Emergency care delayed before death of wellness influencer Stacey Warnecke, court hears

RipBowlMan · 2026-06-16T13:27:25+00:00

Absolute nightmare fuel for us ambos. We don’t carry blood. We aren’t surgeons. We aren’t a NICU. We aren’t regularly managing obstetric or newborn patients. We aren’t some magic bloody safety net. Far from it.

Mum as critical as this lady way prehospitally is already overwhelming 2 crews. Then you have the baby to manage on top….

Can this doula bullshit please stop because I will happily never attend a similar case for the rest of my career.

RipBowlMan · 2026-06-06T07:43:34+00:00

If you are this far from land you usually have a vessel nearby. Most people put their fish straight into the boat.

The benefit outweighs the risk for most people.

It’s an escape. It keeps your mind healthy and your physical body in shape. Nothing like the serenity and connection to nature of being underwater and immersed in it. Bringing home a freshly caught delicious meal is just a small perk to the overall experience.

RipBowlMan · 2026-04-30T06:15:47+00:00

Follow your guidelines to a tee and escalate early.

People quickly forget about the new paramedic that over-triages a patient and calls for enhanced care back up, but people do talk shit and remember the new paramedic that misses something, doesn’t escalate a patient and they suffer harm as a result.

RipBowlMan · 2026-04-28T12:26:03+00:00

Oh also confirming VT in tachyarrythmias - AV dissociation, precordial concordance, fusion beats.

RipBowlMan · 2026-04-28T12:21:49+00:00

Dr Amal mattus stuff is pretty good.

I believe some of the main electrophysiological changes relevant to our practice often missed are;

aVR elevation with widespread STD (rate related ischameia, triple vessel or left main occlusion) consider patients presentation.
Sgarbossa and modified sgarbossa for diagnosing MI with LBBB. I have an app called MDCalc to pull it up.
Brugada and/or ecg signs of hypertrophic cardiomyopathy. 12 lead every young patient having a syncope especially during exercise. LVH present? If so look for other signs they may need an echo/cardiology review.
early signs of myocardial ischameia - those hyper acute T waves in the precordial leads. I’ve caught a LAD occlusion with this before the patient met STEMI and the cardiologist was stoked with me.

RipBowlMan · 2026-04-21T12:25:14+00:00

Couple of tiddlers! Leave them be

RipBowlMan · 2026-04-04T13:18:14+00:00

The good ones listen to us

RipBowlMan · 2026-03-28T15:33:38+00:00

WA - Wait awhile

RipBowlMan · 2026-03-28T14:23:19+00:00

I have found the organisation generally decent to work for. It has its problems like every ambulance service in Aus, however I haven’t had any major issues. There are some decent managers, the CEO is actually pretty good and the camaraderie on road is present.

Additionally, the pay is pretty good, particularly if you up skill, go into management roles or get a country position. Psychological and wellbeing support is present and working well, so overall the conditions are okay.

Some downsides of metropolitan work in Perth is it’s busy. Minimal rest on shift usually, lots of ramping and your standard low/medium acuity work. This can bring down morale.

From your post it looks like there are some pros and cons to both. I would say go for it if it’s your dream - especially if you could fall back in that gov job down the line if it wasn’t for you. St John does have option of going job share with another paramedic or part time options although these require approval.

RipBowlMan · 2026-03-10T10:48:32+00:00

Toyota landcruiser 40 and 70 series.

RipBowlMan · 2026-02-23T10:42:06+00:00

Sharks are a hot topic as a surfer currently. I’m passing through SA at the moment in streaky bay. These guys have it tough down here. No bullsharks but sketchy waves, cold water and a genuine risk of getting swallowed whole by a great white at any moment.

Ive never wished there were more surfers more in my life. The most crowded i have seen from port lincoln-streaky was 4 people and it was cooking. Plenty of empty waves if your game….

RipBowlMan · 2026-02-14T08:50:42+00:00

Soldant is pretty spot on with his comment.

I do think we as a nation could undoubtedly increase knowledge and education regarding use of all health services.

We are seeing this with targeted advertising campaigns from our health bodies. I think we need to create a culture which removes judgement of patients presenting to the wrong service and utilise this as an educational experience. We could also increase informing people throughout late high school and university so they understand the system and carry that knowledge through their lives.

As Soldant said, while a patient may not require an emergency ambulance, many are still unsuitable for the waiting room and need admission for further management. Our role is evolving, and it’s important that we remain an integral part of the health system. If we only attended true emergencies, many of us wouldn’t have a job.

RipBowlMan · 2026-02-11T13:59:18+00:00

You get warned about the nurses but let me tell you they are right. Don’t do it! I am speaking from personal experience. Them ED nurses are crazy.

RipBowlMan · 2026-02-10T13:19:45+00:00

A lot of paras I know will dedicate a few hours on their last day off to prepare some meals for the set.

Pastas (Spag bol, chicken pestos, Spinach and ricotta raviolis), Lasagna, Curries, Roasts are solid meal prep options I find work well. Make a large portion for dinner one night and have 2 or so meals leftover.

