This guideline is to be used to assist in the insertion of a central venous catheter Central venous line insertion This procedure can be associated with significant complications and must always be performed under supervision until competence is attained. Commonly…
Transthoracic cardiac pacing Indications Patient with symptomatic bradycardia and a palpable pulse who has not responded to pharmacological therapy. High-grade AV blockade Cardiac arrest with ventricular standstill, but atrial activity present. Contraindication Asystolic cardiac arrest. Procedural Technique Provide supplemental oxygen…
Guideline describing the indications, contraindications and procedure of DC electrical cardioversion of tachyarrhythmias Electrical Cardioversion An electrical current applied across the chest, which is synchronised with the R wave of the ECG to reduce the risk of precipitating VF…
Defibrillation is a time critical procedure for the treatment of VF or pulseless VT. This guideline outlines a practical approach to defibrillation. Defibrillation Defibrillation is the passage of electrical current across the myocardium to depolarise a critical myocardial mass.…
Thanks to the efforts of James Rippey, Dan Pixley and Cameron Walters here are the current SCGH ED STEMI and ACS pathways. SCGH ED: Code STEMI Protocol (updated 12/2022): SCGH ED: Suspected Acute Coronary Syndrome (ACS) Pathway: High Risk ECG’s:…
This guideline outlines the indications and contraindications to local anaesthetic use, a guide to LA selection, maximal doses and administration advice. Indication Local anaesthesia for painful procedures such as wound debridement, suturing, foreign body retrieval and relocation of a dislocated…
