The podcast for paramedics and anyone involved in out-of-hospital care that is critical, urgent, or unplanned. Hosted by James Oswald (Paramedic and clinical guideline developer) and A/Prof David Anderson (Medical Director).
Prehospital practice updates focus on safer sedation for acute behavioural disturbance, early ECG and hospital notification in suspected STEMI, and equipment governance, with particular emphasis on allowing droperidol time to work, end-tidal carbon dioxide monitoring and resisting unapproved equipment modifications.
Sudden severe wheeze after possible allergen exposure in a child should keep anaphylaxis in view, even when asthma is also plausible. The update also links basic paediatric airway manoeuvres, head-injury transport decisions, tourniquet reassessment and explicit handover of the patient’s worst prehospital physiology.
Prehospital clinicians and educators get a systems-focused review of generative AI for call triage, translation, record summarisation, ambient scribing, decision support, simulation and pathway navigation. Hallucination, bias, patient-data privacy, regulation and human verification are treated as essential safety limits.
Prehospital teams get a broad clinical update covering proposed pathways for stable atrial fibrillation, low-risk chest pain and paediatric gastroenteritis. It also links Ebola preparedness, abnormal resting observations, cardiac-arrest performance data, hypothermia care and the uncertain observational evidence for naloxone in suspected opioid-associated cardiac arrest.
This update suits prehospital teams and resuscitation leads who need small safety behaviours refreshed. Suspected measles needs coordinated PPE, testing and reporting; gloves do not replace hand hygiene; early AED shock, structured consultation and tourniquet reassessment all have concrete system implications.
Posterior stroke is missed when clinicians exclude stroke because FAST signs are absent. Acute dizziness, vomiting, ataxia, nystagmus or visual disturbance should trigger transport or escalation on the wider pattern, not reassurance from a normal facial, arm or speech screen.
When chest pain, dizziness or hypotension do not sit neatly inside the first label, this episode gives a better script: verbalise uncertainty, name one can’t-miss diagnosis, and carry that risk clearly into handover.
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