JRCALC Clinical Guidelines 2022

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Initiate the delivery of good quality BLS on scene, prioritising oxygen delivery, ventilation and chest compressions. ALS procedures including defibrillation if indicated, airway management and establishing IV/IO access to deliver therapies for reversal of hypovolaemia/hypoglycaemia should be considered where resources, training and skillset permit, but should not inappropriately delay transfer to definitive care. 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. 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 The existing wording in Medical Emergencies in Adults is removed as it is now superseded by this new guideline. Initial adult dose for oral morphine (not end of life) changed from 20mg, to 10-20mg, as it is now indicated for moderate pain. Guidance on the assessment and management of this common presentation. Includes differential diagnosis, red flags, serious pathologies for hospital conveyance and guidance on those patients that may be suitable for community management or referral to primary care, pharmacological and non-pharmacological pain management, advise on simple exercises and safety netting.

The JRCALC administrative base is provided by the Association of Ambulance Chief Executives (AACE) . The contributors provide a breadth of experience and perspectives, working on the road, in primary care and healthcare education.A look at the epidemiology, the effect of COVID and what can be done to enhance recovery from Out of Hospital Cardiac Arrest. There are three methods of accessing JRCALC 2019 - a print book, an ebook and also as an app. Depending on the version you are using, there a slightly different ways of presenting your reference. A learning and personal development resource for pre-hospital professionals. Offering a new format of learning on the move!

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. 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). Joint Royal Colleges Ambulance Liaison Committee, Association of Ambulance Chief Executives. (2019). JRCALC Clinical Guidelines. Cited from: iCPG (2016) (Version XX) [Mobile application software]. Bridgwater: Class Publishing Ltd. Accessed XX. The Joint Royal Colleges Ambulance Liaison Committee has representatives nominated by their respective organisation/specialties/colleges. The committee formally convene three times a year, with the majority of the guidance review and development transpiring between meetings. 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.Medicine guidelines have been removed, but are available on the iCPG and JRCALC Plus apps, where they are regularly updated to ensure that the most up-to-date guidance is available to clinicians. New caution added: Current evidence does not support the use of TXA for gastrointestinal haemorrhage New wording around frailty scoring added: consider using the clinical frailty scale, as per local pathways. If you have any questions about the guidelines, please visit https://aace.org.uk/jrcalc-qas/ , which publishes answers to commonly asked questions.

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. Dosages amended to ‘N/A’ for birth – at birth babies do not have any stores of glycogen so glucagon does not work. Once a tracheal tube is in place, continue continuous chest compressions with 10 gentle ventilations per minute. Avoid hyperventilation and high airway pressures during manual ventilation which adversely affect outcome. If assessment indicates a need for immediate resuscitation of the newborn, clamp and cut the cord and move to the resuscitation area.

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. There have been a number of JRCALC Clinical Guidelines editions since the early 2000s, with the 2006 version being superseded in 2013, 2016 and 2019 – and then most recently in 2022 with the current edition. Most notable in this latest print edition is the removal of the medicines, that do however remain fully accessible on the JRCALC apps. Aim for a systolic blood pressure (SBP) > 100 mmHg. Administration of fluids and adrenaline detailed. (See adrenaline above).

JRCALC is best known for the production of clinical guidelines for UK paramedics, often referred to as just the ‘JRCALC guidelines’. The guidelines are produced by JRCALC for NHS ambulance service paramedics, on behalf of the Association of Ambulance Chief Executives (AACE ). Working closely alongside the National Ambulance Service Medical Directors (NASMeD) who represent all UK Ambulance Services, JRCALC effectively fulfils the liaison role of its title.

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

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.