Peak Medical and Rescue

16/04/2026

Lots of changes to digest!

Huge JRCALC updates:

Yesterday there were some significant updates to the JRCALC and the termination of resuscitation guidelines. Here we’ve put some of the key points.

As always, different organisations and Trusts may follow different guidelines, always ensure you keep up to date with your organisations’ guidelines and always work within your scope of practice:

Key points for resuscitation an termination:
• Resuscitation time has been extended to 45 minutes
• Cardiac arrest confirmed by first Ambulance resource on scene
• If resuscitation is started, the first monitored rhythm will determine termination outcome where no ROSC is achieved
• These outcomes vary depending on specific rhythm outcomes following 45 minutes, please ensure to read your guidelines to fully understand
• Best interest decision making now has a larger impact on the overall decision of resuscitation and termination
• Termination of resuscitation and Verification of death are two distinct times
• Time of death can only be confirmed following 5 minutes of continuous asystole
Overview of all updates:
• Guidance revised in termination of resus in adults and children, verification of death in adults and children
• Advanced life support fully revised and updated in line with 2025 ERC and RCUK updates
• Basic life support minor updates in line with 2025 ERC and RCUK updates
• ROSC management updates with further wording around ventilation and fluid management for different arrests aetiologies
• Updated foreign body airway obstruction section
• Fully revised guidelines for emergency tracheostomy and laryngectomy pre-hospital management
• Newborn life support fully updated
• Cardiac arrest during pregnancy fully updated
• New dental emergencies guidance
• New diving emergencies guidance
• Limb trauma guidance updated
• Paracetamol oral presentation updated to new medicines standardization format
• New paragraph added to drowning section around the identification and management of immersion pulmonary oedema
• Bradycardia algorithm updated to include Adrenaline 1:10000 use
• Labour and imminent birth update
• Page for age at birth and post birth to 1 month updated

13/04/2026

Great to be back out supporting at the Peaks Enduro in the Peak District 🙌

A brilliant event and an exciting new series that’s set to deliver big things. Looking forward to what’s next 👊

04/04/2026

Most event medical plans work well — until the environment changes.

That’s the uncomfortable truth.

In straightforward settings, access is easy, evacuation is quick and communications are reliable. In those conditions, many providers appear broadly similar.

But move an event into remote terrain, exposed ground or distributed courses, and the problem changes completely.

Response becomes slower.
Extraction becomes more complex.
And the consequences of delay increase.

At that point, the question is no longer just clinical.

It’s operational.

How quickly can you reach the casualty?
How safely can you move them?
What happens if external rescue is delayed?

This is where most event medical models start to break down.

It’s also where planning, capability and equipment start to matter far more than simply having a visible presence.

Peak Medical and Rescue was built around these environments from the outset.

Not adapted to them — designed for them.

If you’re planning an event where terrain, access or delay could materially affect outcome, it’s worth asking a simple question:

Is your medical model built for that reality?

eventsafety

11/01/2026

One of our team was on ITV news tonight! To learn more about the voluntary work our staff do, click here and fast forward to 1min40. https://www.itv.com/watch/news/watch-the-latest-granada-reports-from-saturday-10th-january/sdvdqjt

04/12/2025

It’s always a pleasure working with the CraggRunner team, and last weekend was no different - supporting the inaugural Winter Stanza Stones Ultra!

All of the competitors were amazing, battling through the rain and subzero temperatures to complete this epic 50mile journey.

Well done everyone 👏👏

11/11/2025

09/11/2025

It was amazing to be able to support the CraggRunner team this weekend with the inaugural CraggRunner 5k sprint!

CraggRunner embody everything you could hope for in an event organiser - total commitment to competitors, and also to safety.

We can’t wait for the Winter Stanza Stones! Entries available here: https://www.sientries.co.uk/event.php?event_id=15511

09/11/2025

Great weekend supporting Andali Events at the Brecons Ultra. We couldn’t have wished for better weather, or a better team to work with - high spirits, banter and singing! Hats off to all of the competitors for giving it your all, it was a privilege to be there ready if you needed us 👍

05/11/2025

Our crew was out on the hill recently providing medical cover for the first ever Focus Rides Peak District Enduro — a brand-new event bringing technical trails, big climbs and even bigger smiles to the Peaks.

From the first stage drop-ins to the final finishers, our medics were out across the course keeping riders safe. Huge respect to everyone who sent it today!

04/11/2025

Don’t wait for the daffodils to realise your first aid certificate ran out in November.

While everyone else is waiting for spring, smart instructors are getting their Outdoor First Aid sorted.

Because nothing says “missed opportunity” like an expired certificate when the work starts rolling in.

🧭 16-hour Outdoor First Aid with Peak Medical & Rescue
Train smart. Stay ahead.

👉 https://peak-mr.co.uk/outdoor-first-aid-training

28/10/2025

We’re proud to support some of the best events in the country.

Our job isn’t to take the spotlight – we’re there quietly in the background, ready to step forward when we’re needed most.

And when we’re not treating or rescuing, we’re working hand in hand with organisers to help shape the kind of event people remember for all the right reasons.

24/10/2025

Amazing event, grab a space while there are some still!