Workshop Overviews

So, you wannabe a paramedic academic – now what?!

Since 2022, the Australasian Council of Paramedicine Deans has been an executive sponsor in the establishment of a Community of Practice (CoP) for paramedicine academics. The Community of Practice has enabled paramedicine academics to share their knowledge through reflective conversations. The CoP is both a social process and practice as the collective makes meaning, where the learning is an experience to create an emergent identity and belonging. In this session, the CoP facilitators wish to engage with participants to consider how they can develop and articulate their philosophy of learning and teaching. By sharing the learning and reflections from the CoP to date, the facilitators will feedback and feedforward to participants identity formation process of development as a paramedic academic.

Learning Outcomes - Participants will be able to:

  • Identify relevant learning and teaching philosophies to paramedicine higher education.
  • Reflect on one’s own philosophy of teaching and learning.
  • Consider the relationship of teaching and learning philosophy and identity as a paramedic academic.
  • Articulate one’s own conceptualisation of identity as a paramedic academic.
  • Identify resources to assist in developing a tool kit for self-identification as a paramedic academic.

Prospective audience: Future academics, casual academics, early and mid-career academics.

Managing cardiac implantable electronic devices
In this workshop, Natasha and Mitchell will delve into the decision making and management options for patients with implantable cardiac devices, specifically focusing on pacemakers and implantable cardioverter-defibrillators (ICDs). Through a combination of practical exercises and didactic learning, participants will gain valuable insights into assessing and addressing device malfunctions, making resuscitation decisions in cardiac arrest involving pacemakers, and navigating key decision points regarding ICD firing.
Targeted History Taking
The educational style of many paramedic programs does not mirror the medical model of history taking, often favouring a guideline-based approach that tries to pigeonhole patient presentations into simplistic categories. During this 2-hour workshop, Natalie will broaden your approach by providing a structured process to holistic history taking with some worked examples. Natalie will also explore some of the effects of cognitive bias to highlight common errors in thought that lead to poor decisions. Paramedics are in the privileged position of having large amounts of one-on-one time with their patients when compared to other health professionals. Operating within a person’s home also affords a paramedic with unique insight into a patient’s social situation. This workshop will complement these facts so you can gather information succinctly and accurately in order to deliver the best care possible to your patients.
Paediatric Resuscitation

This two hour workshop aims to refresh the delegates on the essentials of paediatric resuscitation (excluding neonates). This session will be largely practical and scenario/skills based, covering the common aetiology of paediatric arrest, strategies for airway and ventilation management, CPR, defibrillation, and medication associated with cardiac arrest.

More information on this workshop coming soon.

Design and Development of the Australian Paramedicine Professional Capabilities Tool

Since 2023, the Australasian Council of Paramedicine Deans has been an the executive sponsor in the design, development and implementation of the Australian Paramedicine Professional Capabilities Tool (APPCAT), behavioural cue and resource manual. A national Expert Reference Working Group (ERWG) was formed to collaborate on the APPCAT. The development of the APPCAT is necessitated to address Ahpra Paramedicine Board of Australia’s Program Accreditation Standard 5.2 for a valid and reliable assessment tool when evaluating a student’s capability by clinical on-road supervisors when undertaking work-integrated learning (WIL) activities [clinical placement]. To date, the ERWG have used a modified Delphi technique to design and develop a draft tool and behavioural cues. This process emulates other assessment tools used by allied health professions (APP), nursing (ANSAT) and midwifery (AMSAT). In this session, the ERWG facilitators will share the purpose for the design, development and proposed implementation of the APPCAT and discuss the implications for jurisdictional ambulance services (JAS) and those who supervise WIL students.

Learning Outcomes - Participants will be able to:

  • Discuss the requirement of Ahpra Paramedicine Board of Australia Program Standard 5.2 for the design, development and implementation of a WIL assessment tool.
  • Compare and contrast the APPCAT with other allied health, nursing and midwifery WIL assessment tools.
  • Evaluate the draft APPCAT tool and associated behavioural cues for suitability for WIL activities.

