RESPONSE - The Australasian College of Paramedicine
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RESPONSE
AUTUMN 2022 www.paramedics.org
PRIVATE
PRACTICE
WA’s first paramedic private
practice model benefits patients,
staff and the health system P22
A CAREER
HIGH
The sky’s the limit for Critical
Care Flight Paramedic P24
BAND-AID
SOLUTION
Ambulance delays: “More
paramedics” not the solution P31
CHANGES
OF SCENERY
From the high seas to the desert,
variety is key for contract paramedic P20
INSIDE
BOARD OF DIRECTORS
Chair – Ryan Lovett
Vice Chair – Marty Nichols
Simone Haigh ASM
Dr Bill Lord
Clive Addison
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3
Colonel Gabrielle Follett AM
College News Professional practice Kate Worthington
Tony Gately ASM
04_ Message from the Chair 31_ Ambulance delays:
Response | Autumn 2022
Response | Autumn 2022
CHIEF EXECUTIVE OFFICER
“More paramedics” not
05_ Message from the CEO the solution John Bruning
john.bruning@paramedics.org
06_ College consultations and 34_ Improving the culture
NATIONAL OFFICE
submissions of leadership in
paramedicine PO Box 3229
Umina Beach NSW 2257
08_ College Working Group
Clinical practice 1300 730 450
and Committee updates info@paramedics.org
36_ Insight into inappropriate https://paramedics.org
09_ New college internal defibrillation in ACN 636 832 061
appointments the pre-hospital setting ISSN 1836-2907
11_ College developing
38_ Statins, paramedics and MEMBER ENQUIRIES
transformative ways for patient education members@paramedics.org
members to engage in
learning Paramedic wellbeing EDITORIAL ENQUIRIES
Lauren Daws
13_ Australasian Journal of 40_ Shift work, health and
lauren.daws@paramedics.org
Paramedicine update paramedicine: Towards a
sustainable career ADVERTISING ENQUIRIES
14_ College involved in
Research Jonathon Tremain
updating Australian
jonathon@tremedia.com.au
guidelines for the 43_ GRADE - A systematic
management of ACS approach to developing RESPONSE is published quarterly by the
Australasian College of Paramedicine.
clinical practice guidelines
15_ Learning the ropes thanks Editorial and photographic contributions
to College education grant Legal/ethics are welcome and can be submitted
to EditorResponse@paramedics.org.
16_ Trauma on the Border 46_ Legislative issues with All material accepted for publication is
2022 conference employing paramedics subject to editing.
highlights outside of ambulance ©2022. The Australasian College of
services Paramedicine. All rights are reserved.
The College and its Editor cannot
19_ EMSA 2022 conference:
Students be held responsible for errors or
The future of emergency any consequences arising from the
and pre-hospital 49_ Telehealth placement use of information contained in this
healthcare improves paramedic publication; the views and opinions
student’s assessment skills expressed do not necessarily reflect
Features those of the College and its Editor,
Sector news neither does the publication of
20_ From the high seas to the advertisements constitute any
desert, variety is key for 50_ welcome face-to-face
A endorsement by the College and its
contract paramedic return for CAA Congress Editor of the products advertised.
COVER
22_ WA’s first paramedic 52_ Ahpra news Kasha Szewczyk
private practice model The Australasian College of
benefits patients, staff 52_ Te Kaunihera Manapou Paramedicine acknowledge Aboriginal
Paramedic Council news
and the health system and Torres Strait Islander peoples as
the traditional custodians of the land
24_ The sky’s the limit for 54_ National COVID-19 Clinical and sea in which we live and work, we
Critical Care Flight Evidence Taskforce recognise their continuing connection
to land, sea and culture and pay our
Paramedic respects to Elders past, present and
future.
26_ Call of duty for trailblazing
The College acknowledge Māori
tele-triage aramedic
as tangata whenua and Treaty of
Waitangi partners in Aotearoa
28_ The growing importance New Zealand.
of non-traditional
paramedicine
FROM THE CHAIR FROM THE CEO
PARAMEDIC
subsequently approved meaningful investment
4
5
in building College capacity and capability. The
main recommendations concentrated on en-
EDUCATION AND
suring the College was appropriately resourced
Response | Autumn 2022
Response | Autumn 2022
to improve operational capacity to be successful
today and into the future. This has seen an
internal restructure, with Education being split
DEVELOPMENT
out into a standalone unit (formerly Education
and Research) and the creation of new units
focusing on Member Services and Advocacy.
