Clinical Conversations (The Ambulance Victoria Office of the Medical Director)
Explore every episode of Clinical Conversations
| Pub. Date | Title | Duration | |
|---|---|---|---|
| 26 Sep 2024 | Sepsis (Part 1) - Assessment and diagnosis | 00:45:52 | |
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 Andrew Udy. Andrew is Head of Research at The Alfred ICU, and Deputy Director, Australian and New Zealand Intensive Care Research Centre. He was involved in the development of the recently released Ambulance Victoria Sepsis and Infection guideline. In this episode, Ambulance Victoria Medical Director A/Prof David Anderson and Andrew discuss the assessment and diagnosis of sepsis. Get in touch clinicalguidelines@ambulance.vic.gov.au
X / Twitter David: @expensivecare James: @JamesOz1 Further resources NICE. Sepsis: recognition, diagnosis and early management 2017. Available from: https://www.nice.org.uk/guidance/ng51. Royal Children's Hospital. Sepsis – assessment and management 2020. Available from: https://www.rch.org.au/clinicalguide/guideline_index/SEPSIS_assessment_and_management/. Inada-Kim M. NEWS2 and improving outcomes from sepsis. Clin Med (Lond). 2022;22(6):514-7. Lisa S, Shammi R, Steve G. Comparison of qSOFA and Hospital Early Warning Scores for prognosis in suspected sepsis in emergency department patients: a systematic review. Emergency Medicine Journal. 2022;39(4):284. Mellhammar L, Linder A, Tverring J, Christensson B, Boyd JH, Sendi P, et al. NEWS2 is Superior to qSOFA in Detecting Sepsis with Organ Dysfunction in the Emergency Department. J Clin Med. 2019;8(8). Oduncu AF, Kıyan GS, Yalçınlı S. Comparison of qSOFA, SIRS, and NEWS scoring systems for diagnosis, mortality, and morbidity of sepsis in emergency department. Am J Emerg Med. 2021;48:54-9. Patel R, Nugawela MD, Edwards HB, Richards A, Le Roux H, Pullyblank A, et al. Can early warning scores identify deteriorating patients in pre-hospital settings? A systematic review. Resuscitation. 2018;132:101-11. Steve G, Laura S, Ben T, Olivia H, Khurram I, Susan C, et al. Prehospital early warning scores for adults with suspected sepsis: retrospective diagnostic cohort study. Emergency Medicine Journal. 2023;40(11):768. Verity Frances T, Melanie M, Graham H, Andy S, Aroha B, Tony S, et al. Predictive value of the New Zealand Early Warning Score for early mortality in low-acuity patients discharged at scene by paramedics: an observational study. BMJ Open. 2022;12(7):e058462. Wang C, Xu R, Zeng Y, Zhao Y, Hu X. A comparison of qSOFA, SIRS and NEWS in predicting the accuracy of mortality in patients with suspected sepsis: A meta-analysis. PLoS ONE. 2022;17:e0266755. | |||
| 18 Dec 2024 | Pain (Part 2) - Management | 00:52:13 | |
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 better? James sits down with paramedicine luminary and pain researcher A/Prof Bill Lord for a three-part series on pain. In Episode 2, we look at best practice in the management of pain. Further resources Acute Pain Management: Scientific Evidence: 5th Edition
Ketamine for the treatment of prehospital acute pain: a systematic review of benefit and harm
Chronic pain in the paramedic practice setting – a qualitative study of patients’ perspective
Influence of patient race on administration of analgesia by student paramedics
Report on Government Services 2024
Get in touch clinicalguidelines@ambulance.vic.gov.au
X / Twitter David: @expensivecare James: @JamesOz1 Bluesky Social James: @jamesoz1.bsky.social | |||
| 31 Jul 2022 | Acute Behavioural Disturbance | 00:44:04 | |
People experiencing acute behavioral disturbance are some of the most vulnerable patients we treat. It’s a deeply distressing situation for the patient and extremely confronting for clinicians and carers. In this episode, we speak with psychiatrist Dr Alison Taylor about important changes we're making to improve care for these patients. | |||
| 28 Feb 2025 | Clinical Updates: February 2025 | 00:20:13 | |
James and Ben cover the latest clinical news from across Ambulance Victoria, including:
