Contents


ALS Algorithm

Useful phone and bleep numbers

CHAPTER 1


GOOD CLINICAL PRACTICE

Introduction

General Points

Professional Responsibilities

Good Documentation

Good Prescribing

Practical Procedures

Talking with Patients and Relatives

Patient Deaths

Organ Donation

Discharges: Good Practice

Guide to Good Discharge Summaries

CHAPTER 2


RECOGNITION ASSESSMENT AND MANAGEMENT OF THE ACUTELY ILL ADULT

Primary Assessment and Management: Approach to the Acutely Ill Patient

Identification of the Acutely Ill Patient Requiring Intensive Care or High Dependency Unit Referral

Shock

Shock Management Summary

Blood and Blood Components

Transfusion Reactions

Sepsis and Septic Shock

Anaphylaxis

Algorithm for First Trained Responder to Anaphylaxis

Urticaria and Angio-oedema

Life-threatening Upper Airway Obstruction

Acute Pain Management

Summary of Principles of Acute Care

Approach to the patient with

Chest Pain

Acute Shortness of Breath

First Seizure in Adults

Management of First Seizure in Adults

Management of Syncope

Management of Unexplained Syncope in Adults

Management of Collapse

Management of Renal Colic

Resuscitation

Adult Advanced Life Support Algorithm

Algorithm for Automated External Defibrillation

CHAPTER 3


ACUTE CARDIOLOGY AND VASCULAR EMERGENCIES

Based on Coronary Care Therapeutic Schedule (RIE)

General Administrative Policy

Acute Coronary Syndromes

Management of ST Elevation Acute Coronary Syndrome

Management of Non-ST Elevation Acute Coronary Syndrome

Management of other Acute Coronary Syndromes

Management of Complications Associated with Myocardial Infarction

Severe Left Ventricular Failure

Cardiogenic Shock

Diabetic Control in Acute Myocardial Infarction

Late Management of Acute Myocardial Infarction

Other Potential Problems in the Peri-infarct Period

Other Medical Emergencies Admitted to CCU

Out of Hospital Cardiac Arrest

Management of Arrhythmias

Tachyarrhythmias

Atrial Fibrillation Algorithm

Narrow Complex Tachycardia Algorithm

Broad Complex Arrhythmias

Diagnosis of Broad Complex Tachycardia

Management of Bradyarrhythmias

Bradycardia Algorithm

External Cardiac Pacing

Specific Drug Points

Vascular Emergencies

Acute Thoracic Aortic Dissection

Investigation Algorithm for Acute Aortic Dissection

Acute Stroke

Thromboembolic Disease

Suspected Pulmonary Embolism

Ruptured or Leaking Abdominal Aortic Aneurysm

Management of the Acutely Ischaemic Limb

Hypertension

CHAPTER 4


RESPIRATORY EMERGENCIES

Severe Acute Asthma

Community-Acquired Pneumonia

Hospital-Acquired Pneumonia

Pneumothorax

Spontaneous Pneumothorax

Tension Pneumothorax

Intercostal Drainage Tube Insertion

CHAPTER 5


GASTROINTESTINAL EMERGENCIES

Acute Upper Gastrointestinal Bleeding

Treatment and Assessment

Acute on Chronic Liver Failure

Acute Bloody Diarrhoea

Acute Diarrhoea

Constipation

Assessment of Acute Abdomen

Acute Pancreatitis

CHAPTER 6


RENAL, METABOLIC AND ENDOCRINE EMERGENCIES

Acute Renal Failure

Dangerous Hyperkalaemia

Metabolic Acidosis

Management of Diabetic Ketoacidosis

Management of Diabetic Hyperosmolar Non-Ketotic Syndrome

Hypoglycaemia

Sulphonylurea-induced Hypoglycaemia (SIH)

Hypercalcaemia

Hypocalcaemia - the 5 Common Causes

Hypokalaemia

Addison’s Disease

Hyponatraemia

CHAPTER 7


NEUROLOGICAL EMERGENCIES

Coma

Clinical Assessment of coma

Epileptic Seizures

Subarachnoid Haemorrhage

Meningitis

Tentorial Herniation and Coning

Encephalitis

Spinal Cord Compression

CHAPTER 8


ACUTE DETERIORATION IN THE ELDERLY

Delirium

Acute Agitated Confusion in an Older Patient

Falls and Immobility

CHAPTER 9Neutropenic Sepsis


EMERGENCIES IN HAEMATOLOGY, ONCOLOGY & PALLIATIVE CARE
 


Superior Vena Cava Obstruction

Emergencies in Palliative care

Hypercalaemia in Palliative care

Seizures in Palliative care

Spinal cord compression

Naloxone in Palliative care

Care of the dying patient

Standards of care for dying patients LUHT department of medicine for the elderly

The role of junior medical staff in the diagnosis of dying

CHAPTER 10


TOXICOLOGY

A Guide to Observations and Investigations for the Patient with Acute Poisoning

Management of Common Poisonings

CHAPTER 11


ACUTE RHEUMATOLOGY

Acute Mono or Oligoarthritis

CHAPTER 12


PSYCHOLOGICAL MEDICINE

Alcohol

Management of Alcohol Withdrawal

Alcohol Withdrawal Management Guideline

Alcohol Liaison Service

Acute Disturbance

APPENDIX 1

Sharing Difficult Information with Patients/Relatives

APPENDIX 2

End of Life Care

APPENDIX 3

General Principles of Good Practice: Infusion Devices

APPENDIX 4

Resuscitation: Specialised Information

Pregnancy

APPENDIX 5

Paediatric Basic Life Support

Foreign Body Obstruction Sequence

Consent to Medical Treatment for Children in Scotland

APPENDIX 6

Malignant Hyperthermia Action Sheets NRIE/WGH

Major Haemorrhage Protocol
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