Note – The guidelines on this page are a combination of relevant guidelines for the management of a range of Emergency Department presentations, and include:
- Health Department Guidelines
- Available outside of the WA Health network
- SCGH Hospital Wide Guidelines
- Marked as “Intranet links”
- These require access from within the WA Health network
- Here is the link to the SCGOPHCG Policies Hub – including a A-Z title search
- SCGH ED Specific Guidelines
- Denoted by those having the date of development / most recent update after the title (ie. – 10/2019)
- These are predominantly developed by SCGH ED staff in consultation with the relevant inpatient specialty teams for use within the emergency department
- These documents are hosted directly on this website and are accessible for anyone, regardless of the point of internet access
For guidelines not covered on this page. Here is a list of Non-SCGH Clinical Guidelines that provide some useful guidance in patient management for a range of presentations / conditions not included in this list below.
(**) password protected – as per password for EDPACS
Administration / Legal
- SCGH Admission and Bed Allocation Policy – Intranet link
- SCGH General Medicine Orientation Manual (download link that includes the “Sub-Speciality Admission Criteria” starting at page 75) – Intranet link
- SCGH Specialty Admission Criteria – Intranet link
- Perth Tertiary Hospital Metropolitan Catchment Areas
- NMHS Catchment Area Map – Intranet link
- Forensic Blood Sampling – Legislation (update 3/2017)
- Patient Confidentiality – 08/2018
Allied Health & Support Services
- Language and Interpreter Services – summary document, including link to SCGH Policy 034
- Alcohol and Drug Service (ADS) – Intranet link
Analgesia and Anaesthetics
- SCGH Acute Pain Service (APS) Pocket Guide – 01/2021
- Analgesia in the ED – 04/2015 **
- Hydromorphone – 04/2015
- Oral opiates as discharge medications – 04/2015 **
- Oral Opioid Prescribing in Acute NON-Cancer Pain (from SCGH Medications Guidelines) – Intranet link
- Intranasal Fentanyl: Emergency Department – Intranet link
- CPOP – Community Program for Opioid Pharmacotherapy – Intranet link
- Bier’s block – 06/2019
- Local anaesthetic infiltration – 05/2017
- Procedural sedation documentation and checklist – 08/2010
- Femoral Nerve Block Procedure – 03/2019
Cardiology
- Chest pain pathway (03/2015) & Code STEMI Protocol (04/2020)
- Atrial fibrillation with Tachycardia – 02/2016
- Defibrillation – 05/2009
- Electrical cardioversion – 05/2009
- Transthoracic cardiac pacing – 05/2009
- ECMO for OOHCA – 10/2017
Cardiothoracics
- Policy for the insertion of a chest drain by trainees – 05/2015
- Chest wall injury (rib fractures) – 01/2015
- ECMO for OOHCA – 10/2017
Critical Care
- Airway management – 01/2013
- SCGH Massive Transfusion Protocol – Intranet link
- Tissue (Organ) donation – 09/2015
- Central line insertion – 05/2009
- Metaraminol: High Dependency Unit – Intranet link
- Central Venous Line (CVL) – SCGH Recommended Fixation Standard – 11/2015
- Post resuscitation care – 01/2013
- ECMO for OOHCA – 10/2017
Dental
Dermatology
Disaster
- SCGH ED Disaster Management Resources – where can I find them in the ED?
ED Ultrasound
Endocrine
- Adult Variable Rate Intravenous Insulin Guideline (updated 04/2020) – Intranet link
- Adult Diabetic Ketoacidosis (DKA) Guideline (updated 04/2020) – Intranet link
- Adult Hyperosmolar Hyperglycaemic State (HHS) Guideline (updated 04/2020) – Intranet link
- Updated 2020 Diabetic Guidelines Educational Package – Intranet link
ENT
Environmental
Gastroenterology & Hepatology
- Upper GI bleeding – 10/2017
- Paracentesis in Chronic Liver Disease – Intranet link
- Decompensated Chronic Liver Disease Guideline – 02/2017
- PEG re-insertion – 01/2009
General Medicine
- Eating Disorder Management – 09/2016
- Hyponatraemia Management Guidelines – 07/2020
- Suspected Cauda Equina Pathway – 07/2020
General Surgical
Geriatric Medicine
Haematology & Oncology
- SCGOPHCG Transfusion Policy Manual – Intranet link
- Transfusion Forms – Intranet link
- SCGH Massive Transfusion Protocol – Intranet link
- Jehovah’s witnesses and blood products – 11/2015**
- Febrile Neutropenia Management Guideline – Intranet link
- Iron infusions for chronic anaemia – 08/2017
- Blood transfusion reaction algorithm – 11/2015
- NOAC’s and bleeding – 11/2013
- Management of Immune Related Adverse Events Associated with use of Immune Checkpoint Inhibitors – Intranet link
Immunology
- Anaphylaxis – 11/2013
- Management of Immune Related Adverse Events Associated with use of Immune Checkpoint Inhibitors – Intranet link
- PEP (Post Exposure Prophylaxis) HIV: Starter Packs for Occupational and Non-Occupational exposure – Intranet link
Infectious Disease
- SCGH ED COVID-19 Guidelines – 03/2020
- SCGH ED Adult Sepsis Pathway – 12/2019
- SCGH Infection Control Unit – Intranet link
- SCGH Infection Protection and Control Manual – Intranet link
- Patient Placement/Admission Criteria: Standard & Additional Transmission Based Precautions (PS026) – Intranet link
- SCGH Viral Haemorrhagic Fever Policy – Intranet link
- Standard and Transmission Based Precautions Policy Includes a table at the bottom that lists precautions indicated for each infectious agent. Note: Airborne Infection Isolation Rooms (AIIRs) must be used for patients with the following conditions:
- Pulmonary tuberculosis
- Chickenpox or disseminated shingles infections
- Measles
- SARS
- Avian Influenza
- Viral Haemorrhagic Fever
- +/- Mumps (droplet precautions, but prefer door!)