Chapters 00:00 Introduction and Overview of ClinicalUpdates 01:21 Rapid summary 02:50 Updates on Intranasal Fentanyl 5:40 Other CPG updates: Extrication monitoring, shoulder reduction, wilderness pain relief. 07:50 Blood Product Administration andSafety 10:00 Rocuronium storage and efficacy concerns 11:18 Emergency Healthcare Communication Book 12:11 Medical Advisor on Call and PatientSafety 12:50 MICA targeted Dispatch and PatientSafety Reporting 14:12 Extrication related adverse events 15:30 Case reports 16:01 Paper of the Month: STEMI CareInsights 17:30 Equipment updates 18:31 External Professional DevelopmentOpportunities 19:25 Small Steps to Transform YourPractice
Further resources Adverse events and paramedic interventionsduring extended ground transport in a rural pharmaco-invasive STEMI program https://onlinelibrary.wiley.com/doi/full/10.1111/1742-6723.70005?saml_referrer= Ventilator workshop: https://www.alfredicu.org.au/files/general/Documents/2025_EVENT_FLYER_CURRENT.pdf Medication stability in hot environments: https://www.sciencedirect.com/science/article/pii/S2211419X23000630
Get in touch X / Twitter James: @JamesOz1 Ben: @ben_meadley Bluesky Social James: @jamesoz1.bsky.social | |||
| 27 Mar 2025 | Clinical Updates: March 2025 | 00:22:10 | |
Your monthly clinical update covering:
Resources Get in touch X / Twitter / Bluesky James: @JamesOz1 | @jamesoz1.bsky.social Ben: @ben_meadley | |||
| 08 Apr 2021 | Withholding or ceasing resuscitation | 00:50:16 | |
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 the field. AV Medical Director Associate Professor David Anderson discuss Dr Natalie Anderson, PhD discuss the decision making process and how to better approach these difficult cases. MyGriefToolbox - Great Canadian resource for all paramedics, with helpful modules covering decision-making, patient death and grief. Breaking bad news in the ED - Notifying family members of a death in the emergency department. | |||
| 15 Dec 2022 | Shock | 00:38:08 | |
Shock is the quintessential critical illness. Bread and butter for everyone involved in prehospital and critical care. But do we really understand it? Could we be doing better for these patients? | |||
| 26 Sep 2024 | Sepsis (Part 2) - Management | 00:44:09 | |
Part 2 of David's discussion with Associate Professor Andrew Udy on Sepsis Management. Get in touch clinicalguidelines@ambulance.vic.gov.au
X / Twitter David: @expensivecare James: @JamesOz1 Resources mentioned [PHANTASI trial] Alam N, Oskam E, Stassen PM, Exter Pv, van de Ven PM, Haak HR, et al. Prehospital antibiotics in the ambulance for sepsis: a multicentre, open label, randomised trial. The Lancet Respiratory Medicine. 2018;6(1):40-50. Kumar A, Roberts D, Wood KE, Light B, Parrillo JE, Sharma S, et al. Duration of hypotension before initiation of effective antimicrobial therapy is the critical determinant of survival in human septic shock. Crit Care Med. 2006;34(6):1589-96. Seymour CW, Gesten F, Prescott HC, Friedrich ME, Iwashyna TJ, Phillips GS, et al. Time to Treatment and Mortality during Mandated Emergency Care for Sepsis. N Engl J Med. 2017;376(23):2235-44. ARISE Invetigators. Goal-Directed Resuscitation for Patients with Early Septic Shock. New England Journal of Medicine. 2014;371(16):1496-506. PRISM Investigators. Early, Goal-Directed Therapy for Septic Shock — A Patient-Level Meta-Analysis. New England Journal of Medicine. 2017;376(23):2223-34. Australian Commission on Safety and Quality in Health Care. Sepsis Clinical Care Standard 2022 [Available from: https://www.safetyandquality.gov.au/standards/clinical-care-standards/sepsis-clinical-care-standard#:~:text=The%20Sepsis%20Clinical%20Care%20Standard,Commission%20on%2030%20June%202022. Shapiro NI, Douglas IS, Brower RG, Brown SM, Exline MC, Ginde AA, et al. Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension. N Engl J Med. 2023;388(6):499-510. Other resources Poynter MJ, Farrugia A, Kelly E, Simpson PM. Prehospital administration of antibiotics in addition to usual care versus usual care alone for patients with suspected sepsis – a systematic review. Paramedicine. 2024;21(2):52-65. Varney J, Motawea KR, Kandil OA, Hashim HT, Murry K, Shah J, et al. Prehospital administration of broad-spectrum antibiotics for sepsis patients: A systematic review and meta-analysis. Health Sci Rep. 2022;5(3):e582. | |||
| 29 Oct 2024 | Clinical Updates: October 2024 | 00:18:23 | |
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 Clinical Guideline Specialist James Oswald summarise the need-to-know clinical information, all in one spot. This month: New CPG updates, trends in our patient safety data, and new cardiac monitors.