Prospective audience: Those involved in WIL placement activities that involve the direct observation and supervision of students.

High-performance advanced airway management
Advanced airway management is a team sport, and so this session is for everyone. Drawing on their prehospital, emergency department and retrieval roles, managing the airways of extreme preterm babies through to geriatrics, James and Rob will guide delegates through the optimisation of all aspects of advanced airway management, in the pursuit of delivering high-performance advanced airway management. Plenty of time has been allocated for practical hands-on experience alongside targeted discussions and case-based learning.
VR. It’s here now and worth paying attention to
For the past four years Western Sydney Local Health District, The University of Sydney, and Frameless Interactive have collaborated to develop cutting-edge virtual reality (VR) applications. Discover how VR can revolutionise clinical education in this hands-on learning experience led by Nathan and Martin. Engage with various VR applications designed to enhance Code Black Management, Advanced Life Support training, Clinical Communication, Verbal de-escalation skills, and mindfulness/wellbeing. Gain insights into the strengths and limitations of VR, and explore its potential applications in the field of paramedicine. This workshop caters to managers and educators seeking innovative approaches to staff training and support.
Obstetric Emergencies
This workshop will explore some of the challenging (and sometimes frightening) obstetric emergencies that paramedics may encounter in the out-of-hospital environment. Suitable for all practice levels including students, the aims are to improve your knowledge, skills and confidence to face any birthing situation. Led by Registered Midwife/Paramedic Shonel Hall, you will participate in small group experiences gaining hands-on skills and experience in emergency birthing situations where immediate care and management are critical.
Enhancing quality in peer review - conducting peer review for scientific journals
Peer review is essential to assure quality in scientific publishing. This workshop is presented by editorial staff of Paramedicine, the international peer-reviewed journal of the Australasian College of Paramedicine. The workshop will introduce participants to the process of peer review, discuss the various models and underlying principles of peer review, and give participants the opportunity to engage collaboratively in peer review exercises. Participants will be supported through peer reviewing of a mock research journal manuscript, applying best-practice principles. Experienced workshop facilitators will take participants through the steps to systematically review and to produce a clear and constructive peer review report. After completing the workshop, participants will be well positioned to begin engaging in peer review or will have reflected on their current peer review practices.
Mechanical Ventilation

The use of mechanical ventilators is becoming increasingly common in Australasian ambulance services in both the retrieval and primary response context. While the paramedics who regularly utilise ventilators have a comprehensive understanding of the concepts of mechanical ventilation, many paramedics of all levels do not. This workshop aims to fill the gap in understanding between the patient and the machine. This workshop will cover the physiology of positive pressure ventilation, the components of a ventilator circuit and the common modes of ventilation. This workshop also includes some practical demonstrations and attendee participation and use of the equipment. In order to link these concepts to practice, this session will include physiologic examples to explain concepts.

More information on this workshop available soon.

Advanced wound care assessment
The purpose of this workshop is to develop paramedic skills and knowledge in the assessment and care of wounds. Utilising a sound evidence informed approach to explore best practice models of care we will adapt this to the out of hospital environment for clinicians. Included in this practical session will be the opportunity for supported practice in wound assessment, acute care including appropriate skin closures and treat and refer pathways. It is suitable for all clinicians with a sound understanding of the basic principles of wound care and highly recommended for those working or wishing to work in primary or community healthcare. Facilitated by intensive care and extended care Paramedic Melissa Alexander you will be amazed by just how much there is to learn in the world of wounds.
Neonatal Resuscitation
This workshop will cover the initial assessment of the newborn infant undergoing transition to extrauterine life and will prepare paramedics to undertake neonatal resuscitation. Suitable for all practice levels, facilitated small group sessions will provide the opportunity to gain confidence and develop assessment skills to determine when the newborn needs assistance to establish and maintain effective breathing. Led by Registered Midwife/Paramedic Shonel Hall, all participants will gain insightful knowledge to prepare them for effective care of a newborn who requires assistance.

