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Special Situations (JRCALC Guidelines, section 6)

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This section contains chapters about specific situations paramedics may encounter and includes information about major, high‐risk and complex incidents such as individuals requiring care interventions but who have been incapacitated by police or other security services. Within this section there are two chapters relating specifically to medicines.

 Atropine for CBRNe (chemical, biological, radiological and nuclear explosives).

 DuoDote® auto‐injector (atropine combined with pralidoxime).

These two chapters contain information about the presentation, indications, actions, contraindications, cautions and side‐effects of these drugs in relation to organophosphate and nerve agent poisoning.

Table 2.2 Examples of specific trauma emergency conditions and management covered in section 4.

Abdominal trauma Thoracic trauma
Head injury Falls in older adults
Limb trauma Burns and scalds
Spinal injury and spinal cord injury Electrical injuries
Major pelvic trauma Immersion and drowning

Fundamentals of Pharmacology for Paramedics

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