Bundle: JRCALC 2016 Clinical Practice Guidelines PLUS Supplementary Guidelines 2017 The Clinical Practice Guidelines are the essential resource for ambulance clinicians. The Association of Ambulance Chief Executives, the Joint Royal Colleges Ambulance Liaison Committee and the National Ambulance Service Medical Directors welcome the publication of the 2016 edition, now bundled with the JRCALC Clinical Practice Supplementary Guidelines 2017. The 2017 supplement provides an update on best practice in healthcare for out of hospital clinicians and is produced in addition to the UK Ambulance Services Clinical Practice Guidelines 2016. It is an interim publication in advance of the JRCALC Clinical Practice Guidelines 2018. The Update Analysis for the 2017 Supplementary Guidelines is available to download here. Key topics covered by the 2017 Supplement 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. Key updates for the 2016 include: - An extensive revision of Section 2: Resuscitation, based on the 2015 Resuscitation Council UK guidance - A completely new guideline on the management of end of life care in the pre-hospital setting - Expanded recommendations on caring for people with - mental health illnesses, including how to operate within the Mental Capacity Act
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