Session Overviews - Day 1

Paramedics in Advanced Practice
What is advanced practice? Should paramedics work in these roles? What’s it like to work in advanced practice? What benefits are there for wider healthcare systems?

In their signature laid back style, James and Rob will try to answer these questions, and many more. Combining research, best practice and insights from their (many) years of experience with banter and light-hearted commentary, this keynote address aims to be educational, aspirational and not too boring.
3 Minute Thesis: The patient experience of accessing community healthcare in rural NSW: addressing barriers with alternative models of primary care
People who live in rural and remote regions face restricted access to healthcare services due to varied barriers. Currently, health equity is a vital factor driving health services, and is explored through the experiences of individuals in rural NSW. The ongoing healthcare crisis in rural NSW has primarily centred around augmenting the number of general practitioners and community nurses, yet challenges persist in securing funding, employment, and retention. A potential solution to assist rural healthcare is community paramedicine, which presents a fresh approach to primary healthcare in regional areas by leveraging the existing paramedic workforce to reach patients anywhere.
3 Minute Thesis: Self-compassion and PTSD symptoms in paramedics
More than one in four paramedics are suffering from a diagnosable level of post-traumatic stress disorder (PTSD) symptoms. Self-compassion is a known protective factor against PTSD in both military and civilian populations, yet whether this was also true for paramedics was unknown. This study, involving 334 paramedics, found that levels of self-compassion (how paramedics respond toward themself during difficult times) explain unique variance in their levels of PTSD symptoms; and more specifically, “over-identification” is the key component. Since we know self-compassion levels are readily increased through even brief intervention, these findings open up exciting possibilities for prevention and treatment strategies.
3 Minute Thesis: Exploring the perceptions and experiences of Australian female paramedics through creative arts-based research
Ambulance service culture has moved from a male dominated profession to be more inclusive of females in the workforce. During this transition, experiences of women in paramedicine have largely been unreported. This study explores the perceptions and experiences of women who have worked in the profession during the gradual feminisation of Australian paramedic culture, through creative arts-based research. The project consists of an online survey, semi-structed interviews with creative element, and researcher generated creative outputs, to explore the rich and deep experiences of women. By un-silencing female paramedics, new knowledge can be generated to fill a gap in paramedicine literature.
Reimagining the ambulance services of the future: An evidence based redesign
In the last twenty years, there has been a substantial rise in the demands placed on modern paramedic systems. The traditional response model of deploying more ambulances to meet the increasing demand is no longer sustainable. In this presentation, we invite you on a journey through a collection of research papers that delve into novel and pioneering practices within the field of paramedicine. Our main objective is to answer a fundamental question: What does the ideal paramedic system encompass?
Identifying organ donors attended by prehospital healthcare professionals: A scoping review
Organ donation is a life-saving intervention for patients with end-stage organ failure, yet the demand for organs surpasses the supply, leading to a significant disparity in transplant waiting lists. To address this, innovative strategies like uncontrolled donation after circulatory death (uDCD) programs have been proposed. This study presents a scoping literature review that comprehensively evaluates the involvement of prehospital healthcare professionals in identifying potential organ donors and the barriers impacting this process. Although established uDCD systems hold promise in alleviating waitlist burdens, a lack of consensus on criteria, strategies, and ethical considerations hinders efficient and ethical utilisation. Further research is needed to address these gaps and establish evidence-based guidelines within an Australasian context.
Review of Australasian Ambulance Service Fatigue Risk Management Systems (FRMS)
