JRCALC Clinical Guidelines 2022
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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. With guidance being reviewed on a rolling basis, regular updates are released via the JRCALC Plus app and the iCPG app. As time has gone on, these JRCALC apps have become the defining and essential JRCALC resource for clinical guidance for UK paramedics, as the apps contain the complete and most current information. New guideline covering assessment and management of steroid-dependent patients with emphasis on hydrocortisone administration. The existing wording in Medical Emergencies in Adults is removed as it is now superseded by this new guideline. The JRCALC iCPG and JRCALC Plus apps contain the complete and most current clinical guidance. Updates are published throughout the year, and the apps remain fully functional without a phone signal which always ensures the most up-to-date information for clinicians. Over 2,000 multiple choice questionson the JRCALC Guidelines, covering the full breadth of paramedic practice, from vulnerable patient groups to obstetrics to trauma.
A new paragraph is included on alcoholic ketoacidosis which can occur when a person who is alcohol dependent or has had a prolonged alcohol binge, abruptly stops drinking and at the same time stops eating. The guidance is updated to place more emphasis on administering hydrocortisone for trauma as well as medical conditions, due to the physiological stress on the body for steroid dependent patients. This follows a coroner’s inquest where a patient died as a result of an acute adrenal crisis, caused by Addison’s disease and precipitated by the trauma of a fall and fractured hip. Insufficient administration of steroid medication by medical professionals was found to be a contributory factor in this patient’s death. Amended dosage for children ages 6 and 9 months to be in line with BNF, and wording amended to emphasise that it is indicated for trauma. First In-text citation: (Joint Royal Colleges Ambulance Liaison Committee and Association of Ambulance Chief Executives (JRCALC and AACE), 2019)
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This video from Class Professional Publishing details all the updates made to iCPG and JRCALC Plus in September 2021. Infants, children and adolescents (i.e. all those < 18 yrs age)-refer to termination of resuscitation and verification of death in children It continues to be an invaluable support to clinicians in providing excellent care to their patients.
Following a three-year cycle, it is likely that the next reference edition will be published in 2025. If you are a Standby CPD customer and still want to receive a print copy of Standby CPD. we’re offering a third option: New guidance on waterbirths included in 7. Special Considerations section. Emphasis on getting a woman in labour out of the water prior to giving birth. A learning and personal development resource for pre-hospital professionals. Offering a new format of learning on the move!
New wording around frailty scoring added: consider using the clinical frailty scale, as per local pathways. JRCALC and AACE publish updates to the guidelines on our apps, iCPG and JRCALC Plus. The 2021 edition has been brought up to date with all the latest significant changes on the app. This includes updates to assessment tools and algorithms, such as: The most recent reference edition of the JRCALC clinical guidelines was published in 2019. Following a three-year cycle, it is likely that the next reference edition will be published in 2022. The information highlighted here will also inform future updates and changes to JRCALC Clinical Practice Guidelines. Changes made to be more in line with the manufacturers summary of product characteristics (SPC) and now includes an image of a finger over the diluter hole for stronger administration.
This important eCPD event, designed for all paramedics, offered a unique opportunity to engage with the leaders and authors of the UK Clinical Practice Guidelines 2021. Reference list entry:Brown, S.N., Kumar, D.S., James, C. andMark, J. (eds.)(2019) JRCALCclinical guidelines 2019 [ebook].Bridgwater: Class Professional Publishing. Available fromhttps://ebookcentral-proquest-com.proxy.library.lincoln.ac.uk/lib/ulinc/detail.action?docID=5976256 [accessed XX].iCPG is a digital version of the official JRCALC guidelines for ambulance service practitioners. It allows emergency services staff to access up-to-date guidance on medical conditions and drug dosages at all times and therefore helps to ensure best patient care. New guidance around assessment and management of hanging added, with reference also added to Trauma Emergencies in Children.
Dosages amended to ‘N/A’ for birth – at birth babies do not have any stores of glycogen so glucagon does not work. 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. It provides a dynamic, accessible and affordable learning platform for ambulance staff that is evidence-based, contextualised and in a question style that is in keeping with the challenges that arise in practice. 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’.JRCALC receives no central funding or government support and consequently the committee are unable to host free access to the guidelines. The Intellectual Property Rights to the guidelines are held by AACE on behalf of the NHS ambulance services, and royalties from the publishing of guidelines are used to help support the functioning of JRCALC and the development of future guidance. As such, the JRCALC apps have become the defining source for clinical guidance for UK paramedics and should be used to inform clinical decision making.
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