The College strives to be the industry leader in
professional development content for paramed- with John Bruning, College CEO
ics, and we know that we can never stand still. To
build our education capability, the Board is also
CONTINUOUS
investing in additional resourcing in education
through subject matter experts to progress our
education content goals. In the 2021 Winter edition of Response, I spoke The College has our CPD tracker available for
about our education plans and the clinical members to manage their professional devel-
IMPROVEMENT
The past 12 months have seen the College prior- education resourcing we were investing in to opment, which provides a section to create your
itise the development of our advocacy capacity, generate new and interactive content, and to personal development plan and set learning
which has led to numerous submissions, media deliver on our purpose of excellence in paramed- objectives. The CPD tracker allows members
activities, and attendances at hearings across icine. As with many things, the initial investment to connect learning back to these defined
a range of areas covering paramedicine and takes time to show the value that it is creating, objectives, creating a seamless link between
with Ryan Lovett, College Chair broader health care delivery. The establishment but I am excited to see the benefits that have development, learning objectives and CPD un-
of a new and dedicated advocacy team staffed now been realised from that investment with dertaken. It is pleasing to see that more than 1100
by individuals with demonstrated experience the first handful of our dedicated eLearning members have development plans in the CPD
across government and health will see the modules. tracker, but ultimately, every paramedic needs to
College continue to improve our capability and have a development plan and defined learning
be better positioned to lead the profession. The Education team released the first modules
objectives if we want to achieve excellence. If you
Welcome to the Autumn edition of Response. in mid-March, and we now have a three-module
The Board’s role is fundamentally one of don’t already have a development plan in place, I
obstetric series and three other modules on
This edition I wanted to take a more introspective governance, strategic direction setting, and strongly recommend using your CPD tracker on
motor neurone disease, mentoring, and palliative
approach to provide you with an update on how oversight. Guiding the Board and the College the College website and spending time to reflect
care. Since the launch, there have been more
the College is positioning ourselves to better in all that we do is our Constitution. Following on your practice and set learning objectives to
than 800 enrolments in the modules, with the
improve the care you provide to your patients.
THE BOARD
provide services to you, our members, and to
better place us to represent and advocate more
the formation of the College in 2020, the Board
committed to regularly review the structure
obstetric series being the most attractive to
EVERY
members. Our plan is to release new modules Conferences
IS ALSO
broadly for the profession. and operation, including the Constitution, to every month, building a strong library of It was great to be back to face-to-face PARAMEDIC
ensure we remain contemporary and responsive. interactive eLearning content for members.
INVESTING
The College’s strategic plan sets out our vision,
“A strong and influential College representing
Shortly, a call will go out for members to express
conferencing with Trauma on the Border in
March, where more than 180 attendees enjoying
NEEDS TO
an interest in being part of a constitutional An essential part of paramedic registration
IN ADDITIONAL
and supporting paramedicine”, and purpose, “To
review group to provide feedback to the Board in both Aotearoa New Zealand and Australia our one-day conference. It was also good to see HAVE A
advance and support excellence in paramedicine is the requirement to undertake 30 hours of more than 150 online attendances, and that we
RESOURCING IN and patient-centred care”. It is important to
on the Constitution. We do not expect, nor are
we seeking, significant change, but the Board Continuing Professional Development (CPD). continue to create opportunities to engage with DEVELOPMENT
remember that the College, in its current form, our education content no matter where you are.
EDUCATION is still relatively young, and there remains a lot of
does believe there is opportunity for refinement. The Paramedicine Board of Australia and Te
Kaunihera Manapou Paramedic Council expect
PLAN AND
Any proposed changes to the Constitution must We have hit conference season now, with ROAR
THROUGH
work to do to ensure that, following the merger,
we have the right people with the right skills, and
be approved by you, our members, at a the CPD to be relevant to your area and scope on later this month in the Adelaide Hills, the DEFINED
General Meeting and, as always, we will of practice, and that it directly contributes to Research Symposium (Sunshine Coast) and
SUBJECT
the right systems and processes to deliver on our
encourage feedback throughout the process. improving your competence. It’s important to Student Conference (Sydney) in July, and our LEARNING
vision and our purpose. note that these are the minimum standards
MATTER It continues to be an exciting time to lead the required to practice in the profession.
major international conference, ACPIC22, in
Brisbane from 14-16 September. I know COVID
OBJECTIVES
To ensure we are well placed to do so, late
EXPERTS TO last year the Board approved an independent
College. The organisational review has identified
opportunities for us to continue our growth and The College’s purpose is to advance excellence hasn’t gone away and the pressures on IF WE WANT
external organisational review. The review looked in paramedicine, and there is a significant paramedics as we enter flu season will not
PROGRESS OUR at College performance against our strategic
development, helping us to progress to a strong
opportunity for paramedicine to go beyond dissipate, but we have greatly missed the ability TO ACHIEVE
and influential College. We are advancing our
EDUCATION
objectives, department structures, employee
roles and functions, what we were doing well and
plans to lead the profession through advocacy, these minimum standards to enhance and to meet colleagues, rekindle friendships, and
learn together through both light-hearted and
EXCELLENCE
education, and research, as well as ensuring the elevate practice. I’m certain everyone has heard
where could we do better. It was an invaluable of SMART goals and, ideally, all paramedics robust debate over a cuppa and a treat at a
CONTENT exercise that highlighted a number of key
College is run sustainably and successfully.
should have a development plan that docu- conference. This is something we should
GOALS opportunities for improvement. Stay safe. ments your learning goals using the SMART prioritise for our enjoyment, wellbeing and
development.
The Board carefully considered the recommen- acronym, so that the CPD undertaken is targeted
dations stemming from the review and has to your needs. In that way we can lift standards, Stay safe and well.
practice, and improve patient care.
