JRCALC Clinical Guidelines 2022

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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. Aim for a systolic blood pressure (SBP) > 100 mmHg. Administration of fluids and adrenaline detailed. (See adrenaline above).

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. 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. 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.

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Combining expert advice with practical guidance, the Joint Royal Colleges Ambulance Liaison Committee Clinical Guidelines are the essential resource for paramedics. The guidelines are written specifically for the ambulance paramedic role, providing a comprehensive overview of the principal areas they may encounter, and supporting them in providing excellent patient care. Updated and inclusion of guidance for preterm babies, in line with the British Association of Perinatal Medicine (BAPM) framework for practice:

A revised standalone guideline for the management of breech birth with a new algorithm. This has been informed by evidence where it is available and learning from adverse incidents and coroners inquests. Includes guidance on practical procedures and manoeuvres to deliver a breech baby, with images, photos and links to short video clips. Includes specific guidance on when to leave scene immediately, details around when birth is imminent or not imminent, maternal positioning (semi recumbent and all fours positions), timings and when to perform manoeuvres if needed. 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’.Over 2,000 multiple choice questionson the JRCALC Guidelines, covering the full breadth of paramedic practice, from vulnerable patient groups to obstetrics to trauma. TXA not indicated In a woman who is bleeding PV more than 500mls following therapeutic abortion (termination) or miscarriage, 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.