EDcare Handbook for Emergency Practice

Dr Peter Stuart MPH FACEM

First Edition : April 2021

Contents

Part 1: Emergency Presentations Page 1. Abdominal Pain 1

2. Anaphylaxis (1) : Clinical Management Summary 2

3. Anaphylaxis (2) : Paediatric Drug Doses / Infusions 3

4. Antibiotics in Serious Infections, Febrile Neutropenia and Sepsis 4, 5

5. Asthma (1) : Clinical Management Summary 6

6. Asthma (2) : Paediatric Drug Doses / Infusions 7

7. Burns 8

8. Cardiac Chest Pain 9

9. Closed Head Injury on Anticoagulants 10

10. Croup 11

11. Diabetic Ketoacidosis / Hyperglycaemia in Adults 12

12. Diabetic Ketoacidosis in Children 13, 14

13. Electrical Injury and Electrocution 15

14. Epistaxis 16

15. Febrile Neutropenia 17

16. Gastroenteritis (1) : Clinical Management Summary 18

17. Gastroenteritis (2) : Paediatric Nasogastric/Intravenous Tables 19

18. Headache / Migraine 20

19. Paracetamol Poisoning 21

20. Pulmonary Embolism 22

21. Pulmonary Oedema 23

22. Renal Colic 24

23. Sepsis (1) : Adult Patient 25

24. Sepsis (2) : Paediatric Patient 26

25. Status Epilepticus (1) : Clinical Management Summary 27

26. Status Epilepticus (2) : Paediatric Drug Doses / Infusions 28

27. Syncope 29

28. Tonsillitis / Quinsy 30

29. Warfarin reversal 31

Part 2. Emergency Procedures Page 1. Fascia Iliaca Nerve Block 33

2. Intranasal Sedation / Analgesia 34

3. Mechanical Ventilation 35

4. Medical Clearance in Mental Health 36

5. Non-invasive Ventilation : CPAP – BiPAP 37

6. Procedural Sedation 38

7. Rapid Sequence Intubation 39, 40

8. Risk Assessment in Mental Health 41

9. Sedation of the Agitated Patient 42

Part 3 : Adult Emergency Medications and Infusions 1. Adrenaline, Amiodarone 44 2. Droperidol, Gentamicin 45 3. GTN, Isoprenaline 46 4. Ketamine, Labetolol 47 5. Levetiracetam, Magnesium, Metaraminol 48 6. Morphine / Midazolam (M&M), Naloxone, Noradrenaline 49 7. Olanzapine, Tenecteplase, Tranexamic Acid 50

Part 4 : Paediatric Resuscitation 1. Paediatric Resuscitation 52

2. Paediatric Emergency Drugs and Infusions 53, 54

Part 5 : Advanced Life Support 1. Adult Advanced Life Support (ANZCOR Flow Chart) 56

2. Paediatric Advanced Life Support (ANZCOR Flow Chart) 57

3. Newborn Life Support (ANZCOR Flow Chart) 58

Glossary 59

References 60

Acknowledgements 63