The 2017 JRCALC updates have arrived and there are a number of important changes you should be aware of. These include new contra-indications for Entonox, new indications for Atropine, a change of dose to Diazepam and new RTC extrication guidance.
NEWS: Supporting clinical judgement and patient safety
Glasgow Coma Scale
Reliable assessment of the Glasgow Coma Scale is key to user satisfaction and to the conduct of good quality clinical care and research. Varying approaches have emerged in the 40 years since it was described but none of the local variations that we reviewed have been shown to be a sufficient reason to recommend more than minor alterations to the content of the scale and its application. The goal of the new structured schema is therefore to reinforce a standard approach to assessment and hence to enhance the consistency of its use.
antibiotics are essential medicines for treating bacterial infections in both humans and animals
antibiotics are losing their effectiveness at an increasing rate
bacteria can adapt and find ways to survive the effects of an antibiotic. They become ‘antibiotic resistant’ so that the antibiotic no longer works. The more you use an antibiotic, the more bacteria become resistant to it
antibiotics should be taken as prescribed, never saved for later or shared with others; it is important we use antibiotics in the right way, the right drug, at the right dose, at the right time for the right duration. Appropriate use of antibiotics will slow down the development of antibiotic resistance
there are very few new antibiotics in the development pipeline, which is why it is important we use our existing antibiotics wisely and make sure these life-saving medicines continue to stay effective for us, our children and grandchildren
the independent review of antimicrobial resistance, the AMR Review1 commissioned by the government in 2014 and chaired by Lord Jim O’Neill, in its analysis of the global issue estimated that a failure to address the problem of antibiotic resistance could result in:
an estimated 10 million deaths globally by 2050
a cost of £66trillion ($100trillion) to the global economy
many antibiotics are prescribed and used for mild infections when they don’t need to be. All colds and most coughs, sinusitis, otitis media (earache) and sore throats get better without antibiotics
community pharmacists are well placed to help provide advice on over the counter medicines to treat symptoms and help with self-care
Keep Antibiotics Working raises awareness of antibiotic resistance among the general public and encourages greater trust in doctors’ advice when it comes to whether or not to take antibiotics
individuals (the public, healthcare professionals, educators and leaders) can take action by choosing a pledge and becoming an Antibiotic Guardian (www.antibioticguardian.com).