A group of four American paramedicine students were among the 70 to attend the Pushing the Limits paramedicine conference at La Trobe University Bendigo on Friday.

Based at the Inver Hill Community College in Minneapolis, Minnesota, the students brought a different perspective to the conference.

Paramedics in the city can expect to attend at least one gun shot incident per weekend and receive a police escort to every call out.

Student paramedic Simone Ramler said the triage system was one of the main differences between Australia and the United States.

"In Australia, you don't call ahead to tell the hospital that you're on the way," she said.

"Paramedics are the ones that make the decisions in the US. I understand you can send in a report ahead of time though.

"Our system wouldn't work as well in Australia because you have a standardised system here."

Australia's system of having the same standards and same systems for every paramedic and ambulance branch was also a different experience for the visitors.

The United States operates through private ambulance branches, usually different from town to town and suburb to suburb.

The differences between the two countries were just one of the topics of discussion during the two-day conference at La Trobe.

La Trobe University paramedicine lecturer Ray Gleeson said it was a significant conference to hold in Bendigo.

"It's great for our students and paramedics in the region to be exposed to the level of expertise available at the conference," he said.

"It's fantastic to have this calibre of lecturers in a regional area.

"It's all very cutting edge stuff."

The conference began on Friday with speakers from Ambulance Victoria discussing innovations in aeromedical paramedicine and the latest trauma devices.

Paramedic instructor at Inver Hills Community College in Minneapolis Dave Page discussed the challenges facing paramedics in the city.

The ethnic diversity of the city and entrenched disadvantage created difficult situations for paramedics.

Emergency management technician with Allina Emergency Medical Services, also based in Minneapolis, Brittany Hutchinson discussed the under-representation of African Americans in paramedicine in the city.