SCGH protocol to assist in the assessment, management and disposition of patients presenting with suspected upper GI bleeding Note: This can also be found on the SCGH ED Clinical Guidelines webpage
Here is a general guide to the emergent re-insertion of a displaced percutaneous endoscopic gastrostomy (PEG) tube. Note: in hours there is a PEG Nurse on G75 available for advice contactable on DECT phone 73677. Date implemented – 01/2009 Revision date – due for review Author – ?
The 7 page guideline below is developed by the Hepatology Department at SCGH and provides hospital specific guidance to medical staff and nursing staff involved in performing a diagnostic or therapeuatic paracentesis in patients with chronic liver disease. Click the image below to go to the link on the CHIPS website or Here is the […]
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 assist respiration and provide symptomatic relief. Contraindications Problems at proposed puncture site Local skin infection/cellulitis […]
The following amendment has been made: For UNSTABLE patients (as per central black box in pathway) ED to contact Gastro Reg 24/7 and make MAU +/- ICU Reg aware of patient. For STABLE patients ED refers to MAU Reg. The MAU Reg (not ED) is to contact Gastro Reg, either after their assessment, after 08:00 the following […]
SCGH protocol to assist in the assessment, management and disposition of patients presenting with suspected upper GI bleeding Date implemented – 10/2017 Review date – 11/2021 Author – Ercleve (Note – collaborative ED/Gastro/ICU)