Times stamps: 2:00 New CPG updates 4:40 Snakebite 6:30 Acute coronary syndrome and activating the cath lab 7:35 Patient safety trends 10:20 Dislocation reduction – how are we doing? 12:10 Ketone strips 13:50 Case report templates 15:05 Thunderstorm asthma 15:25 IV Fluid shortage 15:50 PANDA trial update 16:40 New cardiac monitors 17:25 Professional development opportunities
Resources European EMS Congress Copenhagen June 2025
X / Twitter James: @JamesOz1 Ben: @ben_meadley
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| 21 Nov 2024 | Pain (Part 1) - Assessment, bias and disparities in care | 00:50:17 | |
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 better? James sits down with paramedicine luminary and pain researcher A/Prof Bill Lord for a three-part series on pain. In Episode 1, we look at assessment, bias, and disparities in pain care. In the coming months, we’ll bring you the rest of our discussion covering best practice pain relief, system issues, myths about opioids, and special circumstances in pain care. Acute Pain Management: Scientific Evidence: 5th Edition
Ketamine for the treatment of prehospital acute pain: a systematic review of benefit and harm
Chronic pain in the paramedic practice setting – a qualitative study of patients’ perspective
Influence of patient race on administration of analgesia by student paramedics
Report on Government Services 2024
Get in touch clinicalguidelines@ambulance.vic.gov.au
X / Twitter David: @expensivecare James: @JamesOz1 | |||
| 28 Jan 2025 | Clinical Updates: January 2025 | 00:22:17 | |
James Oswald and Director of Paramedicine Dr Ben Meadley discuss the important clinical messages for January 2025:
The episode also covers equipment updates, professional development opportunities, and practical steps for paramedics to enhance their practice. Time stamps: 0:45 Rapid summary 02:20 Patient Safety Update: If you sedate, plan to resuscitate. 06:13 Exploring Low Acuity Pathways 10:40 Strategic Planning for 2025 11:27 Case Reports and Community Engagement 12:21 Research Update: Physician-Led Teams – do they improve outcomes? 16:59 Equipment Update and Safety Protocols 19:22 Professional Development Opportunities 21:04 Small Steps to Transform Your Practice Resources Get in touch X / Twitter James: @JamesOz1 Ben: @ben_meadley | |||
| 10 Jul 2024 | Tranexamic acid | 00:39:13 | |
For over a decade after a large study showed a mortality benefit, this drug remained controversial. David and James look at the TXA saga. | |||
| 24 Oct 2024 | The Future of Paramedicine | 00:41:33 | |
In this episode, James speaks with critical care paramedic, academic, and newly appointed Director of Paramedicine, Associate Professor Ben Meadley. We discuss strategic clinical leadership and the future of the profession. X / Twitter David: @expensivecare James: @JamesOz1 Ben: @ben_meadley | |||
| 16 Dec 2024 | Clinical Updates: November 2024 | 00:21:07 | |
A monthly summary of clinical information from the Ambulance Victoria Office of the Medical Director. Quick summary (0:30) Patient Safety (1:30) Discussing the lessons from specific adverse events is challenging due to patient privacy/consent, crew psychological safety, and investigation timelines. We need to find a way to collectively share these lessons in a safe way. Plans for quarterly clinical forums (2025) to foster psychologically safe discussions. Clinical Updates (4:52) IV Cannulation for STEMI:Avoid sites near the radial artery to support PCI access. Extrication Monitoring: Monitoring is sometimes removed during extrication, especially self-extrication. Associated with adverse events. We need to emphasise monitoring (especially ECG/pulse oximetry) during extrication. Ectopic Pregnancy: Patient safety Assume ectopic pregnancy for women of childbearing age with abdominal pain and shock. Cardiac Arrest: Always prioritize high-performance CPR over antiarrhythmics. Clarification on stacked shocks and their intended use. CWI out soon. ALS paramedics encouraged to consult for post-ROSC hypotension management. Guideline Monitoring (12:36) Success of expanded croup guidelines: increased dexamethasone use and reduced hospital transports. Research Updates (14:20) PANDA Trial: Comparing noradrenaline and adrenaline in cardiogenic