Greater Sydney Area HEMS

Sydney HEMS Team

Cardiac Arrest

Emergency Medicine

Pre-Hospital Care

Ventilation Strategies

Resuscitation Science

CPR Techniques

ECMO

ECPR

Hemodynamics

Maternal Cardiac Arrest

CPR

Physiological Monitoring

Mechanical CPR Devices

Blood Pressure Monitoring

Pulmonary Embolism

Resuscitation

End-Tidal CO2 Monitoring

Thoracic Pump

Oxygenation

SPEAR Program

The Pre-Hospital & Retrieval Medicine Team of NSW Ambulance

48 ratings

Publishes	Twice monthly	Episodes	24	Founded	13 years ago
Number of Listeners		Categories	MedicineHealth & FitnessEducation

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Latest Episodes

HEMS Debrief - Retrieval and Pre-Hospital Medicine #2. Thoracotomies, Sydney and London in Conversation

G'day and welcome back.

Today, we continue our conversation on pre-hospital thoracotomies.

To do this, we have teamed up with Professor Ewoud Ter Avest, an Emergency Physician with the London HEMS service. Ewoud is an author on the London's recentl... more

26 Apr 2026 • 56 min

HEMS Debrief - Cardiac Arrest Focus #21, Prof Laurie Morrison - 2025 ILCOR guidelines part 2

G'day, and welcome back.

In this part two of our chat with Prof Laurie Morrison from Toronto, we continue our conversation around the latest ILCOR guidelines. We discuss, amongst other things, strategies to manage recurrent / refractory dysrhythmias... more

12 Apr 2026 • 36 min

HEMS Debrief - Cardiac Arrest Focus #20, Prof Laurie Morrison - 2025 ILCOR guidelines part 1

G'day, and welcome back to the HEMS debrief - continuing our chats on cardiac arrest.

We are thrilled to be again joined by Prof Laurie Morrison from Toronto, Canada. Laurie is an Emergency Physician and has dedicated her career to the research and ... more

29 Mar 2026 • 44 min

HEMS Debrief - Cardiac Arrest Focus #19, Dr Cliff Reid - PEA

G'day and welcome back to the Debrief, another episode here of the cardiac arrest deep dive.

Today is a cracker - we have our very own Dr Cliff Reid in conversation with Nat, discussing PEA. Now, anyone who knows Cliff will know he is passionate abo... more

16 Mar 2026 • 26 min

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Recent Guests

Ewoud Ter Avest

Research fellow with London HEMS

London HEMS

Episode: HEMS Debrief - Retrieval and Pre-Hospital Medicine #2. Thoracotomies, Sydney and London in Conversation

Chris Ennis

Paramedic/clinician with NSW Ambulance

NSW Ambulance

Episode: HEMS Debrief - Retrieval and Pre-Hospital Medicine #2. Thoracotomies, Sydney and London in Conversation

Ian Ferguson

Emergency physician and pre-hospital/retrieval specialist

Liverpool Hospital (Sydney)

Episode: HEMS Debrief - Retrieval and Pre-Hospital Medicine #2. Thoracotomies, Sydney and London in Conversation

Laurie Morrison

Professor of Emergency Medicine and researcher focused on pre-hospital cardiac arrest and guideline development

University of Toronto / Ilcor

Episode: HEMS Debrief - Cardiac Arrest Focus #20, Prof Laurie Morrison - 2025 ILCOR guidelines part 1

Cliff Reid

Dr Cliff Reid, Emergency Physician and expert in cardiac arrest management

NSW Health / Sydney HEMS

Episode: HEMS Debrief - Cardiac Arrest Focus #19, Dr Cliff Reid - PEA

Jean-Christophe Fréchard

Researcher in pre-hospital ECMO and CPR protocols

Episode: HEMS Debrief - Cardiac Arrest Focus #16, the continued Perspective from Paris

Dr. Alice Hutin

Emergency physician and pre-hospital physician working with SAMU, prolific academic researching cardiac arrest and ECMO.

SAMU

Episode: HEMS Debrief - Cardiac Arrest Focus #15, the Perspective from Paris

Dr. Lionel Lamhaut

Founder of pre-hospital ECPR in Paris, director of a critical care unit and associate medical director of SAMU, active researcher in cardiac arrest.

