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UK Ambulance Service Clinical Practice Guidelines (2006)

Copyright notice
Anyone wishing to reproduce the UK Ambulance Service Clinical Practice Guidelines 2006, 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 joanne.fisher@warwick.ac.uk
 
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  Name File Size Last Updated
PDF document UK Ambulance Service Clinical Practice Guidelines 2006 - all sections (8.9 MB) 14/03/13
PDF document General - contents (53 KB) 22/05/07
PDF document General - foreward (141 KB) 22/05/07
PDF document General - disclaimer (34 KB) 22/05/07
PDF document General - copyright (40 KB) 22/05/07
PDF document General - acknowledgements (70 KB) 22/05/07
PDF document General - update analysis (281 KB) 22/05/07
PDF document General - glossary (69 KB) 22/05/07
PDF document Ethical Issues - consent (148 KB) 22/05/07
PDF document Ethical Issues - patient confidentiality (136 KB) 22/05/07
PDF document Pain - management of pain in adults (115 KB) 22/05/07
PDF document Pain - management of pain in children (164 KB) 22/05/07
PDF document Drugs - drug introduction (75 KB) 22/05/07
PDF document Drugs - JRCALC drug codes (54 KB) 22/05/07
PDF document Drugs - Adrenaline (epinephrine) (54 KB) 23/05/07
PDF document Drugs - Amiodarone (46 KB) 23/05/07
PDF document Drugs - Aspirin (36 KB) 23/05/07
PDF document Drugs - Atropine (66 KB) 23/05/07
PDF document Drugs - Benzylpenicillin (Penicillin g) (51 KB) 23/05/07
PDF document Drugs - Chlorphenamine (Chlorpheniramine, piriton) (37 KB) 23/05/07
PDF document Drugs - Dextrose 40% gel (39 KB) 23/05/07
PDF document Drugs - Diazepam (as Diazemuls and Stesolid) - updated guidance (103 KB) 03/05/10
PDF document Drugs - Entonox/Nitronox (36 KB) 23/05/07
PDF document Drugs - Furosemide (Frusemide, Lasix) (36 KB) 23/05/07
PDF document Drugs - Glucagon (GlucaGen) (37 KB) 23/05/07
PDF document Drugs - Glucose 10% (38 KB) 23/05/07
PDF document Drugs - Glyceryl Trinitrate (GTN and Suscard) (53 KB) 23/05/07
PDF document Drugs - Hydrocortisone (50 KB) 23/05/07
PDF document Drugs - Ibuprofen (36 KB) 23/05/07
PDF document Drugs - Ipratropium Bromide (Atrovent) (37 KB) 23/05/07
PDF document Drugs - Lidocaine (Lignocaine) (56 KB) 23/05/07
PDF document Drugs - Metoclopramide (Maxolon) (43 KB) 23/05/07
PDF document Drugs - Morphine Sulphate (82 KB) 23/05/07
PDF document Drugs - Morphine Sulphate Oral Solution (65 KB) 23/05/07
PDF document Drugs - Naloxone Hydrochloride (Narcan) (57 KB) 23/05/07
PDF document Drugs - Oxygen; NB Superseded 22nd April 2009 (55 KB) 06/07/12
PDF document Drugs - Paracetamol Oral Solution Suspension (40 KB) 23/05/07
PDF document Drugs - Salbutamol (Ventolin) (51 KB) 23/05/07
PDF document Drugs - Sodium Chloride 0.9% (54 KB) 23/05/07
PDF document Drugs - Sodium Lactate Compound (Ringers Lactate/Hartmann's Solution (53 KB) 23/05/07
PDF document Drugs - Syntometrine (34 KB) 23/05/07
PDF document Drugs - Tetracaine 4% gel (AMETOP) (51 KB) 23/05/07
PDF document Drugs - Thrombolytics (Reteplase, Tenecteplase) (98 KB) 23/05/07
PDF document Resuscitation - adult basic life support; NB. Superseded October 2010 (96 KB) 06/07/12
PDF document Medical Emergencies - medical emergencies in adults (overview) (113 KB) 22/05/07
PDF document Resuscitation - adult advanced life support; NB. Superseded October 2010 (98 KB) 06/07/12
PDF document Resuscitation - adult foreign body airway obstruction; NB. Superseded October 2010 (65 KB) 06/07/12
PDF document Resuscitation - cardiac rhythm disturbance; NB. Superseded October 2010 (123 KB) 06/07/12
PDF document Resuscitation - implantable cardioverter defibrillator; NB. Superseded October 2010 (421 KB) 06/07/12
PDF document Resuscitation - recognition of life extinct by ambulance clinicians; NB. Superseded October 2010 (139 KB) 06/07/12
PDF document Resuscitation - traumatic cardiac arrest; NB. Superseded October 2010 (117 KB) 06/07/12
PDF document Medical Emergencies - abdominal pain (87 KB) 22/05/07
PDF document Medical Emergencies - decreased level of consciousness (80 KB) 22/05/07
