Two ways to download the QRH:
Sharing and adapting the QRH - licensing terms
The Association of Anaesthetists' QRH material is controlled by a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (CC BY-NC-SA 4.0). Before you download, share or modify any QRH material, please check you understand what this means.
By downloading the material, you agree to be bound by the terms of this license.
Keeping your QRH up to date
From time to time individual QRH guidelines will be updated. It's important you replace these in your copy to ensure your QRH is up to date. You can check which edition you have by looking at the Contents page.
If the Contents page says June 2023 this is the latest version. To update from the April 2022 to the June 2023 edition you'll need to replace the following pages:
- 0-1 Cover page (updated footer)
- 0-2 Contents (updated to June 2023 edition; contains updated guideline version number)
- 3-4 Bronchospasm - The principal change is to bring the step excluding conditions which may be misinterpreted as bronchospasm earlier in the list. Minor associated formatting changes.
- 3-10 Local anaesthetic toxicity - Principal changes are to signal need for reduced adrenaline dosage and avoidance of vasopressin in LA toxicity, and slower administration of initial bolus of intralipid. Minor wording and formatting changes to aid clarity. (Note: Adrenaline dose has been modified to bring it into line with the recommendations of this review article, which is also referenced on our local anaesthetic toxicity page. This also brings us into line with the American ASRA guidance, which is itself backed up by this review article.)