Example: dental hygienist

Adult Medical Emergencies Handbook

Adult Medical Emergencies Handbook EDITOR. Dr Graham R. Nimmo MD FRCPE FFARCSI. Consultant Physician Intensive Care and Medical Education WGH and The university of Edinburgh NHS LOTHIAN - university HOSPITALS DIVISION | 2007/2009. NOTES. i Any protocols, guidelines, algorithms are subject to review and updating. Ensure you are using the current version. Adult Medical Emergencies Handbook | NHS LOTHIAN: university HOSPITALS DIVISION | 2007/09 . NOTES. Adult Medical Emergencies Handbook | NHS LOTHIAN: university HOSPITALS DIVISION | 2007/09. Adult ADVANCED LIFE SUPPORT ALGORITHM. Adult Advanced Life Support Algorithm Unresponsive ? Open airway Look for signs of life Call 222. Resuscitation Team CPR 30:2. Whilst defibrillator / monitor attached Assess rhythm Shockable Non-Shockable (VF / pulseless VT) (PEA / Asystole). During CPR: Correct reversible causes*. Check electrode position 1 Shock and contact 150-360 J biphasic Establish / verify: or 360 J monophasic IV access airway and oxygen Give uninterrupted compressions when airway secure Immediately resume Give adrenaline 1mg IV Immediately resume every 3-5 min CPR 30:2 Consider: amiodarone, CPR 30:2.

NOTES i Any protocols, guidelines, algorithms are subject to review and updating. Ensure you are using the current version. adult medical emergencies handbook | NHS LOTHIAN: UNIVERSITY HOSPITALS DIVISION | 2007/09

Tags:

  Handbook, University, Medical, Adults, Emergencies, Adult medical emergencies handbook

Information

Domain:

Source:

Link to this page:

Please notify us if you found a problem with this document:

Other abuse

Transcription of Adult Medical Emergencies Handbook

1 Adult Medical Emergencies Handbook EDITOR. Dr Graham R. Nimmo MD FRCPE FFARCSI. Consultant Physician Intensive Care and Medical Education WGH and The university of Edinburgh NHS LOTHIAN - university HOSPITALS DIVISION | 2007/2009. NOTES. i Any protocols, guidelines, algorithms are subject to review and updating. Ensure you are using the current version. Adult Medical Emergencies Handbook | NHS LOTHIAN: university HOSPITALS DIVISION | 2007/09 . NOTES. Adult Medical Emergencies Handbook | NHS LOTHIAN: university HOSPITALS DIVISION | 2007/09. Adult ADVANCED LIFE SUPPORT ALGORITHM. Adult Advanced Life Support Algorithm Unresponsive ? Open airway Look for signs of life Call 222. Resuscitation Team CPR 30:2. Whilst defibrillator / monitor attached Assess rhythm Shockable Non-Shockable (VF / pulseless VT) (PEA / Asystole). During CPR: Correct reversible causes*. Check electrode position 1 Shock and contact 150-360 J biphasic Establish / verify: or 360 J monophasic IV access airway and oxygen Give uninterrupted compressions when airway secure Immediately resume Give adrenaline 1mg IV Immediately resume every 3-5 min CPR 30:2 Consider: amiodarone, CPR 30:2.

2 For 2 min atropine, magnesium for 2 min * Reversible Causes Hypoxia Tension pneumothorax Hypovolaemia Tamponade, cardiac Hypo/hyperkalaemia/metabolic Toxins Hypothermia Thrombosis (coronary or pulmonary). Adult Medical Emergencies Handbook | NHS LOTHIAN: university HOSPITALS DIVISION | 2007/09 . WGH. IN CARDIAC ARREST & LIFE THREATENING EMERGENCY CALL 222. HOSPITAL AT NIGHT OFFICE/COORDINATOR 33322. USEFUL TELEPHONE NUMBERS. BIOCHEMISTRY GENERAL 31900/31901. Emergencies (<6PM).. 31985. >6PM .. Bleep: 8452. HAEMATOLOGY GENERAL 31910/31911. 31171. BLOOD 31912. MICROBIOLOGY SPECIMEN 31936. 27777. CLINICAL 26027/26048. CARDIOLOGY/ECG 31852/32330. 8206/8536. CORONARY CARE UNIT .. 33552. STROKE Bleep: 8699. DCN (ALL HEAD & 32022 (X-ray appts.). SPINE CT/ MRI) (FOR URGENTS & RESULTS). 32026. CT CT 32066. MAIN X-RAY (EVERYTHING REPORTING .. 32058 (Main CT). BODY CT/ USS etc) EMERGENCY (ALL DAY).. Bleep: 8204. INTENSIVE CARE .. 31664/31665. ANAESTHETIST IN AN 8112. DCN .. 8519. NEW STICKIES (ADMISSIONS) ADMISSIONS 31342/31343.