shock. IV vs IO Access: Preference for IV first in cardiac arrest; IO as backup. ROSC Blood Pressure: Minimum diastolic pressure of 35mmHg linked to better outcomes. Equipment Notices (19:20) Normal saline shortages persist; substitute with Hartmann’s or PlasmaLite. New ketone strips now available—use carefully. Professional Development (20:11) CPD resources from the Australasian College of Paramedicine and Victorian Ambulance Union. Links to registration standards and CPD tools in the show notes. Resources PARAMEDIC 3 Intraosseous or Intravenous Vascular Access for Out-of-Hospital Cardiac Arrest PANDA trial - If you want to learn more about the study or have any questions, search for PANDA on the AV intranet or contact the team at PANDA@ambulance.vic.gov.au.
Pain research with Monash - Get involved: Paramedic confidence & barriers to paediatric pain management
External development opportunities https://www.paramedicineboard.gov.au/professional-standards/faq/faq-cpd.aspx https://paramedics.org/education https://paraed.vau.org.au/events Get in touch X / Twitter James: @JamesOz1 Ben: @ben_meadley
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| 19 Dec 2024 | Clinical Updates: December 2024 | 00:22:53 | |
A monthly summary of clinical information from the Ambulance Victoria Office of the Medical Director. Overview 1. Clinical Practice Updates • CPG App Update Details: o Secondary triage review o Changes to pediatric analgesia guidelines o Stacked shock CWI updates o Minor error corrections • Pediatric Cannulation: o ALS IV access is supported for: Major trauma and traumatic arrest (all ages), and Pain relief (12-15 years). o Avoid IV access in younger patients unless necessary; consider IN route for pain relief in children. • Joint Reduction Adverse Event: o Important that we share the outcomes of adverse events openly but without blame. o Recent adverse event involved shoulder reduction that was not indicated. o Our main focus is on the system issues: we’re looking at making the indications clearer. o In the meantime, we’d like to raising awareness of the indication for reduction at the start of the CPG • Amiodarone & Ondansetron: o VT following Ondansetron administration only contraindicated if the drug is suspected to be the cause. ___________________________ 2. Patient Safety Review • Scene Safety vs. Patient Care: o Both paramedic and patient safety are important. No easy answers. o We encourage reflection on the best way to optimize the balance of risks rather than to be overly simplistic. • Manual Handling of Bariatric Patients: o Risks and benefits of asking patients with high BMI to move themselves to minimize manual handling injuries. o Importance of recognizing strained physiology and the need for careful risk assessment in every case. • Ambulation Risk Assessment: o Shout out to this guideline, which highlights risk factors in patient extrication. ___________________________ 3. Research Update • Video Assisted Technology: o Study on EMS providers in New York using smart glasses for live-streaming cases to medical control. o Limited adoption so far, but promising developments for future use in 2025. Stay tuned for more in this space at AV. • Intraosseous Access: o New research indicates IO access has minimal long-term complications (e.g., osteomyelitis, osteonecrosis) and should remain a viable option when IV access isn't possible. • Cardiac Arrest Survival Rates: o Study shows a three-fold increase in survival to hospital discharge from 2003-2022 in Victoria. o Post-COVID recovery efforts and ongoing strategies for improving cardiac arrest survival rates. o Please consider attending a HPCPR refresher session if possible. ___________________________ 4. Equipment Updates • Ketone Strips: New bags for separating ketone strips from glucose strips in response to feedback. ___________________________ 5. Professional Development Opportunities • Institute for Healthcare Improvement & Australian Institute of Clinical Governance: o Courses, memberships, and qualifications focusing on clinical governance, leadership, and patient safety. • Australasian College of Paramedicine: o Upcoming Critical Care Summit in May 2024, focusing on clinical excellence. • Critical Care Reviews Conference: o Dissecting randomized control trials in medicine and pre-hospital care. o Also a great opportunity to learn how feedback can be delivered and received positively. ___________________________ Resources A Smart Glass Telemedicine Application for Prehospital Communication: User-Centered Design StudyAn assessment of long-term complications following prehospital intraosseous access: A nationwide study Cardiac arrest improvement strategy