This presentation will discuss the findings from an Australasian review on the current state-of-play of Fatigue Risk Management Systems (FRMS) in ambulance services, specifically the fatigue monitoring tools, mitigation strategies and general fatigue management. The findings provide insight into existing FRMS frameworks and present opportunities to enhance fatigue management across the paramedic sector and promote collaboration between services.
Harnessing Global Insights for Local Action: Navigating Community Paramedicine Programs Across Borders
This presentation aims to provide guidance on the future of community paramedicine programs in Australia. Utilising qualitative methodology using a systems-based analysis, 29 participants from seven countries were selected and provided their insights on community paramedicine program development. The result spotlight the crucial role of community involvement, strategic collaboration, and effective communication in successfully implementing and managing community paramedicine programs. By interpreting these shared international experiences and insights, we can better inform the design and implementation of community paramedicine programs in Australia, thereby influencing policy decisions and practical approaches in the community health sector.
A retrospective cohort study of the performance of MPDS in identifying patients requiring chest compressions at overdose prevention sites
In accordance with global recommendations for improving survival from out of hospital cardiac arrest, the provision of telephone CPR advice has been established as a standard of care for ambulance service dispatch. However, patients at overdose prevention sites may frequently present as unconscious with agonal breathing, despite not suffering a cardiac arrest and urgently needing oxygenation, ventilation, and naloxone. This retrospective cohort study of over 1.6 million patients in British Columbia, Canada, sought to examine the performance of MPDS ® in identifying patients at overdose prevention sites requiring chest compressions.
“It’s just frustrating…” The experiences of paramedics interacting with aged care staff: A phenomenological study.
This phenomenological study examined the experiences of paramedics interacting with aged care staff throughout the potential transfer of a resident to hospital. It aimed to analyse this interaction from an underrepresented perspective to describe the essential features of the paramedic experience of this interprofessional relationship. Our study found that paramedics have predetermined expectations of aged care staff during their interactions. In circumstances where staff fail to meet these expectations, the interaction is viewed in a negative light and this impacts on clinical decision-making and potentially on resident healthcare outcomes in this environment.
The F word: Perceptions and attitudes about fatigue among Australian paramedics
Australian paramedics experience high levels of fatigue, which is associated with poor health and safety outcomes. Understanding how paramedics perceive and experience fatigue is critical in effective fatigue management. Thirty Australian paramedics participated in a qualitative interview exploring lived experiences of fatigue; data were thematically analysed. Themes include normalisation of fatigue to cope, poor relationships between paramedics and employers related to fatigue management, and fear and stigmatisation of formally reporting fatigue. Under-reporting fatigue and limited knowledge of fatigue management policies and screening tools was evident. To address these barriers, we recommend co-designed fatigue risk management policies, alternate fatigue screening tools, and education.
Parliament to the frontlines: What do those who decide our future believe it is?
What is the role of ‘000’ paramedics in society? Should we only focus on resuscitation, or adapt into increasing low acuity demand? Where do Community Paramedics fit in to the picture? Our team - including professors of Paramedicine, Medicine, and Nursing - interviewed 56 influential people including national and state Members of Parliament, national and state Chief Officers, the heads of RACGP and ACEM, ambulance Chief Executives, frontline ED and GP physicians, nurses, paramedics, and patients themselves. This session will share what everyone - from the highest placed individuals in medicine in the country to the patients we serve - thinks the future of emergency paramedicine is.
Out-of-hospital paramedic interactions with people living with dementia: A Scoping Review
