James Oswald
@jamesoz1.bsky.social
Australian paramedic. Guideline development and implementation at Ambulance Victoria. Clinical governance & quality improvement. Communications. Occasionally politics. Always dogs.
🚑 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
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
Sedation safety for acute behavioural disturbance
Clinical Conversations · Episode
open.spotify.com
March 18, 2025 at 3:22 AM
🚑 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
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
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...
✅ 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...
"He's going to die" - Breaking bad news
Clinical Conversations · Episode
open.spotify.com
February 25, 2025 at 1:05 AM
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...
✅ 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...
🎙️ 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...
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...
Pain (Part 3) - Systems issues and special circumstances
Clinical Conversations · Episode
open.spotify.com
January 17, 2025 at 4:30 AM
🎙️ 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...
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...
Reposted by James Oswald
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
ja.ma/4fNlha4
January 14, 2025 at 6:56 PM
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
ja.ma/4fNlha4
Reposted by James Oswald
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
thesgem.com/2025/01/sgem... @emcrit.bsky.social @kirstychallen.bsky.social
January 15, 2025 at 1:05 AM
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
thesgem.com/2025/01/sgem... @emcrit.bsky.social @kirstychallen.bsky.social
Reposted by James Oswald
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.
🚑💊🤕
Find out the answer to these and more on part 2 of James’ interview with Bill Lord.
🚑💊🤕
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.
@expensivecare.bsky.social, we look at best practice in the care of people with pain.
Pain (Part 2) - Management
Clinical Conversations · Episode
open.spotify.com
December 18, 2024 at 6:26 AM
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.
🚑💊🤕
Find out the answer to these and more on part 2 of James’ interview with Bill Lord.
🚑💊🤕
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.
@expensivecare.bsky.social, we look at best practice in the care of people with pain.
Pain (Part 2) - Management
Clinical Conversations · Episode
open.spotify.com
December 18, 2024 at 4:23 AM
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.
@expensivecare.bsky.social, we look at best practice in the care of people with pain.
Reposted by James Oswald
Viewpoint from Manesh Patel and colleagues discusses a clinical framework for applying #AI in health care.
ja.ma/3CIbcgX
ja.ma/3CIbcgX
November 27, 2024 at 3:36 PM
Viewpoint from Manesh Patel and colleagues discusses a clinical framework for applying #AI in health care.
ja.ma/3CIbcgX
ja.ma/3CIbcgX
Reposted by James Oswald
Thanks David. It was great chatting with James about this important topic
The latest episode of Clinical Conversations - Ambulance Victoria’s clinical podcast is out!
Its the 1st part of a 3 part series where James chats with paramedicine legend @billlord.bsky.social about all things prehospital assessment and management of pain.
Tune in wherever you get your podcasts!
Its the 1st part of a 3 part series where James chats with paramedicine legend @billlord.bsky.social about all things prehospital assessment and management of pain.
Tune in wherever you get your podcasts!
Pain (Part 1) - Assessment, bias and disparities in care
Clinical Conversations · Episode
open.spotify.com
November 22, 2024 at 5:03 AM
Thanks David. It was great chatting with James about this important topic
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
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.
open.spotify.com
November 22, 2024 at 5:36 AM
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