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 

⁠[email protected]⁠

James: https://linktr.ee/ClinicalConversations

Ben: ⁠@ben_meadley⁠ , Ben - Linkedin 

Producer: Liam Hennebry