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This 2017 supplement to the JRCALC guidelines provides an update on best practice in healthcare for out of hospital clinicians. It is produced in addition to the UK Ambulance Services Clinical Practice Guidelines 2016 and is an interim publication in advance of the JRCALC Clinical Practice Guidelines 2018. Key topics covered include: Maternity. These extensive, new, evidence-based guidelines include algorithms for the management of eclampsia, cord prolapse, post-partum haemorrhage, breech birth and shoulder dystocia. Photographs illustrating clinical skills are also presented. Sepsis. A completely new JRCALC guideline on the suspicion of sepsis, pathophysiology and use of the NEWS score. At risk groups in particular are covered: children, pregnant women and neutropenic patients. Trauma. Guidelines on limb, pelvic and thoracic trauma and spinal injury are brought up to date with NICE. Safeguarding adults and children, with discussion of sexual assault, domestic abuse and Prevent. Falls in older adults, with discussion on risk factors, psychology, assessment, management and referral. Pain management, covering chronic pain, balanced analgesia and dementia. Updated drug guidelines are also included in this supplement: 0.9% Sodium Chloride, Diazepam, Entonox, Hydrocortisone, Intravascular Fluid Therapy, Misoprostol, Oxygen, Paracetamol and Tranexamic Acid.
Combining expert advice with practical guidance, the Joint Royal Colleges Ambulance Liaison Committee Clinical Guidelines are the essential resource for paramedics. The guidelines are written specifically for the ambulance paramedic role, providing a comprehensive overview of the principle areas they may encounter, and supporting them in providing excellent patient care. This 2022 edition has been updated with the latest evidence and developments in clinical practice. Key reviews have taken place on guidelines within the Resuscitation and Special Situations sections, as well as updates to Maternity guidelines such as Care of the Newborn and Newborn Life Support. Medicine guidelines have been removed, but are available on the iCPG and JRCALC Plus apps, where they are regularly updated to ensure that the most up-to-date guidance is available to clinicians. The JRCALC Clinical Guidelines 2022 now contains crucial guidance on topics, including: Acute Behavioural Disturbance Alcohol use-disorders Low Back Pain (Non-Traumatic) Patients with Communication Difficulties Steroid-Dependent patients Vascular Emergencies. Medicine information and updates to guidelines are published on the JRCALC apps, iCPG and JRCALC Plus, as required. The JRCALC apps contain the complete and most current information.
The Joint Royal Colleges Ambulance Liaison Committee guidelines are the essential resource for paramedics. The 2019 edition of the book has been brought up to date with the latest evidence and developments in clinical practice. JRCALC combines expert advice with practical guidance to help paramedics in their challenging roles with the overall objective of improving patient care. Key updates are: •Resuscitation and cardiac arrest. The pathophysiology of cardiac arrest, checklist use and pulseless electrical activity is discussed extensively within the context of every day out of hospital practice. A new guideline on tracheostomy and laryngectomy is included, alongside clinical skills photographs. •Consent and patient confidentiality. The guideline is brought up to date with the Data Protection Act 2018 following the General Data Protection Regulations. •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 incapacitants. •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.
Driven by changes to clinical practice, new evidence-based research, and shifts in global economics and politics, the field of paramedic science is rapidly evolving. This new edition of Fundamentals of Paramedic Practice offers students and recently qualified practitioners an accessible and comprehensive introduction to paramedic science and pre-hospital care, providing expert and up-to-date guidance on the essential theories and real-world practice of this dynamic area of emergency medicine. Assuming no prior knowledge of the subject, this user-friendly textbook provides broad and inclusive coverage of topics including professionalism, law and ethics, assessment skills, research methods, pharmacology and more. Contributions from experienced paramedics and clinicians, contemporary case studies, full-colour illustrations and powerful pedagogical tools help students gain a thorough understanding of the essential components of paramedic practice. Employs a comprehensive, multidisciplinary approach to the study of paramedic practice, presenting theoretical and clinical topics in a straightforward and student-friendly manner New chapters on toxicology, medical terminology and low acuity care in paramedicine, with an increased focus on mental health Includes new end-of-chapter learning activities and quizzes, case studies and references, charts and diagrams Fundamentals of Paramedic Practice: A Systems Approach is an invaluable resource for undergraduate paramedic and emergency care students as well as qualified paramedics, clinicians and educators seeking an authoritative reference on current practice.
