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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...

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"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...

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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.

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Pain (Part 2) - Management

Clinical Conversations · Episode

132

James Oswald @jamesoz1.bsky.social · 03/12/2024

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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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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