Tag Archive: gastroenterology

Updated: Upper GI Bleed Protocol 10/2017

SCGH protocol to assist in the assessment, management and disposition of patients presenting with suspected upper GI bleeding       Note: This can also be found on the SCGH ED Clinical Guidelines webpage

PEG Re-Insertion Guideline

  Here is a general guide to the emergent re-insertion of a displaced percutaneous endoscopic gastrostomy (PEG) tube. Note: in hours there is a PEG Nurse on G75 available for advice contactable on DECT phone 73677.   Date implemented –…
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Paracentesis in Chronic Liver Disease

  The 7 page guideline below is developed by the Hepatology Department at SCGH and provides hospital specific guidance to medical staff and nursing staff involved in performing a diagnostic or therapeuatic paracentesis in patients with chronic liver disease. Click…
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Indications Diagnostic Determine the cause of new onset ascites, ascites of unknown origin, or suspected malignant ascites Suspicion of bacterial peritonitis in a patient with known ascites with associated pyrexia, hypotension, tachycardia or encephalopathy. Therapeutic Remove excess intraperitoneal fluid to…
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Updated Upper GI Bleeding Protocol (11/2015)

The following amendment has been made: For UNSTABLE patients (as per central black box in pathway) ED to contact Gastro Reg 24/7 and make MAU +/- ICU Reg aware of patient. For STABLE patients ED refers to MAU Reg. The MAU…
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