SAMU

Episode: HEMS Debrief - Cardiac Arrest Focus #15, the Perspective from Paris

Dr. Caroline Leech

A pre-hospital physician with over 20 years of experience and research focus on maternal cardiac arrest.

Air Ambulance Service, UK

Episode: HEMS Debrief - Cardiac Arrest Focus. #14, Dr Caroline Leech

Hosts

Samuel Balford

Co-hosts the show; emergency and pre-hospital physician with NSW Ambulance background; active in EMS leadership and research.

Nat Crouett

Co-host; cardiac anesthesiologist and ECMO specialist involved in pre-hospital care discussions.

Alice

Co-host; clinical contributor with NSW Health EMS team.

Chart Rankings

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Apple Podcasts

#197

New Zealand/Education

Talking Points

Recent interactions between the hosts and their guests.

HEMS Debrief - Cardiac Arrest Focus #20, Prof Laurie Morrison - 2025 ILCOR guidelines part 1

Q: What are your thoughts on the role and timing of mechanical CPR devices?

Mechanical CPR should not be used in the first 15 minutes unless the system is extremely challenging for manual CPR; otherwise, well-trained paramedics delivering high-quality manual CPR are preferred, with devices reserved for transport or prolonged resuscitation scenarios.

HEMS Debrief - Cardiac Arrest Focus #20, Prof Laurie Morrison - 2025 ILCOR guidelines part 1

Q: What is the state of evidence informing practice changes in out-of-hospital cardiac arrest?

The quality of evidence is generally low or very low, making it difficult to give strong recommendations, and we often need to lean on foundational principles and context-specific data rather than universal RCT conclusions.

HEMS Debrief - Cardiac Arrest Focus #20, Prof Laurie Morrison - 2025 ILCOR guidelines part 1

Q: Can you explain just quickly what your role is with Ilcor?

I sit on the Science Advisory Committee and work to ensure that each task force and each systematic review is methodologically sound, so the guidelines writers have high-quality input to rely on.

HEMS Debrief - Cardiac Arrest Focus #21, Prof Laurie Morrison - 2025 ILCOR guidelines part 2

Q: Why is pad placement such a contentious issue, and how should guidelines address it?

The discussion clarifies that there is little to no human evidence supporting a specific axillary pad placement as superior; guideline language should balance scientific evidence with clinical practicality, recognizing that different councils may interpret the same data differently.

HEMS Debrief - Cardiac Arrest Focus #21, Prof Laurie Morrison - 2025 ILCOR guidelines part 2

Q: What is the practical impact of the dual sequential defibrillation evidence for pre-hospital teams?

Laurie Morrison explains that while dual sequential defibrillation has stronger evidence in some datasets, adoption varies by region due to interpretation of trials and practical constraints; the takeaway is to prioritize early and effective defibrillation, consider vector change where appropriate, and await more robust, real-world data before wide-scale changes.

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Frequently Asked Questions About Greater Sydney Area HEMS

What is Greater Sydney Area HEMS about and what kind of topics does it cover?

A medically focused discussion series centered on pre-hospital and retrieval medicine, with heavy emphasis on cardiac arrest, resuscitation science, and the integration of advanced therapies like ECMO/eCPR into emergency systems. Episodes routinely explore physiological principles of resuscitation, ventilation strategies during arrest, and real-world trials (such as Pre-Care) within the NSW Ambulance network, often contrasting practices with international benchmarks. Notable threads include maternal cardiac arrest, thoracotomy in pre-hospital settings, defibrillation techniques, and the evolving role of paramedics and EMS clinicians in delivering high-stakes care. The show tends to feature leading clinicians, researchers, and practitioners ... more

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Which podcasts are similar to Greater Sydney Area HEMS?

These podcasts share a similar audience with Greater Sydney Area HEMS:

1. The Resus Room
2. The St.Emlyn’s Podcast
3. Pre-Hospital Care Podcast
4. The FlightBridgeED Podcast
5. BMJ Best Practice Podcast

How many episodes of Greater Sydney Area HEMS are there?

Greater Sydney Area HEMS launched 13 years ago and published 24 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on Greater Sydney Area HEMS?

Recent guests on Greater Sydney Area HEMS include:

1. Ewoud Ter Avest
2. Chris Ennis
3. Ian Ferguson
4. Laurie Morrison
5. Cliff Reid
6. Jean-Christophe Fréchard
7. Dr. Alice Hutin
8. Dr. Lionel Lamhaut

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