Category Guideline

Paracentesis

SCGHED Guideline 4 340
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…

Diving Emergencies

This document contains general information on the assessment, management and disposition of patients presenting with suspected decompression sickness or other diving related emergencies INTRODUCTION Fiona Stanley Hyperbaric Medicine Unit is the state referral centre for Western Australia. All diving emergencies…

Dental Injuries

Here is a link to the Dental Trauma Guide a great resource for all dental injuries. Dental Trauma Guide “The Dental Trauma Guide is a non-profit website dedicated to optimising worldwide treatment of dental trauma.The site covers treatment guidelines for  primary and…

Central venous line insertion

SCGHED Guideline 3 340
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…

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.…