- SCGH Infectious Disease Guidelines – Intranet link
- SCGH Antimicrobial prescribing policy – Intranet link
- SCGH Antimicrobial Formulary List – Intranet link
- This list has been created to identify the antimicrobials available and outline the restrictions that exist for certain antimicrobials prescribed at SCGH.
- Febrile Neutropenia Management Guideline – Intranet link
- Admission criteria – HITH (IV Antibiotics) – Intranet link
- STIs – 07/2016
- Sepsis Triage Screening Tool – 01/2018
- Guidelines for Rabies and Australia Bat Lyssavirus exposure – Intranet link
- MERS CoV – 06/2015
- PEP (Post Exposure Prophylaxis) HIV: Starter Packs for Occupational and Non-Occupational exposure – Intranet link
Legal
Neurology
- Stroke Call Pathway – 06/2020
- Spontaneous intracerebral haemorrhage – 11/2014
- Vertigo Assessment Guideline – 11/2020
- Lumbar puncture – 05/2009
- Seizures – 09/2009
Neurosurgery
- Head injury – 05/2015
- Spinal cord injury assessment and documentation – 04/2015
- Suspected Cauda Equina Pathway – 07/2020
Oncology
- Febrile Neutropenia Management Guideline – Intranet link
- Management of Immune Related Adverse Events Associated with use of Immune Checkpoint Inhibitors – Intranet link
Ophthalmology
Orthopaedics
- Arthrocentesis (joint aspiration) – 05/2009
- Femoral Nerve Block Procedure – 03/2019
- Bier’s block – 06/2019
- Orthopaedic Investigation Ordering Guideline – 08/2019
- Basic Fracture Treatment – 05/2018
- Base of 5th Metatarsal Fracture – Patient Information Handout – 01/2018
O&G
- Mx of of 1st Trimester Pain &/or Bleeding – 10/2015
- Sexual assault – 02/2009
- Obstetric patients at SCGH ED – 11/2015
- Radiology Procedure for Imaging Pregnant Patients – 01/2016
Palliative Care
- SCGH Palliative Care Service webpage – Intranet link
- Evidence Based Clinical Guidelines for adult patients in terminal phase – palliative care book
Pharmacy
- SCGH Medication Guidelines – Intranet link
Psychiatry & Behavioural
- Mental Health Catchment Areas – 02/2016
- NMHS Patient Flow Process to access a Mental Health Bed – 3/2014
- Eating Disorder Management – 09/2016
- Delusional Parasitosis
- Child & Adolescent Mental Health Service (CAMHS)
- CAMHS Emergency Telehealth Service
Radiology
- Radiology Procedure for Imaging Pregnant Patients – 01/2016
- Cervical spine injury investigation – 01/2015
- Pulmonary embolism initial diagnostic pathway – 05/2011
- X-Ray Risk Calculator – as the name suggests
- Diagnostic Imaging Pathways WA DOH
Renal
Respiratory
- SCGH Respiratory Admission Guidance – 12/2020
- Policy for the insertion of a chest drain by trainees – 05/2015
- COPD – 08/2015
- Pulmonary embolism initial diagnostic pathway – 09/2017
- Pulmonary embolism advanced care pathway – 02/2021
- Pneumothorax – 04/2014 (for review)
Toxicology and Toxinology
- Toxicology Hanbook (3rd Edition) – via SCGH Library
- Paracetamol poisoning – 06/2019
- Lithium toxicity – 04/2016
- Snake bite envenomation – 09/2015
- Emergency Department Prescription and Recreational Drug Screening Trial – 12/2015
Trauma
- Resuscitation / Trauma Team Roles – 4/2015
- SCGH Trauma Call Criteria – 02/2021
- Traumatic Cardiac Arrest Guideline (Royal Melbourne Hospital) – 5/2018
- Cervical spine injury investigation – 01/2015
- Philadelphia collar application – 04/2015
- Head injury – 05/2015
- Femoral Nerve Block Guideline – 03/2019
- Burns Assessment & Management – 08/2019
- Wound Closure Advice from Closing the Gap Website