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 | This article needs to be updated.(April 2021) |
Joint Royal Colleges Ambulance Liaison Committee | |
| JRCALC | |
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| Founded | 1989 |
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| Website | www |
JRCALC is the Joint Royal Colleges Ambulance Liaison Committee. [1] Their role is to provide robust clinical speciality advice to ambulance services within the UK and it publishes regularly updated clinical guidelines[ citation needed ]. The first meeting of JRCALC was in 1989 and was hosted by the Royal College of Physicians, London.[ citation needed ]
The guidelines are supposed to be produced from evidence-based medicine. However, organisations such as the College of Paramedics have criticised the committee for poor reference to available evidence in the past. [2]
JRCALC have produced a number of systematic reviews on various topics. [3] Available evidence is researched and discussed by a team of academics and clinicians including representatives from all UK ambulance services, and a number of medical disciplines.[ citation needed ] The Guidelines are produced by the JRCALC Guideline Development Group (JRCALC-GDG) hosted by the University of Warwick. [4]
The guideline development group relies upon the unpaid work of numerous clinicians to complete the systematic reviews to support the guidelines. [5]
Evidence-based medicine (EBM) is "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients." The aim of EBM is to integrate the experience of the clinician, the values of the patient, and the best available scientific information to guide decision-making about clinical management. The term was originally used to describe an approach to teaching the practice of medicine and improving decisions by individual physicians about individual patients.
A paramedic is a healthcare professional trained in the medical model, whose main role has historically been to respond to emergency calls for medical help outside of a hospital. Paramedics work as part of the emergency medical services (EMS), most often in ambulances. They also have roles in emergency medicine, primary care, transfer medicine and remote/offshore medicine. The scope of practice of a paramedic varies between countries, but generally includes autonomous decision making around the emergency care of patients.
The National Institute for Health and Care Excellence (NICE) is an executive non-departmental public body, in England, of the Department of Health and Social Care, that publishes guidelines in four areas:
A medical director is a physician who provides guidance and leadership on the use of medicine in a healthcare organization. These include the emergency medical services, hospital departments, blood banks, clinical teaching services and others. A medical director devises the protocols and guidelines for the clinical staff and evaluates them while they are in use.
Clinical governance is a systematic approach to maintaining and improving the quality of patient care within the National Health Service (NHS) and private sector health care. Clinical governance became important in health care after the Bristol heart scandal in 1995, during which an anaesthetist, Dr Stephen Bolsin, exposed the high mortality rate for paediatric cardiac surgery at the Bristol Royal Infirmary. It was originally elaborated within the United Kingdom National Health Service (NHS), and its most widely cited formal definition describes it as:
A framework through which NHS organisations are accountable for continually improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish.
Sir Robert Milton Worcester, is an American-born British pollster who is the founder of MORI and a member and contributor to many voluntary organisations. He is a well-known figure in British public opinion research and political circles and as a media commentator, especially about voting intentions in British and American elections.
The British Columbia Ambulance Service (BCAS) is an ambulance service that provides emergency medical response for the province of British Columbia, Canada. BCAS is one of the largest providers of emergency medical services in North America. The fleet consists of more than 500 ground ambulances operating from 183 stations across the province along with 80 support vehicles. Additionally, BCAS provides inter-facility patient transfer services in circumstances where a patient needs to be moved between health care facilities for treatment. BCAS also operates a medical evacuation program that utilizes both fixed-wing and rotary aircraft.
The Beers Criteria for Potentially Inappropriate Medication Use in Older Adults, commonly called the Beers List, are guidelines published by the American Geriatrics Society (AGS) for healthcare professionals to help improve the safety of prescribing medications for adults 65 years and older in all except palliative settings. They emphasize deprescribing medications that are unnecessary, which helps to reduce the problems of polypharmacy, drug interactions, and adverse drug reactions, thereby improving the risk–benefit ratio of medication regimens in at-risk people.
A hierarchy of evidence, comprising levels of evidence (LOEs), that is, evidence levels (ELs), is a heuristic used to rank the relative strength of results obtained from experimental research, especially medical research. There is broad agreement on the relative strength of large-scale, epidemiological studies. More than 80 different hierarchies have been proposed for assessing medical evidence. The design of the study and the endpoints measured affect the strength of the evidence. In clinical research, the best evidence for treatment efficacy is mainly from meta-analyses of randomized controlled trials (RCTs). Systematic reviews of completed, high-quality randomized controlled trials – such as those published by the Cochrane Collaboration – rank the same as systematic review of completed high-quality observational studies in regard to the study of side effects. Evidence hierarchies are often applied in evidence-based practices and are integral to evidence-based medicine (EBM).