In Australia, one in 12 people aged 65 and over have a diagnosis of dementia – which is also the second leading cause of death for all Australians. Paramedics play a crucial role in person-centred dementia care, particularly within the community care space. As consensus has been established on paramedicine’s integration into inter-disciplinary care teams, the lack of clarity regarding the paramedic role in dementia care requires attention. This scoping review therefore aimed to identify and report paramedic interactions with people living with dementia in the out-of-hospital setting.
The impact of workplace factors, workload and culture on the medication safety practices of paramedics
Established guidelines for medication safety focus on hospital, pharmacy, nursing and operating theatre settings, with little to no mention of paramedic practice. A systematic review published in 2022 qualitatively established the factors that contribute to paramedic medication errors. This study builds on that work, quantifying those factors both in terms of their contribution to known errors and their prevalence within paramedic practice.
Patients’ experiences of non-conveyance following an Australian ambulance service paramedic response: A constructivist grounded theory exploration
Understanding patient experience contributes to quality, safe, and effective healthcare. This research explored the experience of patients who received an emergency ambulance response and paramedic-led healthcare that resulted in a decision for them to not attend a hospital ED. Constructivist Grounded Theory methods were used to generate and analyse data from semi-structured interviews with 21 participants who received paramedic-led healthcare from an Australian jurisdictional ambulance service between August 2020 and October 2021 that resulted in non-conveyance.
I’m not religious but thank God you’re here: A mixed methods study exploring chaplains in Australian Ambulance services
Chaplains are included in several Australian ambulance organisations, however despite evidence demonstrating strong connections between spiritual beliefs and health outcomes, little is known about their role or value. This exploratory sequential mixed methods study identified a role built on professional caring relationships, that provided proactive and reactive care in paramedic workspaces. Incorporating emotional, psychological and spiritual care, chaplaincy promoted wellbeing, reduced barriers to help-seeking and supported paramedics in accessing support. Perceived religiousness of chaplains and other organisational factors acted as barriers to paramedics using chaplaincy, however pre-existing relationships were also influential in determining whether paramedics would seek chaplain support.
Workplace sexual harassment experiences of early-career female paramedics in New South Wales.
The findings indicated that all participants had experienced WSH in the profession of paramedicine. Four major themes emerged from the analysis; 1. power dynamics between men and women in paramedicine, 2. the influence of an "old boys club" culture, 3. instances of workplace sexual harassment in paramedicine, 4. feelings of silence, invisibility, and hopelessness. This study discussed the implications of WSH on individuals, organisations, and service delivery within paramedicine. Whilst a small study, the findings could offer guidance, support, and potential recommendation for changes in paramedicine and related professions.
“Don’t talk to me about [service], they’re killing their patients”: The role of Clinical Guidelines
The limit of IN Fentanyl is 200 mcg in one service; 400 in another. Half our ICPs RSI/DSI; the rest don’t. Opioids are indicated during labour in 4 states; contraindicated in another 4. Clinical guidelines - directly or indirectly - determined the medical treatment 4.5 million people received last year. How are there so many differences? What is the right treatment? And why does a $4.8 billion industry disagree so much on fundamental medical treatment?
FEAST of FAMINE; how much fluid for paediatric sepsis resuscitation
Published in 2011, the Fluid Expansion As Supportive Therapy (FEAST) study demonstrated that fluid bolus’ used for sepsis resuscitation in Sub-Saharan African children increased mortality compared to maintenance fluid alone. We will discuss the strengths and limitations of this study, the impact of the study results on sepsis guidelines and care, and how the results of this study might change your everyday practice.
Chronic Pain in the Paramedic Practice Setting - A Qualitative Study of Patients’