External development opportunities Australasian Institute of Clinical Governance
Get in touch X / Twitter James: @JamesOz1 Ben: @ben_meadley Bluesky Social James: @jamesoz1.bsky.social | |||
| 10 Apr 2025 | Sedation safety for acute behavioural disturbance (Part 2) | 00:31:44 | |
In Part 2 of their sedation safety conversation, hosts James Oswald (paramedic and clinical guidelines specialist) and Dr. David Anderson (Medical Director of Ambulance Victoria) cover preparation for sedation and how to recognize and respond to deterioration.
APIC Session: https://paramedics.org/recordings/acpic24-spotlight-on-sedation Clinical Conversations – Acute Behavioural Disturbance https://open.spotify.com/episode/2ahoO2WWHc27zOLocqoQR8?si=u4Sr_RjeQj-_lzPUWkUelQ Safer Care Victoria ABD guideline: https://www.safercare.vic.gov.au/best-practice-improvement/clinical-guidance/emergency/acute-behavioural-disturbance
Get in touch clinicalguidelines@ambulance.vic.gov.au
X / Twitter / Blusky David: @expensivecare | @expensivecare.bsky.social James: @JamesOz1 |@jamesoz1.bsky.social
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| 16 Jul 2023 | OMI vs STEMI | 00:34:25 | |
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 the best way to do it? Should we be thinking about this in a totally different way? Is Occlusive Myocardial Infarction (OMI) the new STEMI? Notes | |||
| 22 Feb 2021 | Pain Relief and Intranasal Ketamine | 00:23:52 | |
Ambulance Victoria recently introduced intranasal ketamine for the treatment of moderate and severe pain. It has proven to be effective but we have identified opportunities to do better. Clinical Practice Development Specialist James Oswald and Medical Director David Anderson discuss the new Clinical Practice Guideline and some of the lessons we've learned along the way. | |||
| 23 Sep 2024 | Penetrating trauma | 00:50:39 | |
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 cohort where our stay-and-play approach can do harm. James and David discuss the evidence relating to penetrating trauma and practical recommendations for your practice. Further resources Over view of major traumatic injury in Australia–Implications for trauma system design The effect of transport mode on mortality following isolated penetrating torso Trauma - PubMed Get in touch clinicalguidelines@ambulance.vic.gov.au X / Twitter David: @expensivecare James: @JamesOz1 | |||
| 18 Mar 2025 | Sedation safety for acute behavioural disturbance | 00:53:38 | |
In this episode of Clinical Conversations, hosts James Oswald (paramedic and clinical guidelines specialist) and Dr. David Anderson (Medical Director of Ambulance Victoria) dive into one of the most ethically and clinically complex areas of pre-hospital care—the questions of safety for during sedation for acute behavioural disturbance (ABD). They explore the ethical and legal considerations surrounding the use of sedation, the significant clinical risks, and real-world cases that highlight the gravity of these situations. The episode features a discussion on the tragic case of Elijah McClain, whose death following pre-hospital sedation underscores the importance of safe practices, inter-agency communication, and decision-making in high-stress environments. James and David also break down Ambulance Victoria’s current approach to sedation, including agent selection, risk assessment, and the importance of de-escalation. They stress the role of checklists, consultation, and a "prevention-first" approach to mitigate risks. This is the first of a two-part discussion. In the next episode, they will cover preparation for sedation and how to recognize and respond to deterioration. Further resources APIC Session: https://paramedics.org/recordings/acpic24-spotlight-on-sedation Clinical Conversations – AcuteBehavioural Disturbance https://open.spotify.com/episode/2ahoO2WWHc27zOLocqoQR8?si=u4Sr_RjeQj-_lzPUWkUelQ Safer Care Victoria ABD guideline: https://www.safercare.vic.gov.au/best-practice-improvement/clinical-guidance/emergency/acute-behavioural-disturbance