The multidisciplinary sub-specialty of Urgent Medical Care plays an increasingly important role in meeting the growing demands on the NHS. This is the first and only book in the UK specifically designed for clinicians preparing for urgent care postgraduate qualifications. Notes in Urgent Care brings together guidance, research and relevant clinical material in an easily accessible format. It addresses both management (operational and organisational) and clinical areas including emergency, time-critical conditions and symptom-related presentations. Written by Dr Martin McGrath, a General Practitioner, Honorary Professor, urgent care clinician and clinical director of one of the country's largest primary care networks, this book will be useful for all clinicians working in urgent, unscheduled, remote and rural environments. - Suitable as a study aid for the Royal College of Surgeons of Edinburgh's Diploma in Urgent Medical Care - Clinical information condensed into a concise, easily accessible and relevant format - Urgent conditions broken down by specialty - Useful tips for working in urgent medical care systems, using technology, risk management and human factors
Clinical Cases in Paramedicine provides students, educators, and early career paramedics with a diverse range of detailed case studies that realistically represent the conditions, scenarios, and challenges encountered in practice. Integrating evidence-based cases and expert insights from leading academics and practitioners, this engaging resource helps readers develop appropriate decision-making skills and apply theoretical concepts to practical situations. Organised by medical presentations and body systems, the text provides readers with a systematic framework that mirrors how paramedics assess cases in the real world. Throughout the text, cases of varying levels of complexity are designed to meet the needs of Case-Based Learning (CBL) and Problem-Based Learning (PBL) curricula used in paramedic training programmes worldwide. Each chapter contains six case studies—introductory, intermediate, and advanced—and features interactive learning activities, discussion questions, practical tips, and authoritative guidance aligned to national and international best-practice standards. Case studies illustrate scenarios related to trauma, medical emergencies, obstetrics, respiratory and cardiac events, minor injuries, drug overdoses, and many others. This comprehensive resource: Features case studies of varying lengths and degrees of complexity to suit different readers, from student to professional Suitable for use in many international programmes Offers chapter introductions and summaries, practice questions, and additional online resources Contains clinical, legal, ethical, cultural, remote and rural case studies Includes a cumulative and comprehensive "Test Your Knowledge" concluding chapter Those studying or working in paramedicine must keep pace with changes in the field using the latest evidence and expert opinion. Clinical Cases in Paramedicine is an essential volume for paramedic students and early-career professionals, as well as educators, lecturers, and trainers.
The latest edition of this popular volume has been fully updated throughout to meet the needs of the 2018 NMC Standards of Proficiency. Richly illustrated throughout, the book comes with 'real-life' Case Studies to help readers contextualise and apply new information, pathophysiology to explain disease processes, enhanced discussion of pharmacology and medicines management to assist with 'prescribing readiness', and helpful learning features which include Key Nursing Issues and Reflection and Learning – What Next? Available with a range of supplementary online tools and learning activities, Alexander's Nursing Practice, fifth edition, will be ideal for all undergraduate adult nursing students, the Trainee Nursing Associate, and anyone returning to practice. - New edition of the UK's most comprehensive textbook on Adult Nursing! - Retains the popular 'three-part' structure to ensure comprehensive coverage of the subject area – Common Disorders, Core Nursing Issues and Specific Patient Groups - Illustrative A&P and pathophysiology help explain key diseases and disorders - 'Real-life' Case Studies help contextualise and apply new information - Explains relevant tests and investigations and, when needed, the role of the nurse in the context of each of them - Helpful learning features include Key Nursing Issues and Reflection and Learning – What Next? - Encourages readers to critically examine issues that are related to care provision - Useful icons throughout the text directs readers to additional online material - Glossary contains over 300 entries to explain new terminology and concepts - Appendices include notes on Système International (SI) units and reference ranges for common biochemical and haematological values - Perfect for second and third-year undergraduate nursing students, senior Trainee Nursing Associates, those 'returning to practice' or needing to review practice and prepare for revalidation - Edited by the world-renowned Ian Peate – editor of the British Journal of Nursing – who brings together a new line up of contributors from across the UK and Australia - Reflects contemporary issues such as the complexity of acute admissions and the increasing importance of the multidisciplinary approach to patient care - Reflects the 2018 NMC Standards of Proficiency for Nurses and the NMC 2018 Code - Helps prepare students for 'prescribing readiness', with basic principles of pharmacology, evidence-based person-centred approaches to medicines management and an understanding of the regulatory, professional legal and ethical frameworks - Recognises the introduction of the Nursing Associate role in England