A presentation of the results of a qualitative study undertaken which aimed to understand the perspectives of patients with chronic pain who have received management in the paramedic practice setting.
A comparison of immersive and traditional simulation methods on self-reported performance in undergraduate paramedicine students
Simulation and clinical practice have long served as the foundations of clinical education and assessment in various health fields, including paramedicine. More recently, the incorporation of extended realities in simulation practice has emerged as a possible addition to undergraduate paramedicine programs, complementing existing practical methods. The primary aim of this study was to determine if immersive or traditional simulation provided greater ratings of self-perceived performance. This randomised controlled trial provided a direct comparison between a traditional simulation program (standard simulation rooms) and an immersive simulation program (360-degree projection simulation room). This research suggests that undergraduate paramedicine students expressed higher ratings of self-perceived performance in traditional forms of simulation.
Assessment of optimal methods for preoxygenation in prehospital emergency anaesthesia
Prehospital emergency anaesthesia is a procedure that carries risks, including oxygen desaturation and hypoxia. Preoxygenation with a bag-valve-mask and reservoir bag with 15L.min-1 oxygen flow is traditionally utilised to reduce these risks. In this experimental study, the impact of alternative preoxygenation methods such as a refill valve attachment rather than reservoir bag, and the addition of nasal cannulae was investigated. Percentage of expired oxygen was analysed at 1 minute and 3 minutes of preoxygenation. Between reservoir bag and refill valve attachment, there was no significant difference in expired oxygen percentage. However, outcomes improved with the addition of nasal cannulae.
Lifelong Learning is Key: Exploring the Factors that Improve Self-directed Learning in Undergraduate Education
The field of healthcare is constantly evolving and many accrediting bodies and organisations globally, are promoting the use of self-directed learning (SDL) as a critical skill for ‘lifelong learning’. Therefore, there is greater emphasis within tertiary education, including paramedicine, for students to become self-directed learners. This project explored the drivers that improve the student learning experience, in undergraduate clinical science programs that utilised SDL. Understanding these factors will allow educators to implement SDL strategies more effectively within tertiary curriculum, ensuring students are better equipped to enter the professional workplace and engage in ‘lifelong learning’.
Blazing Trails: Igniting Out-of-Hospital Practice with Paediatric Burn Research
This session delves into evidence-based paediatric burn care in the pre-hospital setting, emphasising the crucial role of early interventions in saving skin cells. Participants will explore guidelines, literature, and collaborative approaches to enhance patient outcomes and mitigate the longterm impact of burn injuries.
Development of an international CPR-Induced Consciousness guideline: A Delphi study
Over the last twenty years, prehospital medicine has seen a continued increase in both presentation and awareness of CPR-Induced Consciousness (CPRIC). Its occurrence in the prehospital field causes technical and ethical challenges for clinicians both physically and mentally. Lack of treatment guidelines, data collection, and an agreed upon definition for CPRIC have restricted advancements on the topic. Thus, our author team used the Delphi methodology to survey an international panel of prehospital clinicians in order to create CPRIC definitions, management guidelines, and a reporting framework which can be used for reporting purposes.
Paramedic and medical students’ experiences of sexual harassment during clinical placement
Workplace sexual harassment is an alarming worldwide issue that can cause severe adverse effects for victims, especially women from traditionally male-dominated professions. Recent enquiries and studies have shown paramedics and doctors are exposed to concerning rates of sexual harassment. However, there is little understanding of whether this also affects paramedic students who perform duties in the same environment as paramedics. This systematic scoping review aimed to explore paramedic and medical students’ experiences of sexual harassment whilst undertaking clinical placement. The session will discuss the seven themes revealed from the thematic analysis, in addition to the content analysis results identifying the three most reported adverse effects of sexual harassment.
