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 ?
2 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. 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).
3 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.)
4 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. 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.
5 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 ..21392. IMMUNOASSAY ..62710. ENDOSCOPY ..21600. DERMATOLOGY OPD: 62060. PATHOLOGY MORTUARY PORTERS.
6 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.
7 #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. 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.
8 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. A&E ..53012. Medical DIRECTORATE :584. SURGICAL DIRECTORATE :624(day), 584 (night).
9 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.
10 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. 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.
