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James Oswald

@jamesoz1.bsky.social
97 followers 242 following 10 posts

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

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James Oswald @jamesoz1.bsky.social · 18/03/2025
🚑 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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Sedation safety for acute behavioural disturbance
Clinical Conversations · Episode
121
James Oswald @jamesoz1.bsky.social · 25/02/2025
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...
open.spotify.com
"He's going to die" - Breaking bad news
Clinical Conversations · Episode
121
James Oswald @jamesoz1.bsky.social · 17/01/2025
🎙️ 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...
open.spotify.com
Pain (Part 3) - Systems issues and special circumstances
Clinical Conversations · Episode
162
Reposted by James Oswald
JAMA @jama.com · 14/01/2025
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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Reposted by James Oswald
Ken Milne MD @thesgem.bsky.social · 15/01/2025
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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Reposted by James Oswald
David Anderson ASM @expensivecare.bsky.social · 18/12/2024
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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James Oswald @jamesoz1.bsky.social · 18/12/2024
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.
open.spotify.com
Pain (Part 2) - Management
Clinical Conversations · Episode
132
Reposted by James Oswald
JAMA @jama.com · 27/11/2024
Viewpoint from Manesh Patel and colleagues discusses a clinical framework for applying #AI in health care. ja.ma/3CIbcgX
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Reposted by James Oswald
Bill Lord AM @billlord.bsky.social · 22/11/2024
Thanks David. It was great chatting with James about this important topic
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James Oswald @jamesoz1.bsky.social · 22/11/2024
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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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.
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