PDF document Medical Emergencies - dyspnoea (119 KB) 22/05/07
PDF document Medical Emergencies - headache (63 KB) 22/05/07
PDF document Medical Emergencies - mental disorder (96 KB) 22/05/07
PDF document Medical Emergencies - non-traumatic chest pain/discomfort (61 KB) 22/05/07
PDF document Specific Treatment Options - acute coronary syndrome (70 KB) 16/07/07
PDF document Specific Treatment Options - anaphylaxis/allergic reactions in adults (88 KB) 16/07/07
PDF document Specific Treatment Options - asthma in adults (219 KB) 16/07/07
PDF document Specific Treatment Options - chemical biological radiological and nuclear incidents (135 KB) 16/07/07
PDF document Specific Treatment Options - chronic obstructive pulmonary disease (70 KB) 16/07/07
PDF document Specific Treatment Options - convulsions in adults (79 KB) 16/07/07
PDF document Specific Treatment Options - gastrointestinal bleeding (85 KB) 16/07/07
PDF document Specific Treatment Options - glycaemic_emergencies in adults (119 KB) 16/07/07
PDF document Specific Treatment Options - heat exhaustion and heat stroke (70 KB) 16/07/07
PDF document Specific Treatment Options - hyperventilation syndrome (64 KB) 16/07/07
PDF document Specific Treatment Options - hypothermia (84 KB) 16/07/07
PDF document Specific Treatment Options - meningococcal septicaemia (85 KB) 16/07/07
PDF document Specific Treatment Options - overdose and poisoning in adults (143 KB) 16/07/07
PDF document Specific Treatment Options - pulmonary embolism (84 KB) 16/07/07
PDF document Specific Treatment Options - pulmonary oedema (130 KB) 16/07/07
PDF document Specific Treatment Options - sickle cell crisis; NB. Superseded 21st April 2009 (65 KB) 06/07/12
PDF document Specific Treatment Options - stroke-transient ischaemic attack; NB. Superseded 2nd September 2009 (87 KB) 06/07/12
PDF document Trauma - trauma emergencies in adults (overview) (128 KB) 22/05/07
PDF document Trauma - abdominal trauma (83 KB) 22/05/07
PDF document Trauma - burns and scalds in adults (96 KB) 22/05/07
PDF document Trauma - electrocution (62 KB) 22/05/07
PDF document Trauma - head trauma (132 KB) 22/05/07
PDF document Trauma - the immersion incident (67 KB) 22/05/07
PDF document Trauma - limb trauma (115 KB) 22/05/07
PDF document Trauma - neck and back trauma (212 KB) 22/05/07
PDF document Trauma - thoracic trauma (111 KB) 22/05/07
PDF document Trauma - trauma in pregnancy (80 KB) 22/05/07
PDF document Obstetrics/Gynaecology - birth imminent-normal delivery/delivery complications (173 KB) 24/05/07
PDF document Obstetrics/Gynaecology - haemorrhage during pregnancy-miscarriage/ectopic pregnancy (82 KB) 24/05/07
PDF document Obstetrics/Gynaecology - pregnancy induced hypertension (including eclampsia) (63 KB) 23/05/07
PDF document Obstetrics/Gynaecology - vaginal bleeding: gynaecological causes (including abortion) (66 KB) 23/05/07
PDF document Resuscitation/Obstetrics/Gynaecology - effects of pregnancy on maternal resuscitation; NB. Superseded October 2010 (58 KB) 06/07/12
PDF document Assault/Abuse - safeguarding children (275 KB) 22/05/07
PDF document Assault/Abuse - sexual assault (55 KB) 22/05/07
PDF document Assault/Abuse - suspected abuse of vulnerable adults/recognition of abuse (233 KB) 24/05/07
PDF document Paediatric - medical emergencies in children (overview) (144 KB) 22/05/07
PDF document Paediatric - trauma emergencies in children (overview) (114 KB) 22/05/07
PDF document Paediatric - anaphylaxis/allergic reactions in children (66 KB) 22/05/07
PDF document Paediatric - asthma in children (65 KB) 22/05/07
PDF document Paediatric - burns and scalds in children (78 KB) 22/05/07
PDF document Paediatric - convulsions in children (78 KB) 22/05/07
PDF document Paediatric - dealing with the death of a child (SUDI) (76 KB) 22/05/07
PDF document Paediatric - glycaemic emergencies in children (65 KB) 22/05/07
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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;http://www.jrcalc.org.uk
 
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.