Skip to main content

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Drugs - Oxygen; NB Superseded 22nd April 2009 (55 KB) 06/07/12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 Superseded October 2010 (96 KB) 06/07/12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


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.