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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.
A concise and accessible text designed for paramedics and student paramedics looking for a quick reference guide to key assessment skills
This new open access edition supported by the Fragility Fracture Network aims at giving the widest possible dissemination on fragility fracture (especially hip fracture) management and notably in countries where this expertise is sorely needed. It has been extensively revised and updated by the experts of this network to provide a unique and reliable content in one single volume. Throughout the book, attention is given to the difficult question of how to provide best practice in countries where the discipline of geriatric medicine is not well established and resources for secondary prevention are scarce. The revised and updated chapters on the epidemiology of hip fractures, osteoporosis, sarcopenia, surgery, anaesthesia, medical management of frailty, peri-operative complications, rehabilitation and nursing are supplemented by six new chapters. These include an overview of the multidisciplinary approach to fragility fractures and new contributions on pre-hospital care, treatment in the emergency room, falls prevention, nutrition and systems for audit. The reader will have an exhaustive overview and will gain essential, practical knowledge on how best to manage fractures in elderly patients and how to develop clinical systems that do so reliably.
The Mental capacity Act 2005 provides a statutory framework for people who lack the capacity to make decisions for themselves, or for people who want to make provision for a time when they will be unable to make their own decisions. This code of practice, which has statutory force, provides information and guidance about how the Act should work in practice. It explains the principles behind the Act, defines when someone is incapable of making their own decisions and explains what is meant by acting in someone's best interests. It describes the role of the new Court of Protection and the role of Independent Mental Capacity Advocates and sets out the role of the Public Guardian. It also covers medical treatment and the way disputes can be resolved.
This book provides a basic clinical guide to the principles and practice of artificial ventilation, both manual and mechanical. It covers the development of artificial ventilation through the ages and the essential anatomy and physiology behind it. While there are many detailed texts available on mechanical ventilation, they are usually aimed at the hospital specialist and cover the many complex modes of ventilation used in the hospital setting.This book covers the basics of airway and ventilation management for non-specialists working in pre-hospital and emergency medicine. It fulfils the need for a resource that explains simply and clearly basic respiratory physiology, the pathophysiology behind respiratory failure and the practical aspects of artificial ventilation. This book links the two areas of hospital and pre-hospital practice together to promote better understanding of artificial ventilation by medical, paramedical and nursing personnel working in different fields of medicine.
Pediatric Resuscitation is reviewed in this issue of Pediatric Clinics of North America, guest edited by Drs. Steve Schexnayder and Arno Zaritsky. Authorities in the field have come together to pen articles on Background and Epidemiology; CPR - Why the New Emphasis?; Airway Management; Arrthymias, Cardioversion, and Defibrillation; Vascular Access and Medications; Medical Emergency Teams; Teamwork in Resuscitation; Resuscitation Education; Outcome Following Cardiac Arrest; Extracorporeal Life Support during CPR; Post-resuscitation Care; and Future Directions.
Fully updated for a second edition, the Oxford Handbook of Pre-hospital Care is the invaluable guide to providing high-quality care in a pre-hospital environment. Evidence-based and reflecting new developments in regulation and practice, this second edition is designed to provide key information for all immediate care practitioners, including doctors, paramedics, emergency medical technicians, and community responders. The text has been cross-referenced with the Joint Royal Colleges Ambulance Liaison Committee (JRCALC) handbook to ensure full clinical relevance. Reflecting the major advances in delivery of pre-hospital care, including the greater survival benefits for heart attacks and major trauma when delivering patients directly to higher levels of care, the evolution of the paramedic role into critical care paramedics, roadside rapid sequence induction of anaesthesia, and the introduction of mechanical chest compression devices, this new edition is the ideal companion for those involved in delivering pre-hospital care. It also links to relevant online databases and mobile apps that can assist with calculations, and contains key algorithms and formulae to ensure good care. The Oxford Handbook of Pre-hospital Care is the comprehensive quick-reference guide to all medical and trauma conditions regularly encountered in the immediate care setting.
An essential text for the aspiring student paramedic, Fundamentals of Paramedic Practice makes paramedic science and pre-hospital care accessible, straightforward and exciting. It assumes no prior knowledge of the subject, presenting the must-have information that students need about both the theory and practice of what it means to be a paramedic. With extensive full-colour illustrations throughout, as well as activities and scenarios, this user-friendly textbook will support paramedic students throughout their course.
Brought up-to-date with the latest guidance, research and policy, this second edition of Ambulance Care Practice is an essential guide for paramedic students, trainee associate ambulance practitioners, those studying towards a certificate in first response emergency care and other ambulance clinicians. It provides a complete overview of the key skills, knowledge and understanding required to work at ambulance associate practitioner level or similar within the ambulance service, covering theoretical aspects and practical application, as well as a range of different clinical procedures and patient populations. Key features include: •Clearly illustrated, step-by-step instructions for range of essential clinical skills and procedures including how to handle different types of trauma and cardiac arrest •Detailed anatomical diagrams to provide the reader with the necessary context to carry out the practical elements of their job •Evidence-based throughout and up-to-date with the latest guidance, policy and research •Specific chapters on each area of patient assessment and specific patient populations and how to manage these effectively •Chapters relevant to associate practitioner level including drug administration, mental health and end of life care as well as an in-depth chapter on assisting the paramedic. ∙ In line with the National Education Network for Ambulance Services standards The book covers learning objectives from a range of courses offered by ambulance services. It is an essential resource for anyone wanting to prepare themselves for a role within the ambulance service as well as those hoping to become a more effective member of an emergency ambulance crew.
'I can enthusiastically recommend the Manual of Clinical Paramedic Procedures as the book that I wish had been available to me when I was studying to become a paramedic.' From the foreword by Professor Malcolm Woollard, Chair, College of Paramedics; Professor in Pre-hospital and Emergency Care & Director, Pre-hospital, Emergency & Cardiovascular Care Applied Research Group, Coventry University Clinical procedures are a fundamental aspect of care for practitioners working in pre-hospital settings. The Manual of Clinical Paramedic Procedures is written specifically to support the practice of paramedics, ambulance technicians, first responders and volunteer ambulance personnel. It presents up-to-date, evidence-based expert knowledge, enabling paramedics to deliver effective, patient-focused care. This accessible handbook provides a comprehensive exploration of core competencies and skills, looking at topics including Aseptic Technique, Airway Management, Assisted Ventilation, Cardiopulmonary Resuscitation, Defibrillation and External Cardiac Pacing, Observations, Pain Assessment & Management, Respiratory Therapy, Spinal Management and Venepuncture. Each chapter provides the relevant anatomy & physiology, evidence-based rationales for each procedure, and contraindications of use. Key features: The first UK text to explore clinical procedures for paramedics With further reading and illustrations throughout All procedures include the rationale for the action recommended Guides paramedics in the clinical application of evidence-based procedures