3 ARAU 31330/31331. 31335. DOCTORS 31334/31313. 31336. BED MANAGEMENT FAX: 32565. BLEEP/ 8245. FOOD DINING 31373/31364. DAY BED AREA NURSES 31329. COMPUTERS WHEN THEY GO 32343/31394. PATHOLOGY 31962. PORTERS 31534/5116. DCN 8252. NUCLEAR MEDICINE V/Q OR BONE 32038/Fax: 32039. THEATRES MAIN (RECEPTION).. 31669. 31695. 31693/31694. PHARMACY DRUG Bleep: 5426. Bleep: 5423. PSYCHIATRY REFERRAL 31834. AIR TUBE 31446 (Estates). INFECTION CONTROL .. 26089. MORTUARY WGH .. 31972. Adult Medical Emergencies Handbook | NHS LOTHIAN: university HOSPITALS DIVISION | 2007/09. RIE. IN CARDIAC ARREST & LIFE THREATENING EMERGENCY CALL 222. HOSPITAL AT NIGHT OFFICE/COORDINATOR 23888. USEFUL TELEPHONE NUMBERS. CARDIOLOGY CORONARY CARE UNIT ..21141 Bleep:1581 (SHO). X-RAY PORTABLE :2155. A& FILM ULTRASOUND SEC. (Wilma)..23759. MEDICINE OF THE ELDERLY/. STROKE ..26927. OPHTHALMOLOGY A&E ..63751. RECORDS ADMISSIONS ..23029/23028. A&E CAA INTENSIVE CARE ..21187/21188. HDU WARD .. Bleep:5198 (SHO). ALCOHOL PROBLEMS.

4 21392. IMMUNOASSAY ..62710. ENDOSCOPY ..21600. DERMATOLOGY OPD: 62060. PATHOLOGY MORTUARY PORTERS ..21329. DENTIST (RIE) ..63708. THEATRES 4 (COFFEE ROOM)..63885. (THEATRE)..63886. Trauma Trauma (REST ROOM)..63891. PHARMACY: 22911 DRUG PSYCHOLOGICAL MEDICINE ..21392. SOCIAL WORK ..27852. SALT ..26915. Adult Medical Emergencies Handbook | NHS LOTHIAN: university HOSPITALS DIVISION | 2007/09 . RIE. USEFUL BLEEP NUMBERS. MED REG (ward referrals) ..2112. MED REG (A&E/trolleys) ..2242. Medical HDU SHO ..5198. SURGICAL SHO (ET) ..2254. SURGICAL REG (ET) ..#6435. ORTHO SHO/REG ..2181. VASCULAR REG ..#6440. ANAESTHETIC SHO ..2140. ICU REG ..2306. CCU SHO ..1581. RESPIRATORY REG ..#6408. CARDIOLOGY REG ..#6816. GI REG ..#6361. RENAL REG ..#6394. HAEMATOLOGY REG ..#6466. MEDICINE OF ELDERLY REG ..#6770. DIABETIC REG ..#6800. GYNAE REG ..1625/4001. PAIN TEAM CLINICAL NURSE. SPECIALIST ..5247. TISSUE VIABILITY NURSE ..5541. INFECTION CONTROL. NURSE ..2201. LABORATORIES TELEPHONE AND BLEEP NUMBERS.