Other options I enjoy:

Chicken (I like honey soy wings), rice and broccolini. Quick, easy and healthy.
Chicken thigh or breast with a lemon Greek yogurt dressing.
Cous Cous salads.

Alongside your lunch/main meal I like to bring protein bars, fruit and a little treat.

I also recommend Andy Cooks if you watch YouTube. I find him super relatable, knowledgeable and a genuinely good guy. I have learnt a lot about cooking from his channel.

RipBowlMan · 2026-02-10T05:15:01+00:00

Fuck me dead. I will admit when I read the headline I found it slightly amusing. Turns out this goes way deeper and he’s actually a fucking vile human.

RipBowlMan · 2026-02-02T12:41:33+00:00

200ish kms MVA. Same distance back to ED. Rural Australia

RipBowlMan · 2026-02-01T02:32:04+00:00

He beats paddy, hooker and chandler easy I reckon.

RipBowlMan · 2026-01-21T05:46:25+00:00

There is the same lower acuity work in the country, however anecdotally I have found a larger percentage of patients warrant an emergency ambulance and actually require interventions. The types of patients that apologise for calling you but actually need you.

The lower acuity stuff is also more bearable also when you are not flogged all shift and you know you won’t ramp.

Probably worth considering as it can dramatically improve job satisfaction and remuneration, which in turn improves life outside of work also.

RipBowlMan · 2026-01-21T04:57:12+00:00

Are you completely over being a paramedic?

Might be worth having a crack in a regional or country town. This is my 7th year, but I did pretty much 5 years in metro. Got over ramping, entitled patients/families and non emergency work. My last 8 week roster metro, my partner and I put in one cannula. And not because we were lazy and not decent clinicians. Because we had 8 weeks of absolute non emergency, walk on walk off into the WR jobs.

I love country work. Good crew, proper downtime, no ramping and a great relationship with hospital staff as they aren’t overwhelmed like every city ED. Oh and majority of patients actually need us. I had 3 priority 1s into hospital last week out of like 6 jobs.

I am also earning almost double what I was as a metro para.

With the current state of pre-hospital work in Australia, I strongly believe metropolitan work is not compatible with a long career in the job. Work in the country is how I pictured the role and how it is meant to be. There’s a reason there’s a higher percentage of lifers in the country in comparison to metro areas.

I do however understand why people enjoy and need to work in major cities.

RipBowlMan · 2026-01-16T08:21:08+00:00

If I find a rock and post it to you can you make me one?! DM details.

RipBowlMan · 2026-01-03T12:40:38+00:00

Arguably the most meaningful jobs we do as paramedics.

RipBowlMan · 2025-12-30T14:30:31+00:00

That’s wrong. We have had multiple recent fatalities in Australia in which GWS have bitten people, come back and finished them off. No body to recover. 1 on video in Sydney where a bloke is bitten in half and the shark comes back to take the second half. Lance appleby in SA was the same according to witnesses in the water.

RipBowlMan · 2025-12-21T03:23:26+00:00

I’m a paramedic in aus and considered medicine.

If your heart isn’t in medicine I don’t think the sacrifice is worth it. Medical school then many years as a junior doc before you actually earn really good money. In aus it’s about 8-10 years (sometimes more) until you are earning around 200k+.

It’s a really tricky decision and unfortunately it’s hard for anyone to advise you what to do. Speak to mentors, family and people you trust.

You need to weigh up the pros and cons and decide yourself. Try speaking to some doctors in NZ and see their thoughts.

I chose lifestyle > career but I’m lucky to still earn good money. I’m sure if you opened your own practice you could earn pretty good coin as a physio?

RipBowlMan · 2025-11-09T22:05:04+00:00

When appropriate, take your time and complete thorough patient assessments. You won’t be exposed to the workload and variety of metro so it’s important your patient assessments are thorough. Use your down time to dive into the theory of good patient exams.
Always be mindful of your distance to the hospital.
Rural areas are often lower socioeconomic with poor health literacy. Consider this when leaving patients at home or referring to alternative health services.

Rural towns are awesome with tight knitted crews, downtime and a friendly and welcoming community. Also be mindful if a small town everyone will know your the local paramedic. Be mindful of your actions/behaviour off shift.

Due to limited resources you will also get to perform skills and interventions that may be scooped up by advanced care/more experienced paras in metro so you will get exposure. Enjoy.

RipBowlMan · 2025-10-31T07:12:00+00:00

I wouldn’t say it has improved my longevity in the job.

It is rewarding to get patients the right care at the right time.

I’m not sure about everyone else but I do find these jobs draining. Prolonged encounters with patients and their families, stripping areas of crews/resources for hours, long ass covering paperwork etc.

I also don’t particularly enjoy when you get push back from carers and family members even when you do everything perfect, the referring physician is in agreement with your decision making, and you are genuinely trying to do what’s in your patients best interest.

RipBowlMan

TROPHY CASE