COLLEGE NEWS
COLLEGE
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CONSULTATIONS
Response | Autumn 2022
Response | Autumn 2022
AND SUBMISSIONS
The College regularly engages in government and industry consultations
to represent and advance the interests of the paramedicine profession. Adelaide Hills | 26 -27 May #ROAR2022
This behind-the-scenes work is often a result of the dedication and hard
work of our College’s advisory committees and working groups.
In the past three months, our advocacy efforts have involved:
The College attended the Federal Budget Lock-in following our
pre-budget submission for funding to develop and trial community Rural Outback and Remote
paramedicine in primary health. Unfortunately, we were not successful
in securing funding for this initiative, but we continue to work on Paramedic Conference
expanding the role of paramedics.
Thursday 26 and Friday 27 May 2022
The College has been engaging in the news cycle where opportunities
arise to promote the greater inclusion of paramedics in workforce Face-to-face & online
solutions and innovative models of care across Australian communities.
Adelaide Hills Convention Centre
Coming into the Federal election cycle, we have been meeting with
numerous MPs and communicating with all federal politicians to Theme: Breaking down barriers
advocate for role of Community Paramedics in health care solutions.
A two-day conference designed specifically for paramedics and allied
The Advocacy team has drafted position papers on “Expansion of Health health professionals working in rural, outback and remote locations.
Services in Australia to deliver urgent care” and “The role of Paramedics
in the Health Care system”. These positions are still under development What’s in store for you?
and part of consultation with key stakeholders.
> An exciting and hands-on program showcasing a broad range of
A key part of our advocacy work is to develop beneficial relationships speakers and topics.
with other colleges and professional groups (Australian College of Rural
> Exposure to knowledge and skills which will benefit paramedics, rural
and Remote Medicine, Rural Doctors Association of Australia, Australian
Primary Health Care Nurses Association) to engage with, and garner and remote nurses, retrieval and flight specialists, and other allied
support for, the role of paramedics in innovative models of care. This health staff working side-by-side in this unique environment.
work is ongoing. > Opportunities to socialise and network with peers working in rural,
Following advocacy engagement work across all jurisdictions, the outback and remote locations.
College was invited to and attended the ACT Allied Health Professional
> An idyllic rural location just 40 minutes from Adelaide airport.
roundtable.
The Advocacy team has also worked closely with the College’s
Education team and the Indigenous Allied Health Association to Visit paramedics.org/events for more information
grow opportunities for cultural awareness education and training
for all our members.
paramedics.org
@ACParamedicine
COLLEGE NEWS COLLEGE NEWS
Working Groups: Advisory Committees: Member Committees:
Paramedic Wellbeing
Community Paramedicine
Research Committee
Professional Standards Committee
QLD Member Committee
SA Member Committee
NEW COLLEGE
Clinical Fellowship Clinical Standards Committee NSW/ACT Member Committee
APPOINTMENTS
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Clinical Practice Guidelines Student Committee VIC Member Committee
Violence, Abuse and Neglect Education Committee WA Member Committee
Women in Paramedicine TAS Member Committee
Response | Autumn 2022
Response | Autumn 2022
JULIE JOHNSON
First Nations Peoples NT Member Committee EDUCATION MANAGER
NZ Member Committee Julie Johnson has been working as the College’s clinical education officer since June 2021
and has been instrumental in creating and developing our new eLearning platform. She
COLLEGE SPECIAL INTEREST GROUPS
has just been appointed Education Manager, bringing with her a wealth of experience
in her more than 20 years in health education. Julie is a registered paramedic, a nurse,
a clinical educator (nurse preceptor and paramedic clinical educator), asthma educator,
BECOME WORKING GROUPS
and yoga teacher. She is a recognised leader in vocational education (a postgraduate
qualification in tertiary and higher education) and is currently a research candidate
investigating paramedic education post qualification. She was worked across a range
of paramedicine sectors, including state ambulance service, primary health care,
non-emergency, sports medicine and private paramedic practice in Victoria and New
delivered their third workshop under the South Wales. While working as a nurse, she worked mainly in midwifery, surgical and
Research Mentoring Program. rehabilitation and primary health care, and community care. Julie has also worked as
both a paramedic and nurse in primary health care, in dermatology, GP practice, chronic
The Education Committee worked on
disease management, women’s health and midwifery. She has a special interest in,
the education policy and framework,
and passion, for equity in education, and is looking at how education is the key to
collaborating with the education team
professional growth and career happiness. She believes in developing education that
to develop a subject-matter experts’ col-
is engaging, interesting and fun, and that is strongly aligned to sound philosophies and
laboration group, developed multi-modal
learning theories. Her recent projects include championing education for the South
education content, including multi-disci-
Pacific through the development and delivery of training in vocational paramedicine,
plinary problem-based learning.
facilitating the transition of knowledge for defence medics to civilian qualifications
The TAS Member Committee is con- through a recognition framework and supported pathway to university.
