2019 JRCALC Guidelines now available

2019 JRCALC Clinical Practice Guidelines

We have now taken delivery of the 2019 JRCALC Clinical Practice Guidelines.The 2019 edition has been brought up to date with the latest evidence and developments in clinical practice and now incorporates essential content from the 2017 supplementary guidelines, including extensive guidance on maternity, sepsis, safeguarding, falls in older adults and pain management.

Further key updates in the 2019 edition include:

  • Resuscitation and cardiac arrest. The pathophysiology of cardiac arrest, use of checklists and pulseless electrical activity is discussed extensively within the context of everyday out of hospital practice. A new guideline on tracheostomy and laryngectomy is included, alongside clinical skills photographs.
  • Mental health presentation: crisis, distress and disordered behaviour. A reviewed guideline supports the clinician with practical help on the assessment and management of different mental health illnesses.
  • Major, complex and high risk incidents. A revision by the National Ambulance Resilience Unit covers poisons, rail incidents and police incapacitating agents.
  • New medicines are included: Activated charcoal, duodote and morphine sulfate for end of life care.

Sections on head injury, hyperventilation syndrome, stroke, respiratory illness in children and acute coronary syndrome are also among those that have been reviewed and updated.

All the guidance presented by JRCALC supports thoughtful delivery of care by professionals rather than following of flowcharts and protocols.

There will be one copy of the comprehensive guidelines available per station and we will also be distributing the new version of the JRCALC clinical practice guidelines 2019 pocket book to all clinical staff.

The pocket book is intended to be used by clinicians working in the prehospital setting to confirm safe and therapeutic drug doses prior to administration, it also contains treatment algorithms and management plans that are intended to be used as a quick reference guide only.
As such it is designed to be used in conjunction with the reference edition of the UK Ambulance Services Clinical Practice Guidelines 2019 which contains the definitive text that cannot be reproduced in the pocket book.

Both publications will be distributed through your local management teams a will require a signature.
Please ensure that all old versions of the guidelines have been disposed of.

The clinical team are currently undertaking a update analysis 'what’s changed' since the 2016 reference edition and 2017 supplementary guidelines were published and will be providing an update for all staff.

Don’t forget our clinical manual app (JRCALC+) puts all the latest guidelines at your fingertips and is available free to all our staff.
To request log-in details please contact QI@eastamb.nhs.uk.   

Published 23rd September 2019

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