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JRCALC Study Day

Date: 25 Sep, 2017

Time: 09.00 - 17.00

Address: Holiday Inn, Queen's Dr, Wakefield WF5 9BE, Yorkshire

Event Information

A joint event between the College of Paramedics and the Association of Ambulance Chief Executives (AACE)

Introducing the new and updated Clinical Guidelines with special focus on Obs, Gynae, Sepsis and Falls in the Older Adults.

Includes lunch, refreshments and CPD certificates.

 08.00     Early Arrivals Tea, Coffee & Bacon Roll. Registration Desk Open
 09.15   General Update

 Maternity #1

 The two maternity sessions will be a practical and pragmatic update covering aspects of the revised content:

 - Maternity care
 - Birth imminent – including complex issue like shoulder dystocia and breech delivery
- Haemorrhage in pregnancy – early pregnancy (inc ectopic), antepartum and postpartum
- Hypertension in pregnancy
- Bleeding from gynaecological causes
- Maternal resuscitation (including perimortem caesarean section)
- Neonatal resuscitation

The sessions will be presented by Amanda Mansfield & Kim Hinshaw

Mr Kim Hinshaw  MB BS FRCOG
Kim has been a Consultant Obstetrician & Gynaecologist in Sunderland since 1994, and is Director of Research & Innovation for the Trust. He is a Visiting Professor at the University of Sunderland. His clinical interests include high-risk pregnancy, obstetric ultrasound/fetal medicine and labour ward care. He has been involved in training in human factors and ‘hands-on’ skills/drills training in obstetric emergencies for many years. He has chaired the UK Working Group which developed the 'Pre-hospital Obstetric Emergency Training' (POET) course and has contributed several book chapters relevant to EMS practitioners (including the POET course manual).

 Amanda Mansfield BSc (Hons), MSc, PGDip, PGCert in Supervision of Midwives, RN, RM, FPOS
Amanda has worked as a Consultant Midwife for the past 14 years leading service improvement in all maternity settings and has a passion for pre-hospital maternity care. She works for the London Ambulance Service three days a week and has established multidisciplinary training with midwives and ambulance clinicians across London.   She is committed to team working to promote safety in care delivery and the improvement of outcomes.  Amanda represent the Royal College of Midwives on the Joint Royal Colleges Ambulance Liaison Committee and is an instructor on the Pre-Hospital Obstetric Emergencies training course.


 10.30   Refreshments & Exhibitors

 Maternity #2



 Falls in the Older Adult, Dr Alison Walker

 This session will cover:

  • Falls in older adults: the need for a comprehensive assessment 
  • Risk factors and Classification of falls.
  • Medical causes of falls, dementia or delirium... or both?
  • "Polypharmacy"
  • "Long lies"


Dr Alison Walker has been a pre-hospital clinician for over 20 years, an Emergency Medicine Consultant with a Specialist interest in Prehospital Care and an immediate care doctor. She has been a Royal College of Emergency Medicine JRCALC Committee member for over 10 years and was previously an Ambulance Service and Air Ambulance Medical Director.She is a Clinical Research Network Divisional lead including for Injuries and Emergencies and has published on ambulance service clinical pathways. She is the co-chair for the JRCALC Older People who Fall Guideline Group and was the ambulance service lead author for the "Silver Book".



 12.30    Lunch
 13.30   So What’s Changed? 
This session will outline the guidelines process and future developments including electronic publications.

Simon Brown, Chairman JRCALC Guidelines sub-committee, Assistant Medical Director SCAS, Thames Valley Air Ambulance Clinical lead, GP Sandhurst 

 Safeguarding in the Ambulance Service – National Perspective

This session will cover: How relevant safeguarding is for front line staff; The wider remit of a safeguarding agenda; challenges in raising the profile of safeguarding; national data/benchmarking and its implications; and 
Successes and next steps.

Sarah Thompson, Deputy Director of Nursing, South Western Ambulance Service NHS Foundation Trust.

Sarah, a registered nurse since 1986, has worked in the field of safeguarding for the past 20 years in varied positions - as a frontline Health Visitor, Safeguarding Clinical Advisor, Named Nurse and in the past 4 plus years as the Head of Safeguarding/Designated Officer for Allegations in South Western Ambulance Service ( SWAST). She holds an MA in Child Care law and Practice and is currently Deputy Director of Nursing in SWAST the portfolio of which also includes the Staff Welfare Service, Patient and Public Engagement, Designated Officer for Allegations and CQC compliance. She is married, has four children and lives on the Dorset Coast. 


 Sexual Assault
A call from a distressed rape victim presents challenging moral and ethical dilemmas for any healthcare professional.  Rape occurs every 11 hours in the UK, yet myths prevail, based on misinformation, ignorance and narcissistic needs for attribution amongst those believing victims: “asked for it”. 
This session will briefly address those myths and consider a different approach underpinned by the new JRCalc guidelines, where, in prioritising the needs of the victim we can improve both the immediate care and the long term outcomes for these vulnerable patients. 

Sam Thompson, Forensic Paramedic, Kent Police and Senior Lecturer at St George’s, University of London.

 14.45   Refreshments 

 Trauma & Medical Conditions in the Older Patient

This session covers: 

  • Silver Trauma: why it's different.
  • Focus on chest and spine/spinal cord trauma
  • "Minor" injuries
  • Additional assessment and investigations.
  • How to decide on the plan?
  • MECC/prevention of falls


Dr Alison Walker

 16.00  Panel Q&As
 16.30  Depart


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