5 COMBINED LABORATORIES. ENQUIRIES ..27777. BIOCHEMISTRY ..Bleep:2221. HAEMATOLOGY ..Bleep:#6550. ON CALL ..Bleep: #6466. BACTERIOLOGY ENQUIRIES ..66910. BLOOD TRANSFUSION ..27501/27502. PATHOLOGY ENQUIRIES ..27148/27170. MICROBIOLOGY Bleep:2900. CLINICAL INFECTION Adult Medical Emergencies Handbook | NHS LOTHIAN: university HOSPITALS DIVISION | 2007/09. ST JOHN'S. IN CARDIAC ARREST & LIFE THREATENING EMERGENCY CALL 222. HOSPITAL AT NIGHT OFFICE/COORDINATOR 52210. USEFUL TELEPHONE NUMBERS. ST JOHN'S SWITCHBOARD ..0. BIOCHEMISTRY GENERAL ON :728. HAEMATOLOGY GENERAL BLOOD ON :729. MICROBIOLOGY GENERAL ON via switchboard PATHOLOGY GENERAL CARDIOLOGY Bleep:655. CORONARY CARE RADIOLOGY X-Ray (plain film)..54345. ON :657. Medical PHYSICS ..52148. INTENSIVE CARE ..54063/54056. ANAESTHETIST (ICU) ..Bleep:561. DUTY ANAESTHETIST. (Theatres) ..Bleep:886. PAIN (acute) ..53065 Bleep:934. ON :561(Anaesthetics). RESUSCITATION OFFICERS ..53892 Bleep 909. ADMISSIONS ..53173. Medical RECORDS ..53570/53571.

6 A&E ..53012. Medical DIRECTORATE :584. SURGICAL DIRECTORATE :624(day), 584 (night). ENDOSCOPY .. 53935. PHARMACY DISPENSARY (and weekend no.)..52037. MEDICINES PORTERS ..52084. DOMESTIC SUPERVISOR ..52169. CATERING MANAGER ..53137. INFECTION CONTROL ..53088. HEALTH & SAFETY ..52159. COMPUTERS IT HELP WARDS ..541 plus ward number STROKE UNIT ..54104. LABOUR WARD ..54125. THEATRES ANAESTHETICS THEATRE :541. CEPOD :002 (541out of hours). ODA ON Bleep:656. Adult Medical Emergencies Handbook | NHS LOTHIAN: university HOSPITALS DIVISION | 2007/09 . ST JOHN'S. THEATRES 1-9 54233. 54234. 54235. 54236. 54237. 54238. 54239. 54240. 54241. USEFUL EXTERNAL NUMBERS. SHORT CODES RIE SWITCHBOARD ..7050. RIE NUMBERS ..705 plus extn WGH SWITCHBOARD ..7910. WGH NUMBERS ..791 plus extn RIE LABORATORIES 27777. PROCURATOR FISCAL ..01506 844556. (Linlithgow for St John's ..short code 62174. patients) ..Out of hours: via police POLICE ..short code 62148. TRANSPLANT 536 3946. HSDU ..0131 242 6105. Adult Medical Emergencies Handbook | NHS LOTHIAN: university HOSPITALS DIVISION | 2007/09.

7 COMMON or SHARED CONTACT NUMBER. IN CARDIAC ARREST & LIFE THREATENING EMERGENCY CALL 222. RESUSCITATION OFFICERS 21760 Page:#6459/#6498. 32496 Bleep: 8355/8113. 53892 Bleep:909. INTENSIVE CARE WARD 118 21187/21188. WARD 20 31664/31665. ICU 54063/54056. PROCURATOR FISCAL #6118. WEST short code 62174. MEDICINES INFORMATION SERVICE 22918/22920. 52035. NATIONAL POISONS. INFORMATION SERVICE (NPIS) .. 0870 600 6266 (24hr). VIROLOGY 27777. CLINICAL 26027/26048.. 705 extn from SJH. EEG (WGH) .. 32097.. 791 32097 from SJH. NEUROLOGY REGISTRAR .. Bleep: via WGH switchboard RHEUMATOLOGY REGISTRAR .. Bleep: via WGH switchboard SHORT CODES from WGH/RIE 7550. 7390. 7780. 7600. St John' 7340. Edinburgh 7740. WARDS in RIE 2 (ward number) 1. 2 (ward number) 2. 2 (ward number) 3. OCCUPATIONAL HEALTH .. 0131 537 6000. ON (NEEDLESTICKS). Adult Medical Emergencies Handbook | NHS LOTHIAN: university HOSPITALS DIVISION | 2007/09 . OTHER USEFUL TELEPHONE NUMBERS. NAME LOCATION TEL/BLEEP NUMBER. 10 Adult Medical Emergencies Handbook | NHS LOTHIAN: university HOSPITALS DIVISION | 2007/09.