Get in touch clinicalguidelines@ambulance.vic.gov.au
X / Twitter / Blusky David: @expensivecare | @expensivecare.bsky.social James: @JamesOz1 | @jamesoz1.bsky.social
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| 08 Aug 2024 | National clinical practice guidelines - are they the future? | 00:45:07 | |
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 of a problem is it and what should we do about it? Are national guidelines the answer? James speaks with paramedic and PhD candidate Matt Wilkinson-Stokes to find out, while David shares his perspective on national guidelines. Further resources Matt's presentation on the differences between state ambulance service guidelines Comparisons of clinical guidelines between states Other papers mentioned: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2243-y Get in touch clinicalguidelines@ambulance.vic.gov.au X / Twitter David: @expensivecare James: @JamesOz1 | |||
| 22 Aug 2021 | Family violence | 00:30:46 | |
Family violence is a deeply confronting and serious problem that occurs across all ages, genders, and socioeconomic groups. It has a profound impact on the health and well-being millions of people across the globe. How can we identify family violence? How should we respond to a disclosure of family violence? How can we help victim survivors? Ambulance Victoria Safe Guarding Care Lead Amber Smith joins James and David to discuss this important issue. MARAM Family violence practice guide | |||
| 14 Mar 2023 | Capnography | 00:42:56 | |
Capnography plays a crucial role in the treatment of a range of life-threatening conditions. Its central role following intubation is undeniable and it's also an important part of our approach to cardiac arrest and sedated patients of all kinds. Yet it is not always as straightforward as it might seem. In this episode, David and James speak with Matt Humar (intensive care paramedic, acting patient safety review lead at Ambulance Victoria, and secretary of the safe airway society) about matters capnographic. | |||
| 17 Jan 2025 | Pain (Part 3) - Systems issues and special circumstances | 00:43:36 | |
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 better? James sits down with paramedicine luminary and pain researcher A/Prof Bill Lord for a three-part series on pain. In Episode 3, we look at challenges in building a system that leads to good pain relief as well as some special circumstances including opioid dependence and chronic pain. Further resources Acute Pain Management: Scientific Evidence: 5th Edition
Ketamine for the treatment of prehospital acute pain: a systematic review of benefit and harm
Chronic pain in the paramedic practice setting – a qualitative study of patients’ perspective
Influence of patient race on administration of analgesia by student paramedics
Report on Government Services 2024
Get in touch clinicalguidelines@ambulance.vic.gov.au
X / Twitter David: @expensivecare James: @JamesOz1 Bluesky Social James: @jamesoz1.bsky.social | |||
| 25 Feb 2025 | "He's going to die" - Breaking bad news | 00:53:41 | |
In this episode of Clinical Conversations, James Oswald (Paramedic and Clinical Practice Guidelines Specialist) and Dr. David Anderson (Ambulance Victoria Medical Director) tackle one of the most challenging aspects of paramedicine—delivering bad news. Joined by guest Liz Perry (MICA Paramedic), they explore the difficulties paramedics face when communicating death and critical updates to families in the pre-hospital setting. We talk personal experiences, theoretical models like SPIKES, and practical strategies to navigate these conversations with confidence, clarity, and compassion. They also discuss the impact of breaking bad news on paramedics themselves and strategies to prevent burnout. Get in touch clinicalguidelines@ambulance.vic.gov.au
X / Twitter David: @expensivecare James: @JamesOz1 | |||
| 10 Jul 2024 | We're back: Why a podcast? | 00:15:25 | |
Clinical conversations is back. But where have we been, what have we been doing and what do we have planned for the future? | |||