tinuing supporting future paramedics
JACINTHA VICTOR JOHN
and provide opportunities for Tasmanian
paramedics to develop their knowledge ADVOCACY AND GOVERNMENT RELATIONS MANAGER
The College benefits from a number Bias. In this campaign, clinicians from
and skills. The committee continues to Jacintha has joined the College as Advocacy and Government Relations Manager. She
of groups comprised of members who across Australasia came together to
run a voluntary mentorship program for has a Master of International Law LLM and a Bachelor of Law (Hons) LLB, has a NSW
work to advise the College and advance celebrate the many roles that women
students at the University of Tasmania, in Practicing Certificate and was admitted as a Solicitor in the ACT’s Supreme Court. She
paramedicine in their respective spaces. undertake in the profession, with an
which Ambulance Tasmania paramedics has more than eight years’ experience in the legal and policy field, and has worked for
Separate to our advisory and member emphasis on celebrating diversity and
meet monthly with the students to men- federal and state government departments, political parties, the Law Council of Australia,
committees, these groups have previ- challenging stereotypes - “Break the
tor them on both theory and practical and NGOs, and has undertaken private-sector consultancies, providing leadership
ously been referred to as Special Interest bias: Be curious and ask why?”. The
skills. The initiative was implemented as a guidance, technical support, training, coaching and mentoring to relevant stakeholders.
Groups. working group is currently developing a
result of a lack of placement time during Jacintha is known for her expertise in legal and policy work, stakeholder engagement,
membership survey on finding solutions
From April 2022 onwards, Special COVID-19 lockdowns and was aimed at advisory services, contract management, international law, research and analysis, and
for workplace issues for women in
Interest Groups have been renamed providing collegial support to students. corporate governance. She is recognised for her unwavering capability to manage clients
paramedicine.
Working Groups to better reflect the and provide recommendations for resolving disputes. She has a strong background in
The QLD Member Committee hosted an
work these members are undertaking The Research Committee completed legal document preparation and is proficient in conducting research and gathering
End of Life Law Workshop in partnership
to achieve goals and outcomes aligned Phase 1 of the Research Agenda for clinical evidence and legislation to summarise and present information to the
with Queensland University of Technolo-
with their targeted purpose. Rather Australasian Paramedicine (RAAP) project government and key stakeholders. She applies a meticulous approach to following
gy. This interactive workshop for para-
than a discussion forum for those with - a survey of the paramedicine sector to organisations’ legislative guidelines and interpreting and analysing operational
medics across Australia used a case study
a mutual interest, our Working Groups determine research priorities and barriers blueprints to develop effective solutions.
format to explore some of the legal issues
have evolved to be productive driver of and enablers to research being conduct-
that can arise in practice for paramedics, JEMMA ALTMEIER
progress and activity for the benefit of the ed - and is in the process of writing the
and the role law plays in end-of-life care. MARKETING AND COMMUNICATIONS MANAGER
College, and as such are to be recognised results into a paper. The committee also
This workshop was part of End of Life Law
accurately according to their function. announced the opening of the College’s Jemma has joined the College as our new Marketing and Communications Manager.
for Clinicians, a free training program
2022 research grant applications. There She has worked in strategic marketing, communications and public relations roles at
First quarter highlights: for paramedics, doctors, nurses, and
are three grant categories that can be leading organisations and not-for-profits across Victoria, including the Royal Children’s
The Women in Paramedicine Working allied health professionals about the law
applied for: Early Career Research Grant, Hospital Foundation, the Spinal Research Institute, and the National Gallery of Victoria.
Group was established in July 2021 with a relating to end-of-life decision-making.
Higher Degree by Research Grant and the Throughout her career she has delivered high-profile campaigns, managed major
focus on supporting and advocating for Research Dissemination and Translation The Clinical Standards Committee organisational projects and implemented communications to various stakeholder
the progression of women in Paramed- Grant. For more information about reviewed status of opioid analgesic groups. Jemma is passionate about health and science communications and is thrilled
icine. On International Women’s Day on the types of grants available and the stewardship and is in the process of devel- to have the opportunity to work with the College.
8 March, the Women in Paramedicine guidelines for applications, visit https:// oping the College’s first clinical standard
Working Group launched its first IWD paramedics.org/research/grant or contact on “Paramedic Management of Pain”.
campaign under the theme #BreakThe- research@paramedics.org. They also
NEW HEALTHY The College has partnered with Health at Work to deliver our new Healthy
Body & Mind Hub, a dedicated online space for College members that will
COLLEGE NEWS
BODY & MIND provide you with a range of resources and learning to support your health
HUB AVAILABLE and wellbeing. Fresh content will be available each month, and content
FOR COLLEGE
from previous months will always be available within the hub, so you can THE COLLEGE IS DEVELOPING
TRANSFORMATIVE WAYS FOR OUR
be sure you won’t miss a thing.
MEMBERS Members can access the Healthy Body & Mind Hub via the QR code below
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or via paramedics.org/health-and-wellbeing/hub
MEMBERS TO ENGAGE IN LEARNING
Response | Autumn 2022
THE MORE THAT YOU READ, THE MORE THINGS
YOU WILL KNOW, THE MORE THAT YOU LEARN,
THE MORE PLACES YOU’LL GO – DR. SEUSS
How we learn and how we teach impacts our In March we launched our new eLearning portal,
practice. Just like our clinical practice should be offering College members another valuable suite
evidence-based, our learning and teaching must of professional education programs designed to
have strong connections to educational philosophy enhance the transfer of skills and knowledge to
and learning theory. real-life practice.
