This is the first in a new series of monthly clinical updates for Ambulance Victoria clinical staff. Director of Paramedicine A/Prof Ben Meadley and Clinical Guideline Specialist James Oswald summarise the need-to-know clinical information, all in one spot. This month: New CPG updates, trends in our patient safety data, and new cardiac monitors.   Times stamps: 2:00 New CPG updates 4:40 Snakebite 6:30 Acute coronary syndrome and activating the cath lab 7:35 Patient safety trends 10:20  Dislocation reduction – how are we doing? 12:10 Ketone strips 13:50 Case report templates 15:05 Thunderstorm asthma 15:25 IV Fluid shortage 15:50 PANDA trial update 16:40 New cardiac monitors 17:25 Professional development opportunities   Resources Australasian College of Paramedicine Critical Care Summit April 2025 European EMS Congress Copenhagen June 2025 Safe airway society Get in touch X / Twitter James: ⁠⁠⁠@JamesOz1⁠⁠ Ben: ⁠@ben_meadley⁠ Linkedin James Ben