Tag guideline

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…

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…

Spontaneous intracerebral haemorrhage

This flowchart, and accompanying management notes, provide information to guide the appropriate management and disposition of patients presenting with a spontaneous intracerebral haemorrhage Flowchart Management notes Date implemented – 11/2014 Revision date – 11/2017 Authors – Ioana Vlad, Sharon Lee,…