Direct admission versus inter-hospital transfer to a level I trauma unit does not improve survival following severe traumatic brain injury
Introduction: TBI is the leading cause of global mortality and morbidity. Objective: This study examined severe TBI patient outcomes based on transportation. Methods: This retrospective, quantitative analysis examined patient outcomes in patients transported to Inkosi Albert Luthuli Central Hospital (IALCH) from January 2017 to December 2018. This study covered 12+-year-olds. This study included GCS- and CT-classified severe traumatic brain injury (TBI) patients. Results: 167 of 202 cases were male. 41.1% of patients were injured by motor vehicle collisions. Direct admissions had higher mortality than interhospital transfers (p<0.001). Direct IALCH admissions were shorter than inter-hospital transfers. New injury severity score (NISS), revised trauma score (RTS), and Glasgow Coma Scale (GCS) predicted mortality well, with NISS being the most accurate. Conclusion: Severe TBI patients admitted straight to a level 1 trauma hospital have worse outcomes than those transferred from another institution. In severe traumatic brain damage, physiological/anatomical scoring systems and predictors can help predict death.
The path less travelled: Paramedicine in Queensland Mining & Construction
In this session the paramedic shares their journey from working as a Branch Station Officer in a remote area to seeking a work opportunity that offers better work/life/study balance. They discovered private sector work in mining and construction and secured a position with Corporate Protection Australia (CPA) in their health and medical sector. Working as a paramedic in this dynamic environment, they often found themselves as the sole medical personnel on-site, dealing with low acuity cases and occasionally challenging decisions. They offer advice to other paramedics considering this industry, emphasizing the importance of being proactive, assertive, and well-prepared while embracing the endless opportunities the private sector has to offer.
The path less travelled: An introduction to Event Medicine
A brief introduction to Event Medicine, my journey and how this unique speciality has evolved and how it positively impacts the greater health care continuum. I will discuss what motivated me to pursuing this path less travelled, my experiences along the way and advice for those interested in being involved with this exciting and evolving speciality.
The path less travelled: Journey into the Wilderness
A short description of my journey into Wilderness Medicine and how I have applied it to my daily clinical practice. This will include my motivations for pursuing this as an area of specialist practice, the training I have undertaken along the way and some advice for others who may wish to follow a similar pathway.
Panel on pain; Chronic pain and paramedicine. Evidence-based management and implications for paramedics.
What is chronic pain? How is chronic pain different from acute or traumatic pain? How can paramedics alter their approach when treating these patients? This presentation will discuss evidence-based practice and assessment/ management strategies for paramedics to consider when treating this patient cohort; including the application of the biopsychosocial model and a holistic approach.
Ideal model of preceptorship and mentoring
Undergraduate paramedic programs cannot prepare work-ready graduates. These programs provide a wide theoretical, philosophical, conceptual and critical thinking foundation for graduates to build their clinical practice. A period of supported learning by educated facilitators is critical to reducing the transitional learning gap from university to real-life paramedic practice. Paramedicine has yet to clearly define a conceptual framework for this period of supported learning. This discussion will explore the work of the ACP Preceptorship working group towards a definition and position statement on preceptorship for the profession in Australasia.
Advocacy: building a case for change
In this presentation, Advocacy and Government Relations Manager, Jemma Altmeier, will talk about the College advocacy agenda highlighting the activities and tactics used to engage decision-makers, collaborate with stakeholders, and influence government policy and legislation.

