The Shift Extension Paramedic Podcast

<div>The Shift Extension paramedic podcast is a free, open access source of information relevant to the profession of paramedicine. Join the team and their guests as we explore the medicine, challenge the norms, learn from our experiences and uncover new ideas. </div>

S4 Ep6: We got a letter! A handwritten one with a wax seal.

We got a letter from an avid listener. A handwritten letter with a wax seal. They had some great questions about analgesia, working as a clinician while they are a student and the toll of the job. 

08-17
46:32

S4 Ep5: Leadership, followership and servantship: How to serve our team and our community

This was a topic that came up over coffee. We hit record and wanted to see where the conversation would flow. Check it out! Join the TSE community today. Access member only content and discounts on events. Head to The Shift Extension | Preparing the next generation of paramedics for the real world! | Patreon to sign up. 

06-17
38:50

S4 Ep4: The "just in case" cannula.

Have you heard the term, just because you can, doesn't mean you should? Today we discuss a paper called "Idle peripheral intravenous cannulation: an observational cohort study of pre-hospital and emergency department practices" by Hugo Evison. Article: Idle peripheral intravenous cannulation: an observational cohort study of pre-hospital and emergency department practices | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine | Full Text Join the TSE community today. Access member only content and discounts on events. Head to The Shift Extension | Preparing the next generation of paramedics for the real world! | Patreon to sign up. 

05-29
32:41

S4 Ep3: Paramedicine outside the truck - Humanitarian medicine

Paramedicine outside of the truck explores the opportunities for paramedics outside of traditional roles. Today we explore humanitarian medicine both in Australia and overseas. Become a member today and access exclusive content, discounts and a community of likeminded clinicians. Head to The Shift Extension | Preparing the next generation of paramedics for the real world! | Patreon to sign up

05-12
40:06

S4 Ep2: Clinical Corner - Hypoglycemia

A quick and easy chat about hypoglycemia. What have we learnt from our experiences, and what are the nuances of treatment. Do these patients need to go to hospital? Become a member today and access exclusive content, discounts and a community of likeminded clinicians. Head to The Shift Extension | Preparing the next generation of paramedics for the real world! | Patreon to sign up. 

04-24
36:25

S4 Ep1: Can training replace experience?

You hear comments like "paramedics need to gain experience to be competent". This is great in theory, but not in practice. Not all paramedics can gain vast amounts of experience simply by the nature of where they work and the role they work in. Is this, ok? Should we or could we replace experience with training?  Join the TSE community today. Access member only content and discounts on events. Head to The Shift Extension | Preparing the next generation of paramedics for the real world! | Patreon to sign up. 

04-07
39:17

S3 Ep6: Providing ethical medical support on remote expeditions

The title says it all. Have a listen, tell us your thoughts. 

03-24
47:51

S3 Ep5: Paramedicine outside the truck: Music Festivals

This is part 1 of a series called "Paramedicine outside the truck".  Yes, there are plenty of places you can work as a paramedic outside of an ambulance service. This series will highlight a few. Today we talk about festival medicine, and what goes into keeping people safe. 

03-09
35:43

S3 Ep4: What is the hardest job in paramedicine?

Sunny proposed this question about 6 minutes before we hit record. This is an unedited, unplanned chat that might surprise you. 

02-21
38:56

S3 Ep3: Overcoming Imposter Syndrome

Thanks to Sam for the question. She asked us if we suffer from imposter syndrome and how do we overcome it. If you have a question for the team, write to us at hello@theshiftextension.org

02-03
38:06

S3 Ep2: Clinical corner - Haemorrhage control

Lou wants to know how we manage bleeding. What has our experience taught us about major limb, junctional and internal bleeding? 

01-16
40:49

S3 Ep1: "There are no jobs" - Why they are wrong!

We have all heard someone say "there are no jobs when you graduate", but how true is this statement.  Do graduates have less opportunities than those 15 years ago?  Do paramedics feel stuck working for an ambulance service? Does education reflect the many opportunities for paramedics in the private sector?

12-31
56:41

S2 Ep5: Every job is a "real" job.

Have you ever been asked if you have done any real work today? What is a "real job"? Should we change our mindset? It might just improve our care and our own longevity. 

11-26
28:05

S2 Ep4: How to be a paramedic outside of an ambulance service.

Today we talk about opportunities for paramedics outside of an ambulance service. From expeditions, to film, tv and flight work, we look at the skills, attributes and networks required to be successful. 

11-05
46:34

S2 Ep3: Scared to deliver a baby? Let's talk about it.

Today we chat about babies. Delivering one doesn't need to be scary. We talk about our experiences and insights into managing this cohort of patients.  

10-14
47:18

S2 Ep2: Mistakes are ok and inevitable. Perfectionism is not your friend

We all make mistakes. It's normal and a part of growth. Today you will hear about some of the mistakes Nick and Sunny have made during their careers. We also unpack perfectionism, something many paramedics are guilty of. 

09-25
48:02

S2 Ep1: Do we need a provisional diagnosis? It's not as simple as you think.

Welcome back to season 2 of the podcast with our new co-host Lou. Today we break down the provisional diagnosis. Do we need one? How do we make one? Are they harmful?

09-05
42:38

S1 Ep25: Episode 25 - What would you do if.....your patient doesn't want to go to hospital?

Matt and Nick sit down to discuss this common challenge. What do you do if your patient refuses your advice? How to provide advice and break down the barriers to refusal How to assess capacity What do documents like power of attorney and an ARP really mean?

03-02
38:27

S1 Ep24: Episode 24 - From student paramedic to chief executive of Ambulance Tasmania - A chat with Jordan Emery

Mr. Jordan Emery path has taken him from NSW ambulance to an NGO in New York, before landing the top job in Ambulance Tasmania. We sat down with Jordan earlier this year to talk about paramedic culture, making mistakes and the idea of heart centered leadership. 

02-09
01:01:04

S1 Ep23: Episode 23 - What would you do if.....your patient had a dysrhythmia. Clinical chats with Nick and Matt

We are back for our first episode in 2024. Time for Matt to pick Nick's brain about fast and slow dysrhythmias.  Does electrode placement matter? How do I differentiate between SVT and VT? How do I manage these fast rhythms? When should I worry about atrial fibrillation? Do I need to be able to interpret all of the slow rhythms?

01-12
46:05

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