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JRCALC Clinical Practice Guidelines: Updates, Changes, and New Recommendations

Learn about the latest changes in UK ambulance services' clinical practice guidelines, including updates on consent, medication doses, and new protocols like dealing with sickle cell crisis and child protection. Get ready for evidence-based improvements coming in 2006.

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JRCALC Clinical Practice Guidelines: Updates, Changes, and New Recommendations

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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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