JRCALC / UK Ambulance Services CPG 2016 (A4 Book)
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JRCALC / UK Ambulance Services CPG 2016 (A4 Book)

The JRCALC / UK Ambulance Services 2016 Clinical Practice Guidelines A4 Book provides guidance for NHS paramedics; although the principles are applicable to the work of all pre-hospital clinic...

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ISBN: 9781859595947
Cover: A4 textbook style
Pages: 524
Published: March 2016
Authors: University of Warwick, JRCALC


The Clinical Practice Guidelines 2016 are the essential resource for ambulance clinicians. The Association of Ambulance Chief Executives, the Joint Royal Colleges Ambulance Liaison Committee and the National Ambulance Service Medical Directors welcome the publication of the 2016 edition, which comprises of 128 guidelines.

The JRCALC / UK Ambulance Services 2016 Clinical Practice Guidelines A4 Book provides guidance for NHS paramedics; although the principles are applicable to the work of all pre-hospital clinicians. The guidelines are an important part of clinical risk management and ensure uniformity in the delivery of high quality patient care. As such, they form the basis for UK paramedic training and education.

Key updates for 2016 include:

  • An extensive revision of Section 2: Resuscitation, based on the 2015 Resuscitation Council UK guidance
  • A completely new guideline on the management of end of life care in the pre-hospital setting
  • Expanded recommendations on caring for people with
  • mental health illnesses, including how to operate within the Mental Capacity Act
  • Revised recommendations on the treatment of head trauma, with specific reference to traumatic brain injury
  • Updated guidance on childhood convulsions

TABLE OF CONTENTS

Section 1 - General Guidance

  • Consent in Pre-hospital Care
  • Patient Confidentiality
  • Pain Management in Adults
  • Pain Management in Children
  • Safeguarding Children Sexual Assault
  • Safeguarding Vulnerable Adults
  • End of Life Care
  • Death of a Child Including Sudden Unexpected Death in Infancy, Children and Adolescents (SUDICA)
  • Staff wellbeing and health

Section 2 – Resuscitation Adult Resuscitation Guidelines

  • Airway and Breathing Management
  • Traumatic Cardiac Arrest
  • Recognition of Life Extinct by Ambulance Clinicians
  • Adult Resuscitation Guidelines:
    • Basic Life Support
    • Advanced Life Support
    • Foreign Body Airway Obstruction
  • Maternal Resuscitation Child Resuscitation Guidelines:
    • Basic Life Support
    • Newborn Life Support
    • Advanced Life Support
    • Foreign Body Airway Obstruction
    • Special circumstances

Section 3a – Medical: Undifferentiated Complaints

  • Abdominal Pain
  • Cardiac Rhythm Disturbance
  • Altered Level of Consciousness
  • Dyspnoea
  • Headache
  • Mental Disorder
  • Mental Capacity Act 2005 (England and Wales)
  • Adult:
    • Medical Emergencies in Adults – Overview
    • Non-Traumatic Chest Pain/Discomfort
  • Children:
    • Medical Emergencies in Children – Overview
    • Minor Illness in Children
    • Febrile Illness in Children
    • Respiratory Illness in Children

Section 3b – Medical

  • Specific Conditions
  • Heat Related Illness
  • Hyperventilation Syndrome
  • Hypothermia
  • Sickle Cell Crisis
  • Meningococcal Meningitis and Septicaemia
  • Adult:
    • Acute Coronary Syndrome
    • Allergic Reactions including Anaphylaxis
    • Asthma
    • Chronic Obstructive Pulmonary Disease
    • Convulsions
    • Gastrointestinal Bleeding
    • Glycaemic Emergencies
    • Heart Failure
    • Implantable Cardioverter Defibrillator
    • Overdose and Poisoning
    • Pulmonary Embolism
    • Stroke/Transient Ischaemic Attack
  • Children:
    • Allergic Reactions including Anaphylaxis
    • Asthma
    • Convulsions
    • Childhood Gastroenteritis
    • Glycaemic Emergencies
    • Overdose and Poisoning

Section 4 – Trauma

  • Trauma Emergencies Overview (Adults)
  • Trauma Emergencies Overview (Children)
  • Abdominal Trauma
  • Head Injury
  • Limb Trauma
  • Neck and Back Trauma
  • Major Pelvic Trauma
  • Thoracic Trauma
  • Trauma in Pregnancy
  • Burns and Scalds (Adults)
  • Burns and Scalds (Children)
  • Electrical Injuries
  • Immersion and Drowning

Section 5 – Obstetrics and Gynaecology

  • Obstetrics and Gynaecology Emergencies Overview
  • Birth Imminent: Normal Delivery and Delivery Complications
  • Care of the Newborn
  • Haemorrhage During Pregnancy (including Miscarriage and Ectopic Pregnancy)
  • Pregnancy-induced Hypertension (including Eclampsia)
  • Vaginal Bleeding: Gynaecological Causes

Section 6 – Drugs

  • Drugs Overview
  • Adrenaline
  • Amiodarone
  • Aspirin
  • Atropine
  • Benzylpenicillin (Penicillin G)
  • Chlorphenamine
  • Clopidogrel
  • Dexamethasone
  • Diazepam
  • Entonox
  • Furosemide
  • Glucagon (Glucagen)
  • Glucose 10% Glucose 40% Oral Gel
  • Glyceryl Trinitrate (GTN, Suscard)
  • Heparin
  • Hydrocortisone
  • Ibuprofen
  • Ipratropium Bromide (Atrovent)
  • Metoclopramide (Maxolon)
  • Midazolam
  • Patient’s Own Buccal Midazolam for Convulsions
  • Misoprostol
  • Morphine Sulphate
  • Naloxone Hydrochloride (Narcan)
  • Ondansetron
  • Oxygen
  • Paracetamol
  • Reteplase
  • Salbutamol
  • 0.9% Sodium Chloride
  • Sodium Lactate Compound (Hartmann’s/Ringer’s Lactate)
  • Syntometrine
  • Tenecteplase
  • Tetracaine 4%
  • Tranexamic Acid
  • Intravascular Fluid Therapy (Adults)
  • Intravascular Fluid Therapy (Children)
  • Page-for-Age

Section 7 – Special Situations

  • Major Incident Management
  • Chemical, Biological, Radiological, Nuclear and Explosive Incidents
  • Atropine (CBRNE)
  • Ciprofloxacin (CBRNE)
  • Dicobalt Edetate (CBRNE)
  • Doxycycline (CBRNE)
  • Obidoxime Chloride (CBRNE)
  • Potassium Iodate (CBRNE)
  • Pralidoxime Mesylate (CBRNE)
  • Incapacitating Agents
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