2012 Edition Clinical Practice Guidelines are the current guidelines

The 2012 Edition CPGs may be implemented provided:

  1. The Practitioner is in good standing on the PHECC Practitioner's Register. The Responder maintains current certification as outlined in PHECC Education & Training Standards.
  2. The Practitioner/ Responder is acting on behalf of an organisation (paid or voluntary) that is approved by PHECC to implement the CPGs.
  3. The Practitioner/ Responder is authorised by the organisation on whose behalf he/she is acting to implement the specific CPG.
  4. The Practitioner/ Responder has received training on, and is competent in, the skills and medications specified in the CPG being utilised.

Please note:

PHECC 2012 Edition CPG Manuals for both Practitioner and Responder are now only available by download.


Field Guide 2011 for Pre-Hospital Emergency Care Practitioners

The field guide is not a substitute for the published Clinical Practice Guidelines (CPGs). It is a quick reference to help Practitioners in the field particularly with medication calculations and infrequent clinical encounters. It also gives values for clinical measurements i.e. GCS.

The Field Guide does not authorise skills or medication administration. Practitioners should only practice within their scope of practice and in accordance with their level on the PHECC Register.

Order the Field Guide 2011 online 

New Pain Management CPGs for APs

Intranasal Fentanyl is now a therapeutic option for advanced paramedics in the management of severe pain in paediatric and adolescent patients.  As Fentanyl is not on the seventh schedule of the Medicinal Products Regulations it is necessary to have an interim directive signed by the Medical Director/Advisor of the AP’s service for this medication to be administered legally.  APs should check with their Medical Director/Advisor to ensure that the interim directive has been signed prior to administering this medication.

Ticagrelor for STIMI patients

The ACS clinical care programme has recommended the introduction of Ticagrelor for STIMI patients being transported directly for primary PCI.  A new ACS CPG has been approved to enable this.   Unfortunately, Ticagrelor is not currently on the seventh schedule of Medicinal Products and an interim directive is required for same.  Paramedics and Advanced Paramedics who have received the appropriate training and whose Medical Director/Advisor has signed an interim directive are authorised to administer Ticagrelor.

New harness induced suspension trauma CPGs

Harness induced suspension trauma has proved problematic for rescuers in particular.  Conflicting evidence is available about patient positioning following this event.  PHECC is recommending that all patients following harness induced suspension trauma are placed in the supine position as soon as practically possible.
There are two CPGs, one for practitioners and one for responders available to download.

Last updated 01/05/2014