Emergency medical personnel in the United Kingdom are people engaged in the provision of emergency medical services. This includes paramedics, emergency medical technicians and emergency care assistants. 'Paramedic' is a protected title, strictly regulated by the Health and Care Professions Council, although there is tendency for the public to use this term when referring to any member of ambulance staff.
The Users’ Guides to the Medical Literature is a series of articles originally published in the Journal of the American Medical Association, later rewritten and compiled in a textbook, now in its third edition. The guides provide practical, clinician-friendly advice on all aspects of evidence-based medicine.
Emergency medical services in New Zealand are provided by the Order of St John, except in the Greater Wellington region where Wellington Free Ambulance provides these services. Both have a history of long service to their communities, St John since 1885 and Free beginning in 1927, traditionally having a volunteer base, however the vast majority of response work is undertaken by paid career Paramedics. Strategic leadership of the sector is provided by NASO which is a unit within the Ministry of Health responsible for coordinating the purchasing and funding of services on behalf of the Ministry and the Accident Compensation Corporation.
Kevin Joseph Michael Gournay CBE FMedSci FRCN FRSM FRCPsych (Hon) PhD RN CSci Cert CBT is a registered psychologist, chartered scientist and a registered nurse by background. He is an emeritus professor at the Institute of Psychiatry, King's College London. He was a consultant psychologist at the Priory Hospital North London; retiring in December 2018. He has now returned to clinical work as part of the response to COVID19. He is currently an Honorary Professor at the Matilda Centre; University of Sydney., where his work focusses on the impact of COVID19 on mental health and the combination of mental health problems and substance use. He has been responsible over many years for a very wide range of research, policy and practice development in mental health care. He also works as an Expert Witness; he has provided reports on more than 300 suicides; 20 homicides and hundreds of reports on people who have suffered the consequences of traumatic events, including accidents, terrorist related incidents, natural disasters, war related events and stillbirth and perinatal death. He has also provided numerous reports on patients receiving care and treatment in high secure and Medium secure settings, including Broadmoor, Rampton and Ashworth hospitals
The College of Paramedics is the recognised professional body for paramedics in the United Kingdom. The role of the College is to promote and develop the profession across England, Scotland, Wales and Northern Ireland.
Professor David James Kerr CBE is a British Cancer Researcher. His primary area of research is treatment and management of colorectal cancer.
The British Society of Urogynaecology (BSUG) is a professional society in the United Kingdom for urogynaecologists.
Beverley Jane Hunt is professor of thrombosis and haemostasis at King's College, London, consultant in the departments of haematology, rheumatology and pathology and director of the Haemostasis Research Unit at Guy's and St Thomas' Foundation Trust, medical director of Thrombosis UK and previous president of Walthamstow Hall Old Girls Association. She was educated at Walthamstow Hall and University of Liverpool.
Douglas Anthony Chamberlain, is a British cardiologist who founded the first paramedic unit in Europe, revolutionising pre-hospital clinical care.
The European Society of Clinical Microbiology and Infectious Diseases (ESCMID) is a non-profit scientific international organization with headquarters in Basel, Switzerland. Its mission is to improve the diagnosis, treatment and prevention of infection-related diseases by promoting and supporting research, education, training, and good medical practice. An important activity of the society is the organization of the annual scientific congress ECCMID. This is recognized as the largest international forum for disseminating research in the fields of medical microbiology and infectious diseases for experts in academia, clinical settings and industry. The congress began as a biennial event, with about 1,500 participants at its inaugural occurrence in 1983. It became an annual event in the year 2000, and it has grown since then, now attracting around 14,000 participants annually. More than 5,000 scientific abstracts are submitted for inclusion each year by researchers from multiple countries. The most recent ECCMID was held in April 2023 in a hybrid format, both online and onsite in Copenhagen, Denmark.
Rosalind Raine is a British applied health research scientist, public medicine doctor, professor of health care evaluation and the founding head of the Department of Applied Health Research at University College London (UCL).
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