Clinical Updates: August 2026

Your monthly clinical update from Ambulance Victoria covering: Clinical Practice Update: 2026 CPG changes Respiratory illness Avian influenza Calcium gluconate precipitation Dual sequential and vector change defibrillation Patient safety update: Shortened RSI checklist Cutting the bougie for cricothyroidotomy Guideline monitoring: Evaluation of sedation for acute behavioural disturbance Paper of the month: STEMI care in Victoria Temporal improvements in prehospital systems-of-care for ST-elevation myocardial infarction patients in Victoria, Australia: a retrospective study | BMC Emergency Medicine | Springer Nature Link Equipment update Professional development opportunities Small steps to transform your practice Clinical Podcasts Reccomendations: Australian Prehospital Nerds — Hosted by MICA flight paramedic and an ED doctor, covering clinical pearls, cases, gear, procedures and prehospital decision-making. Clinical Practice Radio (CPR) — St John WA's podcast, hosted by their Deputy Director of Paramedicine Andy Bell with clinical leads Megan Currie and Nick Overington, using current evidence and subject matter experts. The Australasian College of Paramedicine podcasts — The Debrief, Student Talk and the Talking Research series. UK The Resus Room — Absolute classic. Emergency medicine built on evidence-based medicine. Papers of the Month is the efficient way to keep up. PHEMCAST — Prehospital emergency medicine specifically. St Emlyn's — a UK emergency medicine podcast for anyone working in emergency care, from a team of educators and clinicians focused on evidence-based education. Best of the group on human factors and broadening our thinking beyond paramedicine in Australia. North America FOAMfrat — prehospital emergency and critical care from Tyler Christifulli and Sam Ireland. Strong on underlying physiology. EMCrit — Scott Weingart. The OG. His passion is easy to listen to. Get in touch [email protected] Linkedin James Ben Producer: Liam Mylebry