Category Guideline

Airway Management Resources

SCGHED Guideline 1 340

SCGH Specific Resources: SCGH ED Airway Trolley Orientation ED Difficult Airway Algorithm ED Surgical Airway Algorithm ED Pre-Intubation Checklist ED Useful Intubation References – for Drug Doses & Ventilator Settings (see enlarged update below) Initial Ventilator Settings (!!UPDATED 10/2015!!) ED Post-intubation…

Transthoracic cardiac pacing

SCGHED Guideline 2 340

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…

Electrical cardioversion

SCGHED Guideline 3 340

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

SCGHED Guideline 1 340

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.…

SCGH ED Code STEMI & Chest Pain Pathways

SCGHED Guideline 3 340

Thanks to the efforts of Assoc Prof James Rippey (in collaboration with other emergency, cardiology, general medical and clinical biochemical colleagues) here are the current SCGH ED STEMI, ACS pathways and discharge advice sheets. SCGH ED Code STEMI Protocol (updated…

Local anaesthetic infiltration

SCGHED Guideline 4 340

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…