James Oswald

James Oswald

@jamesoz1.bsky.social

Australian paramedic. Guideline development and implementation at Ambulance Victoria. Clinical governance & quality improvement. Communications. Occasionally politics. Always dogs.

91 Followers 242 Following 10 Posts Joined Nov 2024
11 months ago
Preview
Sedation safety for acute behavioural disturbance Podcast Episode · Clinical Conversations · 18/03/2025 · 54m

Apple podcasts: podcasts.apple.com/au/podcast/s...

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11 months ago
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Sedation safety for acute behavioural disturbance Clinical Conversations · Episode

🚑 New Episode of Clinical Conversations🎙️

Pre-hospital sedation carries serious ethical and clinical risks. In this episode of Clinical Conversations, @expensivecare.bsky.social and I explore why it’s risky and how to make it safer.

#Paramedicine #PreHospitalCare #EmergencyMedicine #Sedation #EMS

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1 year ago

#Paramedicine #EmergencyCare #BreakingBadNews #PreHospitalMedicine

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1 year ago
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"He's going to die" - Breaking bad news Clinical Conversations · Episode

Breaking bad news is one of the hardest things a paramedic must do. In this episode, we dive into:

✅ How to deliver devastating news with compassion
✅ The SPIKES framework
✅ The emotional toll on paramedics & how to cope

@expensivecare.bsky.social

🎧 Listen here: open.spotify.com/episode/0sbS...

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1 year ago
Preview
Pain (Part 3) - Systems issues and special circumstances Podcast Episode · Clinical Conversations · 17/01/2025 · 44m

Apple Podcasts: podcasts.apple.com/au/podcast/p...

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1 year ago
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Pain (Part 3) - Systems issues and special circumstances Clinical Conversations · Episode

🎙️ New Podcast Alert

The final episode in our pain management series with @expensivecare.bsky.social and @billlord.bsky.social is now live.

🔥 Topics:
Pain care performance measures 📊
Chronic pain challenges
Opioid myths & realities 💊

👉 Tune in: open.spotify.com/episode/5MMs...

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1 year ago
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JAMA Insights: All clinicians, not just those specializing in addiction medicine, should be able to effectively engage with patients with opioid use disorder about preventing overdose.

ja.ma/4fNlha4

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1 year ago
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89% got the correct answer. Less than 25% of single-centre RCTs of critically ill patients claiming a mortality benefit were replicated in a multi-centre RCT, the actual number being 6%.
thesgem.com/2025/01/sgem... @emcrit.bsky.social @kirstychallen.bsky.social

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1 year ago

Morphine or fentanyl? Does splinting really reduce pain? Is ketamine the ideal prehospital analgesic? Is there a role for paramedic administered NSAIDs? What about nerve blocks?

Find out the answer to these and more on part 2 of James’ interview with Bill Lord.

🚑💊🤕

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1 year ago
Preview
Pain (Part 2) - Management Podcast Episode · Clinical Conversations · 18/12/2024 · 52m

Apple Podcasts

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1 year ago
Preview
Pain (Part 2) - Management Clinical Conversations · Episode

Pain relief is important, so what can we actually do to help? In Part 2 of my conversation with @billlord.bsky.social and
@expensivecare.bsky.social, we look at best practice in the care of people with pain.

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1 year ago

Very. Suspect it’s the causal secret sauce. Less compassion, less pain relief. Suspect also that compassion fatigue is significant in the workforce. Addressing that may have significant flow on affect on quality care more broadly. But how to address it?

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1 year ago
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Viewpoint from Manesh Patel and colleagues discusses a clinical framework for applying #AI in health care.

ja.ma/3CIbcgX

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1 year ago

Thanks David. It was great chatting with James about this important topic

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1 year ago
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Clinical Conversations Podcast · The Ambulance Victoria Office of the Medical Director · Ambulance Victoria's clinical podcast bringing you the latest need-to-know clinical pearls.

At Ambulance Victoria, around 40% of our patients have pain as part of their presentation and we stand to make a real difference in the patient's experience of their illness. I was extremely fortunate to discuss the topic with paramedicine legend @billlord.bsky.social & @expensivecare.bsky.social

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