JRCALC Clinical Guidelines 2022

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Additional wording for clarity has been added to Table 7.5 – High levels of supplemental oxygen for adults with critical illnesses: During the prehospital phase of care vital signs may not normalise and therefore patients with abnormal vital signs should continue to be administered high flow oxygen until hospital arrival. Laryngoscopy remains an important skill for visually inspecting the oropharynx in choking and should be part of ongoing competency assessments. Adult patients with a cardiac arrest of presumed primary cardiac aetiology should be transported directly to a hospital with 24/7 coronary angiography capability (Both STEMI and Non-STEMI patients). The production of guidelines involves a huge amount of goodwill from a wide range of professionals for which we are all very grateful. From the JRCALC representatives to the individuals that make up the various guideline development sub-groups, all time and knowledge is volunteered, without which the JRCALC guidelines would not be possible. This session looks at what will be in the new guideline and indicates how to spot red flags and serious pathologies – along with when and when not to convey – and what are the assessment, management & analgesic options available to paramedics.

Quizzes are arranged in multiple ways, including broken down by JRCALC guideline, to facilitate specialised learning. New guidance to go in the ‘Special Situations’ section. Includes Safety Triggers for Emergency Personnel (STEP) 1-2-3 Plus, CRESS tool (consciousness, respiration, eyes, secretion, skin), specific agents: nerve agents, cyanide, opiates, atropine toxicity, corrosive substances, Individual Chemical Exposure (ICE), ionising radiation and decontamination, illicit drugs labs.

How do I reference the JRCALC in APA (7th ed.) style?

Indications for IV paracetamol amended to relief of moderate to severe pain. Updated text in IV dosage table, ‘IV paracetamol is only used when managing moderate and severe pain (use an oral preparation when managing fever with discomfort). Updates, Corrections, and Additional Guidance to Existing JRCALC Guidelines (Sept 2023) Guideline/medicine: JRCALC and RCUK Guidance: maximising the chance of success including airway management and pad placement. JRCALC combines expert advice with practical guidance to help paramedics in their challenging roles and supports them in providing patient care. The guidelines cover an extensive range of topics, from resuscitation, medical emergencies, trauma, obstetrics and medicines, to major incidents and staff wellbeing.

ParaPass is the perfect way to test your knowledge of the guidelines and will count towards your CPD Portfolio. In ‘Headache’ Table 3.62 Assessment and Management, bullet point removed: ‘Avoid morphine due to potential side effects, which could worsen the patient’s condition and/or hinder further assessment.’ Includes the 4AT Screening tool for delirium. Includes guidance on which patients may need admission or if a community referral is appropriate. Joint Royal Colleges Ambulance Liaison Committee, Association of Ambulance Chief Executives (2016) UK Ambulance Services Clinical Practice Guidelines 2016. Bridgwater: Class Professional Publishing.

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Updated indications: COPD and pregnant women with known Addison’s Disease who are in established labour (regular painful contractions) This new guideline will be placed in the General Guidance section. A short section on human factors will remain in ‘Out-of-Hospital Cardiac Arrest: Overview’. We will endeavour to answer your question promptly having consulted with JRCALC experts as necessary. Of the questions we receive there are often common themes; below is a searchable facility to review the questions and answers given. This session looks at the clinical challenges presented by frail and older people, along with the use of decision making support tools for the paramedic.

Standby CPD: evidence-based discussions on a wealth of anatomy, physiology, pathology and pharmacology topics. Recently published articles include CPR-induced consciousness, accidental hypothermia and falls in older people. A new issue is published every month. Adult patients with non-traumatic OHCA should be considered for transport to a recognised centre of care for appropriate specialist treatment, according to local protocols. There is no evidence to express a preference for a policy of primarily transporting via ambulance (using bypass protocols) or one of secondary inter-hospital transfer. Clopidogrel will be removed from JRCALC as part of the ACS update. Follow local policies/guidelines for P2Y12 inhibitor antiplatelet agents (e.g. ticagrelor, prasugrel). A look at the epidemiology, the effect of COVID and what can be done to enhance recovery from Out of Hospital Cardiac Arrest. The Joint Royal Colleges Ambulance Liaison Committee guidelines are the essential resource for paramedics, although the principles are also applicable to the work of all pre-hospital clinicians.We are pleased to receive questions relating to the JRCALC Guidelines, however in the first instance we recommend that you liaise with appropriate senior clinicians within your organisation to clarify a guideline or area of practice.