Why? All eLearning is 100% online and specifically
Because educational philosophy and learning developed for paramedics and relevant to all
theories provide the conceptual frameworks that paramedics irrespective of their level of practice.
facilitate an individual’s acquisition of knowledge, It features case studies and activities that are based
skills, and attitudes to achieve changes in behaviour, on real world examples.
performance, and growth. Our eLearning courses, which complement
Our team of education professionals at the College our already extensive range of CPD courses, are
are constantly working to develop transformative peer-reviewed, adaptive and engaging, and are
ways for our members to engage in learning. designed to be self-paced to enable members to
We appreciate that new knowledge needs to work in accordance with their own schedules and
become integrated into existing knowledge while study time requirements.
continually challenging perspectives, and enhancing Driven by industry need and equity in access to
opportunities for critical evaluation and self-reflection. education, we have assembled a team of cross-
How? practice expert collaborators and adopted an
interdisciplinary approach to learning, recognising
• Comprehensive Professional Development Program
the implicit relationship between learning and
• Access to a range of activities to enhance clinical, professional growth.
leadership, professional and essential skills
New courses are constantly being added, and at
• Maintain, improve and broaden knowledge present include:
• Develop the personal and professional qualities • Understanding and caring for patients with motor
needed throughout professional lives. neurone disease
• Flexible framework of activities • Obstetrics: Management of physiological birth, and
management of a nuchal cord
• Enhanced exchange of expert and professional
knowledge in a positive and supported learning • Palliative care: End of Life Law for Clinicians
environment • Clinical training and mentoring, touching on adult
• Structured reflection to enhance competence learning concepts in a way that can really improve
how you work with students and new graduates.
• Self-directed learning paradigm to support
lifelong learning We’re also working towards making all our courses
more mobile-friendly, as we recognise that many
Learning isn’t just about teaching and retaining of our members may want to access content while
information. they’re at work or on the go. Our aim is to be the
“The way you mentor and provide clinical instruction frontrunner in this learning space.
for your students will stay with them,” said College You can access our eLearning modules at:
Education Manager Julie Johnson. “They will https://paramedics.org/eLearning
remember more of how you made them feel than
exactly what you taught them. They will mimic the If you’re a subject matter expert who would like to
way they were taught when teaching others, and this collaborate with the College, contact Julie Johnson at
is what fosters an inclusive culture, where respect and Julie.Johnson@paramedics.org
a sense of belonging are valued. You are mentoring
Paramedicine
Australasian College of ® the new mentors.”
Paramedicine
Australasian Journal of
COLLEGE NEWS
Paramed
Australasian College of
A NEW ERA OF OPPORTUNITY
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– SECURING EXCELLENCE FOR
Response | Autumn 2022
Response | Autumn 2022
OUR JOURNAL
PAUL SIMPSON
Interim Editor in Chief; Chair, Journal Advisory Committee at Australasian Journal of Paramedicine
Associate Professor; Director of Academic Program for Paramedicine at Western Sydney University
The Australasian College of Paramedicine period as it seeks to build towards a third is imminent. Importantly, the renewed
(ACP) has a distinguished history of decade of growth and expansion. The Journal will maintain its connections to
supporting, promoting and disseminat- past decade has seen substantial change the AJP and JEPHC era by bringing over
W eLearning for members
ing research in paramedicine. Central to in the discipline of paramedicine and the existing archives. Further, the Journal
E
that outcome has been its longstanding rapid expansion of paramedicine re- will continue its commitment to open
commitment to scientific journal publish- search. Concurrently, scientific publishing access publishing at no cost to authors.
N
ing by way of what is currently our journal, in paramedicine has evolved, giving rise
It is expected that the new Journal will
the Australasian Journal of Paramedicine. to new and innovative opportunities and
Innovative online learning relevant to In 2003 the Australasian College of
modalities for disseminating evidence,
launch in early 2023, heralding a new
decade of excellence and progression
paramedics of all practice levels Ambulance Professionals (ACAP), the
stimulating critical debate and promoting
an informed discourse in our profession.
with a stronger international focus and
precursor organisation to ACP, published a resolute commitment to progressing
Against this background, it is essential
the inaugural edition of the Journal of the scientific discourse in paramedicine.
that our Journal evolves to enable it to
Emergency and Primary Health Care The reopening of submissions for the
secure its position as an international
(JEPHC).1 JEPHC grew steadily over the first edition of the relaunched journal is
leader in paramedicine research and
How confident are you attending an out-of-hospital birth? following years under the stewardship
scientific publishing.
expected in October 2022.