Pediatric Education for Prehospital Professionals (PEPP), United Kingdom Revised Third Edition represents a comprehensive source of prehospital medical information for the emergency care of infants and children. PEPP is designed to give prehospital professionals the education, skills, and confidence they need to effectively treat pediatric patients. Developed by the American Academy of Pediatrics, PEPP specifically teaches prehospital professionals how to better assess and manage ill or injured children. PEPP combines comprehensive medical content with dynamic features and an interactive course to fully prepare prehospital professionals to care for children in the field.New to the Revised Third Edition:Meets 2015 CPR and ECC GuidelinesThe textbook content addresses every pediatric-specific competency statement in the National EMS Education StandardsShock and resuscitation content is covered in two separate chapters, placing more emphasis on these critical topicsA top-flight EMS author team working in conjunction with AAP physician reviewers ensures exceptional medical content with a “street” focusA free eBook is included with every printed copy of the Revised Third EditionFeatures include:The Pediatric Assessment Triangle (PAT) represents the essence of the PEPP patient assessment method, which includes assessing appearance, work of breathing, and circulation to the skinThe Patient Assessment Flowchart provides students with an easy-to-understand reference of the pediatric patient assessment processCase Studies provide an opportunity for critical thinking and encourage students to consider how they would treat a similar case in the fieldProcedures provide written step-by-step explanations and visual summaries of important BLS and ALS pediatric skillsInteractive Course and Flexible Course Options:PEPP Course Coordinators now have the option of offering onsite or hybrid coursesThe hybrid course includes engaging, interactive online modules that students complete before attending the onsite portion of the course for scenarios and hands-on skill stationsThe onsite course includes case-based lectures, live-action video, small group scenarios, and hands-on skill stationsA new renewal course for providers to keep up-to-date with their skillsThe BLS course is geared toward Emergency Medical Responders and EMTs, while the ALS course is ideal for AEMTs and Paramedics. Learn more about the PEPP course at www.PEPPsite.com. *Note: Access to the online modules can be purchased separately. Select the Student Resources tab above to purchase, or click the links below:BLS Pretest AccessALS Pretest AccessBLS Hybrid AccessALS Hybrid Access*PEPP Precourse Module access codes are not available in the eBook version.
Casualty care and first aid is an integral part of the fire and rescue services’ role and firefighters have always worked closely with pre-hospital medical providers in their aim to save lives. As the fire services are now increasingly involved in the delivery of medical care through co-responding schemes, casualty care and first aid training has become crucial for firefighters to provide initial assessment and care of patients when responding to a variety of medical emergencies. This textbook, written by an experienced team of firefighters and paramedics, is an essential guide to life saving care and has been specifically written for firefighters already employed or undertaking training within a fire and rescue service. Casualty Care for Fire and Rescue combines a skills-based practical approach with clinical knowledge and covers a range of urgent care that firefighters deliver and respond to, including trauma injuries, burns, road traffic collisions and cardiac arrest. The book is up to date with the latest policy and research, and addresses legal issues and clinical governance. A multi-disciplinary approach is taken throughout, and is explored in detail in a chapter on working with healthcare professionals. Chapters are also illustrated with photographs and anatomical diagrams to support understanding. Contents include: Working with Other Health Professionals; Communication; Clinical Governance, Legal and Ethical Issues; Safeguarding Adults and Children; Health and Safety; Manual Handling; Drug Administration; Scene Assessment; Patient Assessment; Airway; Breathing; Circulation; Disability; Exposure/Environment; Medical Emergencies; Trauma Emergencies; Cardiac Arrest; Children and Infants; Mental Health; Older People and Frailty