Session Overviews - Day 2

The Lived Experience of Paramedics Delivering Care to the Mentally Unwell: A Descriptive Phenomenological Study
Changing consumer demands have necessitated ambulance services to transform their approach to patient care. Evidence-informed clinical practice guidelines for physical health have expanded, but not for mental health. This descriptive phenomenological study sought to understand the lived experiences of paramedics caring for mentally unwell individuals in the community. Eighteen Australian paramedics were interviewed, illuminating four central themes: 1) Are we ready for this - the paramedic and patient interaction?, 2) The barriers to accessing care for mental health consumers in a one size fits all system, 3) It's just all a little bit grey, paramedic education and training on mental health presentations, and 4) The Paramedic, The Clinician, and The Person. The findings emphasise the need for improved education, training, support, and enhanced access to specialised services and referral networks.
From Hurdles to Horizons: Paving the way for progress in Community Paramedicine programs in Australia and Aotearoa New Zealand
This presentation explores the dynamics of community paramedicine programs in Australia and Aotearoa New Zealand, examining both their facilitators and challenges. Based on insights from 37 participants through surveys and interviews, four overarching themes emerged: (1) clarifying paramedic roles, (2) manoeuvring funding and legislative complexities, (3) addressing fixed paramedic mindsets, and (4) capitalizing on health workforce shortages. The result of this study highlights the significance of interprofessional understanding of paramedic roles, health system challenges that hinders wider paramedic contribution to health care, the impact of fixed mindset roles for paramedics on the growth the profession and the current opportunities due to current health workforce shortages.
Developing a competency framework for contemporary paramedic practice in Canada
Paramedic practice continues to evolve internationally, and there is a duty to ensure paramedic education reflects the complexity of contemporary paramedic practice, and outlines the features required for competent practice in diverse contexts. This research used a novel six-step model to identify and explore paramedic practice across Canada. The draft framework contains 27 professional activities across five domains: person-centered care, collaborative care, safe care, self care and professional care.
The Burn injured patient- common presentations and management
The majority of burn presentations seen in a Burns Unit in Australia and New Zealand are small in size but can still be complex to manage. In this presentation the aetiology of burn injured patients that are transferred to hospital will be discussed along with current management strategies. Recent findings from the Burns Registry of Australia and New Zealand (BRANZ) will be reviewed along with common presentations including minor burns.
The Extremes – Heat: Are they hot or are they hot?
This session discusses the pre-hospital management of hyperthermia using mass gathering events to set the scene to explore the difference between environmental hyperthermia and hyperthermia associated with drug ingestion and acute behavioural disturbance. We will immerse you into the world of paramedicine at events, highlight the aetiology, pathophysiology, assessment findings and treatment based on contemporary evidence-based practice, while having some fun along journey.
The Extremes – Cold: Hypothermia - How do you warm up a cold chicken?
A discussion on the latest in clinical management of environmental hypothermia including the use of case studies to highlight aetiology, pathophysiology, assessment findings and treatment based on recommendations of the International Commission for Mountain Emergency Medicine, The European Resuscitation Council, The Australia and New Zealand Committee on Resuscitation and the Wilderness Medicine Society.
Beautiful, diverse, complex and challenging - Children with Special Health Care Needs.
Tanie is a current Monash postgraduate Honours student and Ric Bouvier scholarship holder, in which she is researching parent/carer and paramedic decision making for transport of Children with Special Health Care Needs. An area of research interest which has been inspired by her eldest son having a chronic health condition since infancy. Tanie is inspired to share her son’s journey through the often-hectic prehospital emergency space into the Emergency Department to enhance prehospital care for all families like hers – those with beautiful, diverse, complex and challenging Children with Special Health Care Needs.
Intubation in the setting of airways and inhalation burns
“Just because we can doesn’t mean we should.” The widening scope of practice for the ICP has begun to capture patient cohorts that lie at the fringes of well-defined research that support pre-hospital RSI. This session will explore the patient with airways-burns to understand if we are applying best practice in this low frequency, high acuity trauma.
Paediatric Trauma, Tactics for success. Simplifying the complicated
Management of children, particularly in the trauma setting has always tended to be a stressful patient cohort for many Paramedics. This session aims to shine a light on strategies to assist in maximising the understanding of common threads of assessment and treatment of both adults and children, and a focus on minimising aspects of paediatric care that create that stress. The session has a focus on the impact of Human Factors, and the ability of Paramedics to minimise this impact via the development and fostering of clinical resilience.
Care of the Older Person - Delirium and the Paramedic Detective
This session places the paramedic as a detective tasked with the prehospital assessment and care of the older person with delirium, an acute disorder of attention and cognition. The session will uncover the epidemiology of this condition, share assessment and care objectives, and discuss how registered paramedics can add value to the care of this cohort of patients.
The Extremes - Into The Wild: Case Studies from Wild World of Wilderness Medicine
Endurance Medical Services (EMS) is an industry leader in specialist remote and austere medicine services, typically multi-day endurance events, such as ultramarathons. Ryan, Wilderness Paramedic and Associate Medical Director, presents an overview to the approach of providing medical support to these logistically complex events, a selection of case studies from the field, and subsequent learnings that everyone can apply to their own practice.
Spotlight on stroke - Pre-hospital triage of acute stroke in the era of endovascular clot retrieval – achieving equity of care
Treatment of acute stroke is time critical and requires early and accurate decision making to ensure patients receive the appropriate reperfusion therapies within the appropriate times. Prior to 2015 patients with an occlusion of a large cerebral vessel had a very poor prognosis however the advent of endovascular clot retrieval has drastically changed this. Pre-hospital clinicians are now more important than ever within stroke systems of care. This session will explore the importance of clinical assessment and retrieval decision making across metropolitan, regional and remote areas of Australia.