JRCALC receives no central funding or government support and consequently the committee are unable to host free access to the guidelines. The Intellectual Property Rights to the guidelines are held by AACE on behalf of the NHS ambulance services, and royalties from the publishing of guidelines are used to help support the functioning of JRCALC and the development of future guidance.

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. Standby CPD: evidence-based discussions on a wealth of anatomy, physiology, pathology and pharmacology topics. Recently published articles include CPR-induced consciousness, accidental hypothermia and falls in older people. A new issue is published every month.

Reviewed and updated by NARU. Updated guidance on Conducted Energy Devices (Tasers) and for their assessment, management and removal, Following a three-year cycle, it is likely that the next reference edition will be published in 2025. Updated guidance on mechanical chest compression devices and use of ultrasound. Other key changes include: ALS procedures (e.g. establishing vascular access) must not delay the transfer of the child to hospital – start and continue good-quality BLS on scene as the priority. Attempt ALS procedures en-route, if practical; oxygenation, ventilation and chest compressions remain the priority. Laryngoscopy remains an important skill for visually inspecting the oropharynx in choking and should be part of ongoing competency assessments.

This important eCPD event, designed for all paramedics, offered a unique opportunity to engage with the leaders and authors of the UK Clinical Practice Guidelines 2021.

Case scenarios on pre-hospital practice, covering a range of topics including overdose, paediatrics, pain management, head injury and sepsis. Once a tracheal tube is in place, continue continuous chest compressions with 10 gentle ventilations per minute. Avoid hyperventilation and high airway pressures during manual ventilation which adversely affect outcome.

There is no evidence that cooling patients post-ROSC is of benefit, but extremes of temperature are harmful. Some patients post-ROSC will have a mild hypothermia. Ensure that patients do not become colder by using no more clothing/blankets than is necessary. Vehicle heating is only required to provide a comfortable ambient temperature. TXA not indicated In a woman who is bleeding PV more than 500mls following therapeutic abortion (termination) or miscarriage, In the event of symptomatic bradycardia in children/infants, first ensure that hypoxia has been reversed (the commonest cause of bradycardia). 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. ParaPass is the perfect way to test your knowledge of the guidelines and will count towards your CPD Portfolio.Consider the administration of honey in children over the age of 12 months provided it is immediately available, the child is able to swallow and it is less than 12 hours since ingestion. Dose: 10 mL (2 teaspoons) every 10 minutes for up to 6 doses. DO NOT DELAY HOSPITAL TRANSFER First In-text citation: (Joint Royal Colleges Ambulance Liaison Committee and Association of Ambulance Chief Executives (JRCALC and AACE), 2019)

Joint Royal Colleges Ambulance Liaison Committee, Association of Ambulance Chief Executives. (2019). JRCALC Clinical Guidelines. Cited from: iCPG (2016) (Version XX) [Mobile application software]. Bridgwater: Class Publishing Ltd. Accessed XX.

Reference list entry: Joint Royal Colleges Ambulance Liaison Committee and Association of Ambulance Chief Executives (2019) JRCALC clinical guidelines[app]. Version XX. Bridgwater: Class Publishing. Available from https://jrcalcplus.co.uk[accessed XX].