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SALE: JRCALC Clinical Guidelines 2019
Authors: Association of Ambulance Chief Executives (AACE), Joint Royal Colleges Ambulance Liaison CommitteeThe Joint Royal Colleges Ambulance Liaison Committee guidelines are the essential resource for paramedics. The 2019 edition will cover the full set of guidelines, with updates to resuscitation, overdose and end of life care.
OVERVIEW
The Joint Royal Colleges Ambulance Liaison Committee guidelines are the essential resource for paramedics. JRCALC combines expert advice with practical guidance to help paramedics in their challenging roles and supports them in providing patient care. The book covers a wide range of topics, from resuscitation, medical emergencies, trauma, obstetrics and medicines to major incidents and staff wellbeing.
The 2019 edition of the book 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.
- Other reviews and updates include: head injury, hyperventilation syndrome, stroke, respiratory illness in children and acute coronary syndrome.

Description: List of Contributors
Description: Update Analysis
Citing the JRCALC Guidelines
The JRCALC Guidelines are cited as:
Joint Royal Colleges Ambulance Liaison Committee, Association of Ambulance Chief Executives (2019) JRCALC Clinical Guidelines 2019. Bridgwater: Class Professional Publishing.
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 Adults at Risk Domestic Abuse End of Life Care Death of a Child Including Sudden Unexpected Deaths in Infants Staff Wellbeing and Health Section 2: Resuscitation Airway and Breathing Management Traumatic Cardiac Arrest Recognition of Life Extinct by Ambulance Clinicians Adult Basic Life Support Adult Advanced Life Support Foreign Body Airway Obstruction, Adult Basic Life Support, Child Advanced Life Support, Child Foreign Body Airway Obstruction, Child Special Circumstances in Resuscitation Section 3: Medical Abdominal Pain Cardiac Rhythm Disturbance Altered Level of Consciousness Dyspnoea Headache Mental Disorder Mental Capacity Act 2005 (England and Wales) Medical Emergencies in Adults – Overview Sepsis Non-Traumatic Chest Pain/Discomfort Medical Emergencies in Children – Overview Minor Illness in Children Febrile Illness in Children Respiratory Illness in Children Heat Related Illness Hyperventilation Syndrome Hypothermia Sickle Cell Crisis Meningococcal Meningitis and Septicaemia Acute Coronary Syndromes Allergic Reactions including Anaphylaxis (Adults) Asthma (Adults) Chronic Obstructive Pulmonary Disease (Adults) Convulsions (Adults) Gastrointestinal Bleeding Glycaemic Emergencies in Adults and Children Heart Failure Implantable Cardioverter Defibrillator Overdose and Poisoning (Adults) Pulmonary Embolism Stroke/Transient Ischaemic Attack Allergic Reactions including Anaphylaxis (Children) Asthma (Children) Convulsions (Children) Childhood Gastroenteritis Overdose and Poisoning (Children) Section 4: Trauma Trauma Emergencies Overview (Adults) Trauma Emergencies Overview (Children) Abdominal Trauma Head Injury Limb Trauma Spinal Injury and Spinal Cord Injury Major Pelvic Trauma Thoracic Trauma Falls in Older Adults Burns and Scalds (Adults) Burns and Scalds (Children) Electrical Injuries Immersion and Drowning Section 5: Maternity Care Maternity Care, including Obstetric Emergency Overview Birth Imminent: Normal Birth and Birth Complications Care of the Newborn Haemorrhage During Pregnancy (including Miscarriage and Ectopic Pregnancy) Pregnancy-induced Hypertension (including Eclampsia) Vaginal Bleeding: Gynaecological Causes Maternal Resuscitation Newborn Life Support Trauma in Pregnancy Section 6: Medicines Drugs Overview Activated Charcoal 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 Morphine for End of Life Care 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) Section 7: Special Situations Major, Complex or High Risk Incidents Police Incapacitants Atropine DuodoteRelated Products
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