Your monthly clinical update from James Oswald (Clinical Practice Guideline Specialist) and A/Prof Ben Meadley (Director of Paramedicine):
02:10 – CPG Update Released
• Highlights major 2025 CPG changes, app issues, and expected three-month transition period (IFS ceases immediately).
• Emphasis on professional judgment, understanding over memorisation, and upcoming live Q&A.
• Request for staff feedback on new learning methods.
05:42 – Women’s Pain Inquiry Findings
• Large Victorian inquiry confirms women’s pain is frequently dismissed; implications for paramedic practice.
06:58 – Registration & Professional Capabilities
• Registration season brings opportunity to review Paramedicine Board capabilities: communication, cultural safety, risk management, lifelong learning.
08:05 – Paper 1: AI ECG for STEMI
• AI ECG analysis outperforms clinicians in complex cases and may reduce cath lab false activations; human–AI collaboration is the future.
10:20 – Paper 2: Community Paramedicine Study
• Time-and-motion study shows community paramedicine is a thinking-intensive role with few interventions.
13:40 – Paper 3: Methoxy vs Fentanyl vs Morphine
• Methoxyfluorane provides fastest early analgesia; supports multimodal pain management with methoxy as a strong first-line option.
17:56 – Equipment Update
• Reminder not to pre-connect sensitive devices (e.g., EtCO₂ adapters, Yankauer) due to temperature and contamination risks.
19:54 – AI Professional Development Workshop
• Upcoming Monash workshop on trustworthy generative AI for healthcare, available in-person and virtually.
Resources
Inquiry into women’s pain: https://www.health.vic.gov.au/inquiry-into-womens-pain
Gender disparities in EMS care: https://pubmed.ncbi.nlm.nih.gov/36369725/
Sex Differences in Patients With Acute Chest Pain: https://www.sciencedirect.com/science/article/pii/S0735109723000839
Professional capabilities: https://www.paramedicineboard.gov.au/Professional-standards/Professional-capabilities-for-registered-paramedics.aspx
Papers of the month
Community paramedicine: https://www.sciencedirect.com/science/article/pii/S2588994X25000909?via%3Dihub
Pain relief study: https://www.sciencedirect.com/science/article/abs/pii/S0140673625015752
AI-Enabled ECG Analysis: https://www.jacc.org/doi/10.1016/j.jcin.2025.10.018
Professional development
Building Trustworthy GenAI for Healthcare Innovation: https://shop.monash.edu/masterclass-building-trustworthy-genai-for-healthcare-innovation.html
Get in touch
clinicalguidelines@ambulance.vic.gov.au
James: https://linktr.ee/ClinicalConversations
Ben: @ben_meadley , Ben - Linkedin
Producer: Liam Hennebry