RCUK draft 'Emergency treatment of anaphylaxis guidelines for healthcare providers'
National Institute of Health Research Incubator for Emergency Medicine - update
The College has undertaken a review of the latest Resuscitation Council UK (RCUK) guidelines on the emergency treatment of anaphylaxis guidelines for healthcare providers. Following a wider request for views, the College has made several recommendations which included:
• To include non-doctor roles (e.g. Specialist / Advanced Paramedic) within examples of those who may have the experience and knowledge of the safe use of IV vasopressors.
• To seek clarification on the RCUK position that to administer adrenaline as an emergency drug, you must be “working within the standards of the relevant regulator (e.g. Nursing & Midwifery Council; Health & Care Professionals Council)”. This statement appears at odds with schedule 19 of the human medicines regulation. The College of Paramedics recognises non-registered ambulance colleagues play a vital role in the prompt management of anaphylaxis in the community and therefore should not be excluded by the RCUK guidelines.
Response to HSIB ‘Thrombolysis Consultation’.
Following an investigation completed by the Healthcare Safety Investigation Branch (HSIB) the College of Paramedics was asked to comment on the draft report into heart attack care which includes the issue of thrombolysis and its place in the care of patients within ambulance services. Working with colleagues from the Association of Ambulance Chief Executives (AACE) the College has submitted its comments to HSIB and we await further communication on the publication date of this report.
Consultation response for the final recommendations on the urgent and emergency care (UEC) standards from the Clinically-led Review of NHS Standards (CRS).
Following a review by NHSE/I around the four-hour target for EDs, a set of recommendations were drafted and were circulated for comment by all the relevant organisations and interested parties, of which the College of Paramedics was one. The new recommendations are set to include ambulance response times, metrics on non-conveyance & hospital handover delays amongst others. The College provided a detailed response to the consultation which highlighted both areas of support and aspects of concern for the various proposed recommendations. In particular, the College welcomes measures that strive to improve ambulance response times, support appropriate non-conveyance to hospital and reduce hospital handover delays which clearly benefits both our members and our patients. However, the College highlighted that it is vital that new targets do not place unnecessary pressure on paramedics and ambulance clinicians to not convey patients to hospital. The College feels that safe non-conveyance is only possible with increased education, training and clinical feedback processes for paramedics and ambulance clinicians, coupled with 24/7 access to appropriate community treatment / social care pathways which are supported by access to senior clinicians for shared decision making.
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I represent the College of Paramedics on this incubator which really has not been in existence for very long and, added to that over the past 15 months it has been relatively inactive due to COVID-19.
It is hosted by RCEM but involves researchers involved in emergency medicine from allied health professions, nursing, and medicine.
for more information.
Professor Rick Body has led the Incubator from the beginning and has decided to stand down so two new Co Chairs have been appointed this year:
• Professor Heather Jarman
• Dr Ed Carlton
Rick has done an amazing job getting this incubator up and running and we are grateful for all of his hard work and, we now look forward to working alongside Ed and Heather.
We had a meeting this week and are looking to get the activities of the Incubator back on track. This forum will offer future opportunities for people from a variety of healthcare professions interested in research in Emergency Medicine. I will keep you up to date with developments. Please note I am also looking for opportunities to collaborate with organisations who we can work with to develop resources for paramedics working in non-emergency medicine settings.
Professor Julia Williams FCPara, Head of Research, College of Paramedics