In the interim, the College is pleased
Could you support a birthing person from early labour through CHANGE IS THE LAW OF LIFE, AND THOSE WHO to announce the release of the Volume
to birth of the newborn? LOOK ONLY TO THE PAST OR PRESENT ARE
19 (2022) of AJP, consisting of articles
submitted prior to the submission
Do you know how to manage a nuchal cord? CERTAIN TO MISS THE FUTURE – JOHN F KENNEDY hiatus in 2021. Readers will note several
enhancements in this volume, including
a fresh and contemporary article format
Does the thought of shoulder dystocia make you anxious? of Professor Frank Archer, providing In November 2021, AJP commenced
and primary author linkage to ORCID.
a platform to showcase Australian a hiatus on new submissions that will
Under the Journal’s continuous
paramedicine research and increase continue until mid-2022. An interim
publishing model, articles currently in
If you are a little rusty in your obstetrics skills, rest assured. The College has developed translation of research into practice. Editor-in-Chief, Associate Professor Paul
the editorial system will continue to be
a series of eLearning modules in obstetrics. Learn how to support a birthing person In 2012, JEPHC entered a transitionary Simpson, was appointed to oversee the
published throughout 2022.
period and went on a 12-month hiatus; operations concurrent to a transition
throughout the whole birth process, and, most importantly, learn how to recognise
the Journal needed reinvigoration, a strategy being developed. A Journal We find ourselves on the cusp of an
when intervention is and isn’t required. new identity, and to be repositioned to Advisory Committee (JAC) with exciting new era for the Journal; one
ensure its survival into a second decade. international membership was tasked that will be characterised by boldness,
Engaging case studies The Journal re-emerged in 2013 with a to advise the College on the future innovation and agility, and underpinned
new identity and a refreshed editorial direction of the College’s Journal. The JAC by a commitment to continuous quality
Activities based on real-world examples team led by Associate Professor Malcolm has consulted widely with researchers improvement, and a focus on publishing
Boyle.2 Renamed and repositioned as the in and outside of paramedicine, and high-quality international research and
Professional peer-reviewed education Australasian Journal of Paramedicine, the with experienced leaders in the journal enhancing author and reader experience.
Journal again grew and evolved, proving publishing space, to identify best practice
References:
100% self-paced online learning itself to be a valuable disseminator of models that will be sustainable and give
1. Archer F. In this Issue. Journal of Emergency
research in paramedicine and a strong the Journal the best opportunity to grow
Primary Healthcare. 2003; 1(1)
proponent of Australasian paramedicine and prosper into the future.
Visit paramedics.org/education to enrol in your eLearning course research and evidence-based practice.
The future of the Journal is bright. The
2. Boyle M. Resurgence of an Australasian
Prehospital Journal. Australasian Journal of
Almost a decade later, in what might review of the Journal’s editorial and Paramedicine 2013;10.1
constitute a case of “back to the future”, publishing infrastructure is complete, and
Paramedicine
AJP has now entered a transitionary the appointment of a new editorial board
Australasian College of ®
@ACParamedicine
COLLEGE NEWS COLLEGE NEWS
COLLEGE INVOLVED IN UPDATING LEARNING THE ROPES
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Response | VOL 50 Autumn 2022 15
AUSTRALIAN GUIDELINES FOR THANKS TO COLLEGE
THE MANAGEMENT OF ACUTE
Response | Autumn 2022
CORONARY SYNDROMES
EDUCATION GRANT
Caringbah, Dharawal Country
Rappelling down the side of a cliff might “By the end of the second day I was able
not be everyone’s cup of tea, but for NSW to comfortably make my way through the
The Heart Foundation, in partnership with The ACS guideline update has been initiated Intensive Care Paramedic Harry Reeves it Serpentine Canyon in the Blue
the Cardiac Society of Australia and New to address the current knowledge and was not only an opportunity to explore a Mountains, which involved a number of
Zealand, have recently begun the process to practice “gaps” identified in the 2016 lifelong interest, but also a potential pathway abseils with a range of heights,
update the current (2016) Australian guide- guideline, with the aim that the update will: to specialise in special operations and obstacles and difficulties.”
lines for the management of acute coronary rescues.
• Incorporate new, practice-changing Harry said in addition
syndromes (ACS). These guidelines focus on
evidence, including evidence supporting Thanks to a College education grant, to his future career
the diagnosis, management and secondary
the critical role of early access to advanced Harry, who works as on-road paramedic at ambitions, the course
prevention of unstable angina, non-ST
care provided by out-of-hospital clinicians, Caringbah Station within their Metropolitan was also beneficial in his
elevation acute coronary syndromes and
and the state-wide, integrated systems of Operations division, was able to complete current duties.
ST elevation myocardial infarction, and will
cardiac care implemented in most the “Abseil 3” course with the Australian
provide evidence-based recommendations “I feel the learning form
Australian states. School of Mountaineering.
for health professionals (including paramed- the course will lead to
ics) caring for patients with suspected or • To include specific recommendations for The two-day course in the rugged terrain improved patient care as
confirmed ACS. priority groups known to have worse out- of the Blue Mountains involved learning I feel that having a better
Excitingly, for the first time since the initial
comes from ACS, including women, people THE INITIAL to select and fit equipment, performing a
number of abseils, and practising improvised
knowledge of access and
extrication techniques
living in regional and remote areas, people
publication of the ACS guidelines in 2006,
the integral role of out-of-hospital clinicians
experiencing socioeconomic disadvantage, STEP OVER rescue techniques, which proved particularly will assist in coordinating
people from culturally and linguistically demanding in the sweltering December with special operations
and systems in the management of
diverse communities, and Aboriginal and/ THE EDGE heat. and rescue providers
patients with ACS has been recognised and
in creating plans. It
prioritised, and the College was invited to
or Torres Strait Islander Peoples. The role
that paramedics can play in providing both
AND PUTTING “On the first day I went through two litres
will also prepare me
be a member of the ACS guideline update of water pretty quickly,” he said. “Minimal
Reference Group.