8 Contents ALS 3. Useful phone and bleep 4. CHAPTER 1. GOOD CLINICAL 19. 19. General 20. Professional 23. Good 24. Good 24. Practical 29. Talking with Patients and 29. Patient 34. Organ 38. Discharges: Good 39. Guide to Good Discharge 41. CHAPTER 2. RESUSCITATION AND EMERGENCY 43. Initial Assessment and Management of the Acutely Ill 43. Primary Assessment and Management: Approach to the Acutely Ill 45. Identification of the Acutely Ill Patient Requiring Intensive Care or High Dependency Unit 55. 58. Shock Management 59. Blood and Blood 60. Transfusion 64. Sepsis and Septic 69. 74. Algorithm for First Trained Responder to 77. Urticaria and 78. Life-threatening Upper Airway 78. Acute Pain 79. Summary of Principles of Acute 81. Approach to the patient 82. Chest 82. Acute Shortness of 83. Adult Medical Emergencies Handbook | NHS LOTHIAN: university HOSPITALS DIVISION | 2007/09 11. First Seizure in 84. Management of First Seizure in 86. Management of 87. Management of Unexplained Syncope in 88.

9 Management of 89. Management of Renal 90. 92. Adult Advanced Life Support 93. Algorithm for Automated External 95. CHAPTER 3. ACUTE CARDIOLOGY AND VASCULAR 97. Based on Coronary Care Therapeutic Schedule (RIE & WGH). General Administrative 98. Acute Coronary Syndromes .. 101. Management of St Elevation Acute Coronary 104. Management of Non-St Elevation Acute Coronary 110. Hypertension in the patient requiring 111. Non-ST Elevation Myocardial Infarction (NSTEMI).. 112. Management of other Acute Coronary 112. Management of Complications Associated with Myocardial 113. Severe Left Ventricular 114. Cardiogenic 116. Diabetic Control in the setting of Acute Myocardial 118. Late Management of Acute Myocardial 119. Other Potential Problems in the Peri-infarct 120. Other Medical Emergencies Admitted to 121. Out of Hospital Cardiac 121. Management of 122. 122. Atrial Fibrillation 122. Narrow Complex Tachycardia 123. Broad Complex 125. Diagnosis of Broad Complex 126. Management of 129. Bradycardia 130.

10 External Cardiac 131. Specific Drug 132. 12 Adult Medical Emergencies Handbook | NHS LOTHIAN: university HOSPITALS DIVISION | 2007/09. Vascular 134. Acute Thoracic Aortic 134. Investigation Algorithm for Acute Aortic 135. Acute 136. Thromboembolic 142. Suspected Pulmonary 144. Ruptured or Leaking Abdominal Aortic 145. Management of the Acutely Ischaemic 147. 148. CHAPTER 4. RESPIRATORY 149. Severe Acute Asthma .. 149. Community-Acquired 151. Hospital-Acquired 155. 158. Spontaneous 158. Tension 158. Intercostal Drainage Tube 159. CHAPTER 5. GASTROINTESTINAL 164. Acute Upper Gastrointestinal 164. Treatment and 165. Acute on Chronic Liver 168. Acute Bloody 171. Acute 173. 174. Assessment of Acute 176. Acute 177. CHAPTER 6. RENAL, METABOLIC AND ENDOCRINE 183. Acute Renal 183 Dangerous 187. Metabolic 190. Management of Diabetic 192. Management of Diabetic Hyperosmolar Non-Ketotic 197. Adult Medical Emergencies Handbook | NHS LOTHIAN: university HOSPITALS DIVISION | 2007/09 13. 205. Sulphonylurea-induced Hypoglycaemia (SIH).


Related search queries