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).

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.