Emergency Medicine

456 Administrative and Legal Issues Retrieval and Inter-hospital Transfer 1 Retrieval is the transport of a sick or injured pati ...

MAJOR INCIDENT Administrative and Legal Issues 457 2 This is defined locally by the facility or facilities involved as ‘any heal ...

MAJOR INCIDENT 458 Administrative and Legal Issues (v) Triage (a) most ambulance or site medical services utilize some form of s ...

MAJOR INCIDENT Administrative and Legal Issues 459 Specialized responses A chemical, biological and radiological (CBR) incident ...

MAJOR INCIDENT 460 Administrative and Legal Issues (a) wet – the patient is wetted down with water to prevent any powder residue ...

MAJOR INCIDENT Administrative and Legal Issues 461 (g) patients with respiratory depression or impaired consciousness should rec ...

MAJOR INCIDENT 462 Administrative and Legal Issues (c) symptoms include watering eyes, blepharospasm, skin erythema, dyspnoea, c ...

MAJOR INCIDENT Administrative and Legal Issues 463 4 A ‘white powder’-type incident should be dealt with by external decontami- ...

Further Reading 464 Administrative and Legal Issues (b) National Poisons Information Service (NPIS) in the UK. (vi) Even if the ...

PRACTICAL PROCEDURES Section XVIII ...

466 Practical Procedures ENDOTRACHEAL INTUBATION INDICATIONS Endotracheal intubation creates, maintains and/or protects the airw ...

Practical Procedures 467 RAPID SEQUENCE INDUCTION INTUBATION The objective of rapid sequence induction (RSI) intubation is to se ...

RAPID SEQUENCE INDUCTION INTUBATION 468 Practical Procedures 2 Pre-oxygenation (i) Provide high concentration oxygen via bag-val ...

CRICOTHYROTOMY Practical Procedures 469 4 Drug reaction such as anaphyla xis. 5 Aspiration. CRICOTHYROTOMY INDICATIONS 1 ‘Can’t ...

CRICOTHYROTOMY 470 Practical Procedures (iv) Remove the bougie, inflate the cuff and connect the tube to an Ambu or Laerdal bag ...

NEEDLE THORACENTESIS Practical Procedures 471 COMPLICATIONS 1 Failure, with malposition outside trachea. 2 Haemorrhage. 3 Trache ...

NEEDLE THORACENTESIS 472 Practical Procedures 2 Diagnostic tap (i) Sit the patient on the edge of the bed, arms folded in front ...

INTERCOSTAL CATHETER INSERTION Practical Procedures 473 5 Infection at the skin site. 6 Spleen or liver injury. 7 Air embolism. ...

DC CARDIOVERSION 474 Practical Procedures COMPLICATIONS 1 Malposition: extrathoracic (obvious on CXR as it runs up external to c ...

PERICARDIAL ASPIRATION Practical Procedures 475 COMPLICATIONS 1 Pain (inadequate sedation), thermal burn to skin (inadequate con ...