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Clinical practice guideline updates post 2006 publication of the UK Ambulance Service Clinical Practice Guidelines (2006)

Copyright notice
Until publication of the next edition of the JRCALC Clinical Practice Guidelines in April 2012, any new guidelines or guideline updates will be available to download and print from this webpage.

Restrictions still remain for the UK Ambulance Service Clinical Practice Guidelines 2006, and anyone wishing to reproduce the 2006 clinical practice guidelines either in whole or in part, in printed form, electronically or any other medium, and regardless of purpose, must consult with and gain the permission of: The Chairman of JRCALC via Dr Joanne Fisher, Warwick Medical School, The University of Warwick, Coventry, CV4 7AL. Tel: 024 7657 2940; E-mail

  Name File Size Last Updated
PDF document Resuscitation Supplement 2010 (3.7 MB) 14/09/11
PDF document Update analysis post 2006 (82 KB) 02/09/09
PDF document Drugs - Carer-Administered Buccal/Intranasal Midazolam for Convulsions (issued 17th April 2009) (35 KB) 21/04/09
PDF document Drugs - Clopidogrel Drug Protocol (issued 13th August 2008) (24 KB) 21/04/09
PDF document Drugs - Oxygen (issued 22nd April 2009) (155 KB) 22/04/09
PDF document Specific Treatment Options - Sickle Cell Crisis - update (issued 21st April 2009) (33 KB) 21/04/09
PDF document Trauma - Pelvic Trauma - new guideline (issued 21st April 2009) (124 KB) 21/04/09
PDF document Stroke/TIA - update (issued 2nd September 2009) (34 KB) 11/09/09

Download all files as a zip

Disclaimer notice
The Joint Royal Colleges Ambulance Liaison Committee has made every effort to ensure that the information, tables, drawings and diagrams contained in the Clinical Practice Guidelines issued July 2006 is accurate at the time of publication. However, the JRCALC guidance is advisory and has been developed to assist healthcare professionals, together with patients, to make decisions about the management of the patient’s health, including treatments. It is intended to support the decisionmaking process and is not a substitute for sound clinical judgement. Guidelines cannot always contain all the information necessary for determining appropriate care and cannot address all individual situations; therefore individuals using these guidelines must ensure they have the appropriate knowledge and skills to enable appropriate interpretation.
The committee does not guarantee, and accepts no legal liability of whatever nature arising from or connected to, the accuracy, reliability, currency or completeness of the content of these guidelines.
Users of the guidelines must always be aware that such innovations or alterations after the date of publication may not be incorporated in the content. As part of its commitment to defining national standards,the committee will periodically issue updates to the content and users should ensure they are using the most up-to-date version of the guidelines;
Although some modification of the guidelines may be required by individual ambulance services, and approved by relevant local clinical committees, to ensure they respond to the health requirements of the local community, the majority of the guidance is universally applicable to NHS ambulance services. Modification of the guidelines may also occur when undertaking research sanctioned by a research ethics committee.
Whilst these guidelines cover the full range of paramedic treatments available across the UK they will also provide a valuable tool for ambulance
technicians and other pre-hospital care providers. Many of the assessment skills and general principles will remain the same. Those not qualified to Paramedic level must practise only within their level of training and competence.