Aug 27, 2025
Clinical Practice Radio - Episode 4 - STORC
Clinical Practice Radio (CPR)
St John WA has launched its first ever public podcast, Clinical Practice Radio (CPR). Designed by clinicians for clinicians, the show discusses a range of clinical and management topics using the latest evidence-based research and inviting subject matter experts to share their insights. Hosted by St John WA Deputy Director of Paramedicine Andy Bell alongside Clinical Leads Megan Currie and Nick Overington.
Listen on:
Meet the hosts
Andy Bell:
Andy Bell is the first Deputy Director of Paramedicine for St John WA. Andy is a registered Paramedic, has held senior lecturer positions in several Australian universities and has formed and lead high performance clinical teams for TacMed Australia and The Royal Flying Doctors Service of WA.
He has published numerous articles on the development of the Paramedic education paradigm, is a Fellow of the Australasian College of Paramedicine, Editor on the Journal of High Threat and Austere Medicine, and an Adjunct Research Fellow with Curtin University.
Andy provides consultancy and sits on the teaching cadres for speciality medical training providers, Blacksmiths and Ragged Edge Solutions and in his spare time he loves lifting heavy barbells, walking his two dogs and drinking good coffee.
Meet the hosts continued
Megan Currie:
Megan Currie has more than nine years’ experience as a Paramedic at St John WA and currently works as a District Clinical Lead in the North West.
Passionate about clinical leadership, staff development, and mentoring, Megan has been actively involved in these areas throughout their career mentoring student paramedics and teaching in the College of Pre-Hospital Care, consistently supporting others in building clinical confidence and capability.
Megan has also worked across the South West and Great Southern regions of Western Australia, developing strong relationships within volunteer communities and contributing to ongoing education and training efforts.
Nick Overington:
Nick began his journey with St John WA as a cadet, progressing through volunteer roles in ambulance and Event Health Services before achieving his goal of becoming a Paramedic.
Over the past nine years, he has worked across metropolitan and rural settings in a variety of roles. Now serving as a Clinical Lead, Nick is passionate about all aspects of pre-hospital care. He has a strong interest in clinical leadership, mentoring, and supporting his colleagues to provide the best care possible.
Nick is committed to developing others and fostering a culture of clinical excellence which shapes his approach to leadership in the field.
Episodes
Episodes
Jul 30, 2025
Jul 30, 2025
32 min
In this episode, the team dive into the critical but often under-discussed phase of post-ROSC (Return of Spontaneous Circulation) care in non-traumatic adult cardiac arrest. Achieving ROSC is a major win, but it's just the beginning. What comes next can be the difference between survival and meaningful recovery. They break down the essential steps for optimising airway, ventilation, circulation, and neurological outcomes in the immediate post-arrest period, all through a practical and prehospital lens. From optimal positioning and end-tidal monitoring to fluid strategies and medication titration, this episode is packed with tips to help you stabilise and support your patient when it matters most.
They also explore the importance of tactical pauses, human factors, and mindset shifts that help crews transition from the chaos of resuscitation to focused post-arrest care. You’ll hear about the role of targeted temperature management, post-ROSC ECG interpretation, and real-world considerations like agitation, sedation, and hospital destination decisions. Whether you're a new clinician or an experienced provider, this episode will give you practical, evidence-based strategies to help keep your post-ROSC patients alive and thriving. Don’t just aim for ROSC—plan for what comes after.
References
Crewdson, K., Lockey, D., Voelckel, W., & others. (2019). Best practice advice on pre-hospital emergency anaesthesia & advanced airway management. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 27(6). https://doi.org/10.1186/s13049-018-0554-6
Life in the Fast Lane. (n.d.). Post-resuscitation syndrome. https://litfl.com/post-resuscitation-syndrome/
Stub, D., Bernard, S., Duffy, S. J., & Kaye, D. M. (2011). Post cardiac arrest syndrome: A review of therapeutic strategies. Circulation, 123(13), 1428–1435. https://doi.org/10.1161/CIRCULATIONAHA.110.988725
Jun 25, 2025
Jun 25, 2025
32 min
In this episode, the team unpack the vital topic of human factors—the skills and attributes beyond the technical that shape effective clinical performance. They explore how elements like situational awareness, communication, stress management, and decision-making influence paramedic practice in unpredictable environments. The conversation dives into the cognitive load faced on scene, how preparation and routine can enhance performance, and the importance of stress inoculation and reflective practice.
Listeners will gain insight into how experienced clinicians filter variables more efficiently, why adaptability is key, and how good habits—like staying hydrated, being physically prepared, and knowing your kit—can reduce mental strain. The team also highlights how human factors can be developed through deliberate practice and how leadership style must flex to support team members' different learning and feedback needs. Whether you're new to the field or a seasoned paramedic, this episode offers practical strategies and relatable reflections to sharpen your non-technical skills and support better patient care.
References
Think Again, the power of knowing what you don’t know. Adam Grant.
The Paramedic Mindset. Leigh Anderson (2024).
The Captain Class, A new theory of Leadership. Sam Walker.
Crameri, L., Hettiarachchi, I., & Hanoun, S. (2021). A Review of Individual Operational Cognitive Readiness: Theory Development and Future Directions. Human Factors, 63(1), 66-87. https://doi.org/10.1177/0018720819868409
The Monarch Human Performance Podcast - https://podcasts.apple.com/au/podcast/monarch-human-performance-podcast/id1520556844?i=1000531171251
https://podcasts.apple.com/au/podcast/monarch-human-performance-podcast/id1520556844?i=1000537193186
HeliNOTs program for developing Non-Technical or Human Factors in Search and Rescue Pilots (Hamlet et al, 2021).
Hugelius, K., & Harada, N. (2025). What is Disaster Readiness Among Health Care Professionals? A Systematic Integrative Review Study. Disaster Medicine and Public Health Preparedness, 19, e57
Reid, C., Brindley, P., Hicks, C., Carley, S., Richmond, C., Lauria, M., & Weingart, S. (2018). Zero point survey: a multidisciplinary idea to STEP UP resuscitation effectiveness. Clinical and experimental emergency medicine, 5(3), 139–143. https://doi.org/10.15441/ceem.17.269