JRCALC indications Flashcards
Adrenaline (ADM/ADX)
Indications
Cardiac Arrest (IV)
Anaphylaxis (IM)
Life-threatening Asthma with failing ventilation unresponsive to nebuliser therapy (IM)
Amiodarone (AMO)
Indications
Cardiac Arrest - shockable rhythms unresponsive to defibrillation.
Aspirin (ASP)
Indications
Adults with clinical or ECG evidence of MI or ischaemia
Atropine (ATR)
Indications
Symptomatic bradycardia in presence of any of:
- Absolute bradycardia (pulse <40 beats per minute).
- Systolic blood pressure below expected for age
- Paroxysmal ventricular arrhythmias requiring suppression.
- Inadequate perfusion causing confusion, etc.
- Bradycardia following return of spontaneous circulation (ROSC).
Benzylpenicillin (BPN)
Indications
Suspected meningococcal disease in the presence of a non-blanching rash and signs and symptoms of meningococcal septicaemia.
Chlorphenamine (CPH)
Indications
Severe anaphylactic reactions (2ndry to ADM)
Symptomatic allergic reaction falling short of anaphylaxis but causing patient distress.
Clopidogrel (CLO)
Indications
Acute STEMI:
- in pts not already taking clopidogrel
- receiving thrombolytic treatment
- anticipated thrombolytic treatment
- anticipated Primary PCI
Dexamethasone (DEX)
Indications
Moderate/severe croup
Diazepam (DZP)
Indications
- Fits longer than 5 mins and still fitting
- Repeated fits - not 2ndry to hypothermia or hypoglycaemia
- Status epilepticus
- Eclamptic fits (if >2-3mins or recurrent)
Furosemide (FRM)
Indications
Pulmonary oedema secondary to LVF
Entonox (NOO)
Indications
- Moderate to severe pain
- Labour pains
Glucagon (GLU)
Indications
- Hypoglycaemia (BM <4 millimoles per litre)
- If oral glucose administration is not possible or ineffective
Glucose 10% (GLX)
Indications
Hypoglycaemia
Glucose 40% Oral Gel (GLG)
Indications
Hypoglycaemia in conscious pt with no risk of choking or aspiration
Glyceryl Trinitrate (GTN) Indications
- Cardiac chest pain due to angina or MI
- Acute cardiogenic pulmonary oedema
Hydrocortisone (HYC)
Indications
- Severe or life-threatening asthma - call to hospital time is >30mins
- Anaphylaxis
- Adrenal crisis
Ibuprofen (IBP)
Indications
- Relief of mild to moderate pain and/or high temperature
- Soft tissue injuries
- Part of balanced analgesia regimen
Ipratropium Bromide (IPR) Indications
- Acute severe or life-threatening asthma
- Acute asthma unresponsive to salbutamol
- Exacerbation of COPD unresponsive to salbutamol
Morphine sulphate (MOR) Indications
- Pain associated with suspected myocardial infarction (analgesic of first choice).
- Severe pain as a component of a balanced analgesia regimen.
Adults at the End of Life
- A patient’s own medication for pain or breathlessness has not been prescribed.
- The patient’s own medication is not yet available or has run out.
- Medicines are in place without a patient-specific document signed by an independent prescriber.
Naloxone Hydrochloride (NLX) Indications
- Opioid overdose producing resp, CVS or CNS depression.
- Overdose of opioid analgesic or compound analgesic.
- Unconsciousness with resp depression where opioid overdose is possible.
- Reversal of neonatal respiratory or CNS depression where maternal opioid use during labour (unless mother is opioid addicted).
Ondansetron (ODT)
Indications
- Prevention and treatment of opioid-induced nausea and vomiting.
- Treatment of nausea & vomiting.
- Travel sickness in children.
Oxygen (OXG) - High flow rate
Indications
Critical Illnesses (e.g.):
- Cardiac arrest/resus
- Major Trauma
- Active convulsions
- Anaphylaxis
- Carbon monoxide poisoning
- Hypothermia
- Major pulmonary haemorrhage
- Sepsis (e.g. Meningococcal septicaemia)
- Shock
Oxygen (OXG) - High flow rate
Indications
Critical Illnesses (e.g.):
- Cardiac arrest/resus
- Major Trauma
- Active convulsions
- Anaphylaxis
- Carbon monoxide poisoning
- Hypothermia
- Major pulmonary haemorrhage
- Sepsis (e.g. Meningococcal septicaemia)
- Shock
Oxygen (OXG) - High flow rate
Indications
Critical Illnesses (e.g.):
- Cardiac arrest/resus
- Major Trauma
- Active convulsions
- Anaphylaxis
- Carbon monoxide poisoning
- Hypothermia
- Major pulmonary haemorrhage
- Sepsis (e.g. Meningococcal septicaemia)
- Shock
Oxygen (OXG) - Moderate flow rate
Indications
Serious illnesses (e.g.):
- Acute Hypoxaemia
- Deterioration of lung fibrosis or other interstitial lung disease.
- Acute asthma
- Acute heart failure
- Pneumonia
- Lung cancer
- Postoperative breathlessness
- Pulmonary embolism
- Pleural effusions
- Pneumothorax
- Severe anaemia
- Sickle cell crisis
Oxygen (OXG) - controlled or low flow rate
Indications
- COPD
- Exacerbation of cystic fibrosis
- Chronic neuromuscular disorders
- Chest wall disorders
- Morbid obesity (BMI >40kg/m2)
Oxygen (OXG) - not requiring O2 unless hypoxemic
Indications
- MI & ACS
- CVA
- Cardiac arrhythmia
- Non-traumatic chest pain
- ICD firing
- Pregnancy & obstetric emergency
- Abdo pain
- Headache
- Hyperventilation
- Most poisoning and drug overdoses
- Metabolic & renal disorders
- Acute and sub-acute neuro and muscular conditions
- Post convulsion
- GI bleeds
- Glycaemic emergencies
- Heat exhaustion or heat stroke
- Paraquat poisoning
Paracetamol (PAR)
Indications
- Relief of mild/moderate pain and/or pyrexia.
- Part of balanced analgesia regimen for severe pain (IV Paracetamol)
Salbutamol (SLB)
Indications
- Acute asthma attack where normal inhaler therapy has failed.
- Expiratory wheeze associated with allergy, anaphylaxis, smoke inhalation or other lower airway cause.
- Exacerbation of COPD.
- Severe breathing difficulty due to LVF (2ndary treatment)
Sodium Chloride (SCP) Indications
Adult fluid therapy - Medical conditions with or without haemorrhage. - Trauma related haemorrhage - Burns - Limb crush injury Child fluid therapy - Medical conditions - Trauma related haemorrhage - Burns Flush
Syntometrine (SYN)
Indications
- Postpartum haemorrhage within 24hrs of delivery where uterine massage is ineffective.
- Miscarriage with life-threatening bleeding and a confirmed diagnosis.
Tranexamic Acid (TXA) Indications
- Time-critical injury where suspected internal or external haemorrhage.
- injured pt’s fulfilling step 1 or step 2 trauma triage protocol.
