas
In our first ever live episode of Clinical Conversations, James Oswald (CPG specialist and paramedic) is joined by Ambulance Victoria Medical Director...
Clinical Updates: November 2025
03 Dec 2025
Contributed by Lukas
Your monthly clinical update from James Oswald (Clinical Practice Guideline Specialist) and A/Prof Ben Meadley (Director of Paramedicine):02:10 – CP...
Clinical Updates: October 2025
02 Nov 2025
Contributed by Lukas
Your monthly clinical update from James Oswald (Clinical Practice Guideline Specialist) and A/Prof Ben Meadley (Director of Paramedicine):01:40 – 20...
Clinical Updates: Paediatic intubation special
07 Oct 2025
Contributed by Lukas
James Oswald is joined by an expert panel to discuss the background, evidence and rationale behind the retirement of intubation facilitated by sedatio...
Clinical Updates: September 2025
19 Sep 2025
Contributed by Lukas
Your monthly clinical update from James Oswald (Clinical Practice Guideline Specialist) and A/Prof Ben Meadley (Director of Paramedicine):Clinical Upd...
Cardiogenic shock
16 Sep 2025
Contributed by Lukas
This month James and David look at cardiogenic shock: recognition and classification, oxygen targets, fluid resuscitation, vasopressors, inotropes, an...
Clinical Updates: August 2025
08 Aug 2025
Contributed by Lukas
Your monthly clinical update covering:Mandatory VVED Consults for Infants <28 Days – trends, rationale for policy, clarifications, and case examp...
Q&A: Sedation, trauma, why we need to change and the future of paramedicine.
25 Jul 2025
Contributed by Lukas
In this special Q&A episode of Clinical Conversations, James Oswald and Dr. David Anderson respond to the most common — and most complex — que...
Clinical Updates: July 2025
09 Jul 2025
Contributed by Lukas
Your monthly update on clinical issues including:Clinical Practice Care and Control Powers (02:38 – 07:10)Overview of section 232 and 241 powers. Do...
Paediatric acute behavioural disturbance
30 Jun 2025
Contributed by Lukas
In this episode of Clinical Conversations, we explore the complexities of managing acute behavioural disturbance (ABD) in children and adolescents—a...
Clinical Update
12 Jun 2025
Contributed by Lukas
Your monthly clinical update covering:Clinical Practice 03:10 – Respiratory CPG Update: Pulmonary edema, COVID, ILI, paediatric asthma changes comin...
Paediatric assessment, consultation and virtual emergency care
28 May 2025
Contributed by Lukas
James Oswald and Dr David Anderson explore how consultation has evolved from a perceived weakness to a hallmark of clinical maturity. They discuss the...
Clinical Updates: April 2025
02 May 2025
Contributed by Lukas
Your monthly clinical update covering:VVED Consultations for small infantsNew requirement: VVEDconsultation for non-transport of infants ≤28 daysStr...
Sedation safety for acute behavioural disturbance (Part 2)
10 Apr 2025
Contributed by Lukas
In Part 2 of their sedation safety conversation, hosts James Oswald (paramedic and clinical guidelines specialist) and Dr. David Anderson (Medical Dir...
Clinical Updates: March 2025
27 Mar 2025
Contributed by Lukas
Your monthly clinical update covering:Cardiac arrest outcomes An update on the sedation safety guidelineLessons learned from the patient safety team: ...
Sedation safety for acute behavioural disturbance
18 Mar 2025
Contributed by Lukas
In this episode of Clinical Conversations, hosts James Oswald (paramedic and clinical guidelines specialist) and Dr. David Anderson (Medical Director ...
Clinical Updates: February 2025
28 Feb 2025
Contributed by Lukas
James and Ben cover the latest clinical news from across Ambulance Victoria, including:Intranasal Fentanyl Update – Using IV preparation for intrana...
"He's going to die" - Breaking bad news
25 Feb 2025
Contributed by Lukas
In this episode of Clinical Conversations, James Oswald (Paramedic and Clinical Practice Guidelines Specialist) and Dr. David Anderson (Ambulance Vict...
Clinical Updates: January 2025
28 Jan 2025
Contributed by Lukas
James Oswald and Director of Paramedicine Dr Ben Meadley discuss the important clinical messages for January 2025: patient safety during sedation and...
Pain (Part 3) - Systems issues and special circumstances
17 Jan 2025
Contributed by Lukas
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...
Clinical Updates: December 2024
19 Dec 2024
Contributed by Lukas
A monthly summary of clinical information from the Ambulance Victoria Office of the Medical Director. Overview1. Clinical Practice Updates•CPG App U...
Pain (Part 2) - Management
18 Dec 2024
Contributed by Lukas
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...
Clinical Updates: November 2024
16 Dec 2024
Contributed by Lukas
A monthly summary of clinical information from the Ambulance Victoria Office of the Medical Director. Quick summary (0:30)Patient Safety (1:30)Discuss...
Pain (Part 1) - Assessment, bias and disparities in care
21 Nov 2024
Contributed by Lukas
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...
Clinical Updates: October 2024
29 Oct 2024
Contributed by Lukas
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 C...
The Future of Paramedicine
24 Oct 2024
Contributed by Lukas
In this episode, James speaks with critical care paramedic, academic, and newly appointed Director of Paramedicine, Associate Professor Ben Meadley. W...
Sepsis (Part 2) - Management
26 Sep 2024
Contributed by Lukas
Part 2 of David's discussion with Associate Professor Andrew Udy on Sepsis Management. Get in touch[email protected] ...
Sepsis (Part 1) - Assessment and diagnosis
26 Sep 2024
Contributed by Lukas
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 Andr...
Penetrating trauma
23 Sep 2024
Contributed by Lukas
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 ...
National clinical practice guidelines - are they the future?
08 Aug 2024
Contributed by Lukas
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 o...
Tranexamic acid
10 Jul 2024
Contributed by Lukas
For over a decade after a large study showed a mortality benefit, this drug remained controversial. David and James look at the TXA saga.
We're back: Why a podcast?
10 Jul 2024
Contributed by Lukas
Clinical conversations is back. But where have we been, what have we been doing and what do we have planned for the future?
OMI vs STEMI
16 Jul 2023
Contributed by Lukas
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 th...
Capnography
14 Mar 2023
Contributed by Lukas
Capnography plays a crucial role in the treatment of a range of life-threatening conditions. Its central role following intubation is undeniable and i...
Shock
15 Dec 2022
Contributed by Lukas
Shock is the quintessential critical illness. Bread and butter for everyone involved in prehospital and critical care. But do we really understand it?...
Acute Behavioural Disturbance
31 Jul 2022
Contributed by Lukas
People experiencing acute behavioral disturbance are some of the most vulnerable patients we treat. It’s a deeply distressing situation for the pati...
Family violence
22 Aug 2021
Contributed by Lukas
Family violence is a deeply confronting and serious problem that occurs across all ages, genders, and socioeconomic groups. It has a profound impact o...
Withholding or ceasing resuscitation
08 Apr 2021
Contributed by Lukas
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 th...
Pain Relief and Intranasal Ketamine
22 Feb 2021
Contributed by Lukas
Ambulance Victoria recently introduced intranasal ketamine for the treatment of moderate and severe pain. It has proven to be effective but we have id...