emergency care and secondary preventa- WEIGHT INTO shade cover on cliffs and sweating at the
to potentially apply
tive care for ACS patients in regional and for a role within special
The Reference Group comprises nominated remote areas will be explored. THE HARNESS sight of some heights probably didn’t help!”
he said. “The initial step over the edge and
operations or austere
representatives from key stakeholder organ- paramedicine in the future,
isations that have national relevance in the
• To demonstrate person-centred care with WAS ALWAYS putting weight into the harness was always
and how I can best position
consumer involvement in guideline devel- a nervous movement, but once I was on the
provision of ACS care in Australia. The role of
the Reference Group is to provide guideline
opment, and consideration of important A NERVOUS line I was much more comfortable.”
myself to gain a role in these
fields.”
patient-reported outcome measures and
oversight, by reviewing and contributing
patient-reported experience measures to
MOVEMENT A large portion of the course was spent
And while working at heights might be
to the scope of the guidelines, the remit of practicing vertical access on a number of
inform recommendations daunting for some, he highly recommended
the literature reviews, the guideline content, different rock faces and determining the
the course to others who also wanted to
presentation, clinical recommendations The College welcomes input from members best approach to each. He was also taught
Photo by Yente Van Eynde on Unsplash
pursue such challenges.
and implementation approach. Members of should they wish to comment on the how to safely extricate a casualty using
the Reference Group will endorse the final integration of out-of-hospital care into improvised evacuation methods such as “It’s definitely worth giving it a go. It’s an
guideline in consultation with the organisa- the updated ACS guidelines. lowering and raising systems. exhilarating and fun course to learn some
tions they represent. Please email Suzanne Avis directly new skills and broaden horizons for future
“One of the main learnings from the
Suzanne.Avis@sydney.edu.au. roles.”
The College is represented by Suzanne course was the importance of conducting
Avis, a College member and academic with The Australian clinical guidelines for the a thorough risk assessment and how to The College is committed to supporting
extensive national and international expe- management of acute coronary syndromes implement safety measures, especially when members in their educational pursuits
rience in research, evidence evaluation and 2016 can be accessed here. https://www. operating in small teams or independently. and offers a number of education grants
guideline writing, focusing on resuscitation heartfoundation.org.au/conditions/fp-acs- I learned how to mitigate risks such each year that can be used for professional
and emergency cardiovascular care. guidelines as weather and other environmental development activities. If you’re interested
conditions. I also learned how to implement in applying, please visit: https://paramedics.
safety and belay systems for others that do org/education/grant
not have experience abseiling or climbing.
COLLEGE NEWS
16
17
2022 HIGHLIGHTS
Response | Autumn 2022
Response | Autumn 2022
THE BEST THING ABOUT CONFERENCES IS THAT
PARAMEDICS HAVE A HUNGER FOR LEARNING, 17 speakers
AND BECAUSE IT’S SUCH A BROAD SPECIALITY,
YOU’RE ABLE TO GET A REALLY DIVERSE RANGE 14 presentations
OF EXPERIENCES THROUGH OTHER PEOPLE
PRESENTING AT THE CONFERENCE. 429 attendees
services, and the knowledge and skills Thank you
TASH ADAMS, CRITICAL CARE PARAMEDIC, QLD. transfers that are shaping remote and Thank you to the Conference Chair:
austere emergency services response; Hayley Grant.
the opportunities and challenges Thank you to the Conference
that are present at the intersection of Organising Committee: Wayne
paramedicine and aid and development; Loudon, Buck Reed, Julie Hughes,
how streamlining medical and technical Tash Adams, and Alisha MacFarlane.
Held at Tweed Heads in northern
aspects of vehicle extrication through
NSW, the ninth Trauma on the Border Finally, a huge thank you to Lead
data-driven decision-making contributes
conference brought together more than Event Manager Georgia Coetzee,
to better long-term patient outcomes;
400 paramedics from across Australasia supported by our College staff.
and Queensland Ambulance Service’s
for a hybrid one-day event.
recently established clinical hub, which Thank you to our Event Partners:
The comprehensive program, delivered sees paramedics engaging in a new area Zoll and Edith Cowen University.
under the theme of “Driving professional of practice. Thank you to our Event Sponsors:
change”, offered attendees access to
Medical Developments International
the latest developments in paramedic
and Trauma and Sim.
practice, current research and featured Dr Ben Meadley and QAS Critical
a host of speakers and presentations Care Paramedic Tash Adams Missed the conference?
relevant to the priorities and needs of Session recordings are available on
paramedics at all levels. the College website under Record-
Keynote speaker McQuilty Quirke, a ings, search the menu Trauma on
former medic in the Australian Army’s the Board 2022. Recordings are
Medical Corps, engaged attendees free for College members: https://
with his inspirational story of courage, paramedics.org/recordings
determination and a positive mindset
after battling post-traumatic stress
from the physical injuries he sustained
in-action while in Afghanistan. Through
his extraordinary lived experiences, he
shared invaluable insight and knowledge
on a range of topics such as leadership,
resilience, perspective, adversity, and how
to develop better wellbeing and lifestyles.
