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. Small amendment in assessment and management of COPD to state that a 12 lead is to be performed ‘if indicated’. First In-text citation: (Joint Royal Colleges Ambulance Liaison Committee and Association of Ambulance Chief Executives (JRCALC and AACE), 2019) TXA not indicated In a woman who is bleeding PV more than 500mls following therapeutic abortion (termination) or miscarriage, Indications for IV paracetamol amended to relief of moderate to severe pain. Updated text in IV dosage table, ‘IV paracetamol is only used when managing moderate and severe pain (use an oral preparation when managing fever with discomfort).

The College of Paramedics, in partnership with the Association of Ambulance Chief Executives (AACE) and JRCALC held an insightful and successful study day in November 2021, attended by over 450 delegates. The Joint Royal Colleges Ambulance Liaison Committee guidelines are the essential resource for paramedics, although the principles are also applicable to the work of all pre-hospital clinicians. Reference list entry:Brown, S.N., Kumar, D.S., James, C. andMark, J. (eds.)(2019) JRCALCclinical guidelines 2019.Bridgwater: Class Professional Publishing.

With guidance being reviewed on a rolling basis, regular updates are released via the JRCALC Plus app and the iCPG app. As time has gone on, these JRCALC apps have become the defining and essential JRCALC resource for clinical guidance for UK paramedics, as the apps contain the complete and most current information. 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.

Access all available content during your subscription period. New content will continue to be released and made available to anyone who has a current subscription. Removal of wording in indications. The indication for TXA in women with post-partum hemorrhage if the patient continues to bleed remains. The following text has been removed: Dexamethasone is now indicated for children with croup; regardless of whether it is mild, moderate, or severe. Adult patients with non-traumatic OHCA should be considered for transport to a recognised centre of care for appropriate specialist treatment, according to local protocols. There is no evidence to express a preference for a policy of primarily transporting via ambulance (using bypass protocols) or one of secondary inter-hospital transfer.

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Reviewed and updated by NARU. Updated guidance on Conducted Energy Devices (Tasers) and for their assessment, management and removal, Adult patients with a cardiac arrest of presumed primary cardiac aetiology should be transported directly to a hospital with 24/7 coronary angiography capability (Both STEMI and Non-STEMI patients).

Rigor is also distinct from trismus (spasm of the muscles around the jaw) which may occur in those with a reduced level of consciousness. It is distinct from the rigidity of rigor mortis which is not isolated to jaw muscles alone.

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New title replacing ‘Death of a Child’ guideline. Reviewed in line with RCUK. Includes guidance for children with care plans and for expected deaths. 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.