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JRCALC

JRCALC. Clinical Practice Guidelines for use by UK Ambulance Services. June 2004. Evidence base BestBets Reformatting User-friendly A4 Pocket books. What’s changed. Consent chapter revised Professional Standards - HPC IV fluids – 250ml boluses NW Oxygen Guidelines Obs. & Gynae

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JRCALC

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  1. JRCALC Clinical Practice Guidelines for use by UK Ambulance Services

  2. June 2004 • Evidence base • BestBets • Reformatting • User-friendly • A4 • Pocket books

  3. What’s changed • Consent chapter revised • Professional Standards - HPC • IV fluids – 250ml boluses • NW Oxygen Guidelines • Obs. & Gynae • Mental Health – future risk table • Burns consensus guidance

  4. What’s changed • ROLE • Start BLS whilst establish circumstances • May then stop if ROLE criteria fulfilled • Includes DNAR directives • Extended to Children • No need for doctor to confirm death

  5. What’s changed • Morphine • Maximum dose 20mg • Paediatric doses • Diazepam for Cocaine overdose • Atropine in children only for bradycardia from vagal stimulation • Aspirin GU/DU caution only

  6. What’s changed • Thrombolytics • Pain lasting at least 15 mins • Onset less than 6 hours ago • Diastolic less than 110mmHg • RBBB permitted (must also have ST elevation) • CPR not a contra-indication

  7. What’s New • Sickle Cell crisis • Hyperventilation • Child Protection • Dealing with death of a child • CBRN • Ipratropium

  8. Department of Health National Patient Safety Agency Pre-Hospital Emergency Care Airport Codes Full name as well Drug Codes

  9. FUROSEMIDE FRM FUROSEMIDE GLUCOSE GEL GLG GLUCOSE GEL GLUCOSE 50% GLL GLUCOSE 50% (Latin suffix 'L' used to indicate '50'%) GLUCAGON GLU GLUCAGON GLUCOSE 10% GLX GLUCOSE 10% (Latin suffix 'X' used to indicate '10'%) GLYCERYL TRINITRATE (GTN) GTN GLYCERYL TRINITRATE HEPARIN (STANDARD UNFRACTIONATED) HEP HEPARIN

  10. The Future • 2006 • Evidence based review of all guidelines • Hyperlinks to Evidence • All Guidelines Group may comment • Secure Web-based development site

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