Category Guideline

Stroke Call Criteria

SCGHED Guideline 1 340
Here is the current SCGH Criteria for urgent activation of the “Stroke Team”. If criteria are met, then call 55 and tell the operator “Stroke Call”, give the location and follow the rest of the protocol below. The document below…

Mental Health Catchment Areas

Given the current acute psychiatric bed situation causing prolonged stay of acute psychiatric patients within public hospital emergency departments, with the associated bed block and extensive resource usage. This has generated a need for the Public Hospital Emergency Departments to take…

Sepsis

Here is the SCGH ED Suspected Sepsis Triage Screening Tool NOTE: A senior emergency doctor is contacted directly by the nursing staff (usually from triage) when a patient meeting the appropriate criteria are identified. Triage Screening Tool: Other Resources: Here are…

Atrial Fibrillation with Tachycardia

This guideline is designed to assist in the appropriate management of patients presenting with tachycardia related to acute or acute on chronic atrial fibrillation [PDF] References: Quick reference guide: Atrial Fibrillation Information for the Health Practitioner. DOHWA 8/2014 WATAG ‘Prescribing…

Language and Interpreter Services

SCGHED Guideline 4 340
Professional interpreters should be used to communicate with people with limited English comprehension and speaking capacity in all situations concerning their medical condition and/or treatment – SCGH Policy No. 034. Information Needed Prior to Referral: Patient Details: Full Name Correct…

Transthoracic cardiac pacing

SCGHED Guideline 1 340
Guideline describing the indications, contraindications, procedure and complications of 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.…

Paracentesis

SCGHED Guideline 1 340
Guideline to assist in performing paracentesis   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…

Leg and foot ulcers

SCGHED Guideline 1 340
This pathway is designed to guide the appropriate referral and disposition of patients presenting with leg and foot ulcers. Date implemented – 05/2015Revision date – 05/2018Author – Vascular surgery