Other presentations included the use
of evidence-based systems to optimise
trauma care, the areas of convergence
between tactical combat casualty care
Keynote speaker in the military and civilian emergency
McQuilty “Coco” Quirke Alex (Sandy) MacQuarrie and
Professor Vivienne Tippett
COLLEGE NEWS
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Paramedics_FP_May2022.indd Life Insurance.
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Paramedics_FP_May2022.indd 1 20/04/2022 3:17:28 PMFEATURE
FROM THE
20
21
HIGH SEAS TO
Response | Autumn 2022
Response | Autumn 2022
THE DESERT,
VARIETY IS KEY IT’S A GREAT LIFESTYLE,
FOR CONTRACT
BUT NOT FOR EVERYBODY,
AND THAT’S THE BEAUTIFUL
PARAMEDIC
THING ABOUT IT
Aotearoa New Zealand
Intensive Care Paramedic Kasha Szewczyk’s career of different certifications in order to receive the medics on day and night shifts on large facilities like
has taken her from the desert lands of Australia’s red requisite credentials. Kasha said it generally took two the Prelude FPSO, where there are more than 500
centre to the Pacific Islands, from hinterlands to the to five years of state-run/road ambulance experience people on board, or anything in between.
outback, from the northern tropics to the Southern to even be considered. Regular rotations in the oil and gas industry range
Ocean, and from exploration vessels to deep-sea “I was sure to line up my ducks for when the time from two and four weeks on and an even amount
and land rigs and floating production storage and arrived. Then the first contract came, and it has of time off. However, Kasha has tended to gravitate
offloading (FPSO) units. snowballed ever since. towards longer contracts.
Like many of her peers, she worked her way through “Variety of experiences has always been the key for “My ship contracts have been around six to seven
the ranks of ambulance service, from Auckland me. I have made a choice to not commit to one weeks; my outback contracts were three to four Working in such environments builds camaraderie.
Metro EMT to paramedic to ICP, but from the outset contract for an extended time. This has allowed me weeks. The longest one was 18 months in the “The crew often spends long workdays and weeks
was drawn to working in remote areas. to accept a variety of contracts over the years, which Solomon Islands, with a few breaks, when I was a together. This creates a very special bond. The
“Contract work and helicopter work were always my has been both exciting and liberating.” ‘resident medic’ for a development mission.” industry is huge, but somehow people’s paths cross
main goals, ever since I decided to pursue a career She said that while there were times of “drought” She said prevention was the focus in offshore/remote time and time again. When this happens, it feels like
in paramedicine. This requires a focus on remote and not knowing when the next job may arise, which work, together with early detection and manage- coming home. The friendships last forever.”
medicine - expeditions, wilderness, tropical, extreme could be “unsettling”, there were also many regular ment of symptoms. For paramedics wanting to embark on a similar
or hostile environments - as well as good grasp of ongoing contracts available for those who preferred career pathway, Kasha said it was important to
“Avoidance of escalation of any condition/illness is
primary care and common diseases. more stability. consolidate skills, training and experience, and to
the key. Therefore, primary care, health promotion,
“Early on I made sure to put my hand up for any The nature of the work varies greatly, from sleep hygiene and fatigue management, hydration attain the necessary certifications. Ultimately though,
remote work - rural stations at city peripheries, clinical practice to health and safety, coaching and education, manual handling, and occupational word of mouth was the most powerful hiring tool - “If
secondments, seasonal covers. A few years into administrative tasks, and requires flexibility and health and safety are paramount. you’re good, people will hear about you”.
my career I moved to Nelson, which meant a lot of ingenuity. At times, there is access to a fully equipped “There are many hoops to jump through to get to
“Mental health is also a big part of the job - long
rural work, long transport times, cell phone black hospital; other times “it is you, your skills and a do offshore/remote/contract work, including certifi-
hours of work, isolation, separation from family or
spots. Then along came helicopters and work in the minimal pack with bare essentials in the middle of cations, training and experience. Line it up, have it
support networks, sometimes medication compli-
Australian outback, still in the ambulance service.” an austere environment, hundreds of miles away ready for when the time comes. And be adaptable -
ance issues for known disorders – all contribute to
For contractors to be sure that paramedics can from any human settlement - these are the most vulnerabilities. We are there to make sure we pick the notice may be short, the contract may be longer
operate autonomously and are sufficiently skilled exciting jobs for me”. up on the early warning signs in time. And then of than anticipated, you may not have your regular
to handle any type of presentation with no back-up For most of her career in contract paramedicine, she course there are incidents, and this can be just about creature comforts and your routine - this is how this
available, a range of skills sets are required for private has worked as the sole paramedic, although this is anything, just like in regular ambulance service business works.
sector and contract work, as well as defined lengths dependent on the size of the crews. There can be - trips, slips, falls, tool mishaps. Hand injuries are “It’s a great lifestyle, but not for everybody, and that’s
of service in paramedic practice and a number one medic looking after a 120-strong crew or four probably the main type of presentation.” the beautiful thing about it.”You can also read
