Term
| Acetylsalicylic Acid (Aspirin) Primary Emergency Indications |
|
Definition
| To minimize platelet aggregation and thrombus formation in order to retard the progression of coronary thrombosis in acute coronary syndrome |
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|
Term
| Adrenaline Primary Emergency Indications |
|
Definition
1. Persistant ventricular fibrillation or unconscious pulseless ventricular tachycardia
2. Asystole
3. Electro-mechanical dissociation/PEA
4. Inadequate perfusion (cardiogenic)
5. Inadequate perfusion (non cardiogenic - non hypovolaemic
6. Anaphylactic reaction
7. Severe asthma
8. Unconscious asthma with no recordable BP
9. Croup or suspected Croup
10. Bradycardia with poor perfusion |
|
|
Term
| Amiodarone Primary Emergency Indications |
|
Definition
1. Ventricular Fibrillation/Pulseless Ventricular Tachycardia refactory to cardioversion
2. Sustained or recurrent Ventricular Tachycardia |
|
|
Term
| Atropine Primary Emergency Indications |
|
Definition
1. Bradycardia with poor perfusion
2. Organophosphate poisoning with excessive cholinergic effects |
|
|
Term
| Ceftriaxone Primary Emergency Indications |
|
Definition
1. Suspected Meningococcal Septicaemia
2. Severe Sepsis (consult only) |
|
|
Term
| Compound Sodium Lactate Primary Emergency Indications |
|
Definition
1. As a replacement fluid in volume-depleted Pts
2. To expand intravascular volume in the non-cardiac, non-hypovolaemic hypotensive Pt. e.g anaphylaxis, burns, sepsis
3. As a fluid challenge in unresponsive non-hypovolaemic hypotensive Pts, other than LVF. e.g Electro-mechanical dissociation, asthma
4. Vehicle for diluting and intravenous admin of drugs
5. Fluid TKVO for IV admin of drugs. |
|
|
Term
| Dexamethasone Primary Emergency Indications |
|
Definition
1. Bronchospasm associated with acute respiratory distress not responsive to nebulised salbutamol
2. Anaphylaxis
2. Acute Exacerbation of COPD |
|
|
Term
| Dextrose 5% Primary Emergency Indications |
|
Definition
| Vehicle for dilution and admin. of IV emergency drugs |
|
|
Term
| Dextrose 10% Primary Emergency Indications |
|
Definition
| Diabetic hypoglycaemia (RBG <4mmol/l) in Pts with an altered conscious state who are unable to self-admin. oral glucose |
|
|
Term
| Fentynal Primary Emergency Indications |
|
Definition
Sedation to facilitate intubation
Sedation to maintain intubation
Drug facilitated intubation
Analgesia - IV/IN |
|
|
Term
| Frusemide Primary Emergency Indications |
|
Definition
| Acute left ventricular failure (LVF) |
|
|
Term
| Glucagon Primary Emergency Indications |
|
Definition
| Diabetic hypoglycaemia (RBG <4mmol/l) in Pts with an altered conscious state who are unable to self-admin. oral glucose |
|
|
Term
| Glyceryl Trinitrate (GTN) Primary Emergency Indications |
|
Definition
1. Chest pain associated with Acute coronary syndrome (ACS)
2. Acute LVF
3. Hypertension associated with ACS
4. Autonomic dysreflecxia
5. Pre-term labour: (consult) |
|
|
Term
| Ipratropium Bromide (Atrovent) Primary Emergency Indications |
|
Definition
| Severe respiratory distress associated with brochospasm |
|
|
Term
| Lignocaine Primary Emergency Indications |
|
Definition
1. Intramuscular admin. (IM) (1% solution): Dilutent for Ceftriaxone for IM admin. in suspected meningococcal desease.
2. Intraosseous admin (IO): To reduce pain the pain of IO drug and fluid admin. in the responsive Pt. |
|
|
Term
| Metaraminol Primary Emergency Indications |
|
Definition
1. SVT associated with inadequate perfusion an BP <100
2. Inadequate to extremely poor perfusion secondary to the combination of Sildenafil Citrate (Viagra) or Tadalafil (Cilais) and Glyceryl Trinitrate (GTN) admin. |
|
|
Term
| Methoxyflurane Primary Emergency Indications |
|
Definition
|
|
Term
| Metoclopramide Primary Emergency Indications |
|
Definition
Nausea/vomiting associated with:
- Chest pain/discomfort of cardiac nature
- Opioid admin. for pain
- Cytotoxic or radiotherapy
- Previously diagnosed migrane
- Severe gastroenteritis
- Treatment or prophylaxis in awake spinal immobilised Pts
- Eye trauma |
|
|
Term
| Midazolam Primary Emergency Indications |
|
Definition
1. Continuous/ recurrent seizures
2. Sedation to maintain intubation
3. Sedation to enable intubation
4. Rapid sequence intubation
5. Sedation to enable synchronised cardioversion
6. Sedation in the agitated Pt
7. Sedation in psychostimulant OD
8. Convulsions associated with lignocaine toxicity |
|
|
Term
| Misoprostol Primary Emergency Indications |
|
Definition
| Primary post partum haemorrhage |
|
|
Term
| Morphine Primary Emergency Indications |
|
Definition
1. Pain releif
2. Sedation to maintain intubation
3. Sedation to enable intubation
4. Rapid sequence intubation
5. Acute LVF with shortness of breath (SOB) and full field crackles |
|
|
Term
| Naloxone Primary Emergency Indications |
|
Definition
| Altered conscious state and respiratory depression secondary to admin. of narcotics or related drugs. |
|
|
Term
| Normal Saline Primary Emergency Indications |
|
Definition
1. As a replacement fluid in volume-depleted Pts
2. To expand intravascular volume in the non-cardiac, non-hypovolaemic hypotensive Pt. e.g anaphylaxis, burns, sepsis
3. As a fluid challenge in unresponsive non-hypovolaemic hypotensive Pts, other than LVF. e.g Electro-mechanical dissociation, asthma
4. Vehicle for diluting and intravenous admin of drugs
5. Fluid TKVO for IV admin of drugs. |
|
|
Term
| Oxytocin (Syntocinon) Primary Emergency Indications |
|
Definition
| Primary post partum haemorrhage |
|
|
Term
| Pancuronium Primary Emergency Indications |
|
Definition
| To maintain skeletal muscle paralysis and allow mechanical ventilation in intubated Pts following intubation facilitated by sedation, rapid sequence intubation, or during interhospital transport of ventilated Pts |
|
|
Term
| Prochlorperazine Primary Emergency Indications |
|
Definition
Treatment or prophylaxis of nausea/vomiting for:
- Motion sickness
- Planned aeromedical evacutaion
- Known allergy or contraindication to Metoclopramide
- Headache irrespective of nausea/vomitting
- Vertigo |
|
|
Term
| Salbutamol Primary Emergency Indications |
|
Definition
Respiratory distress with suspected bronchospasm:
- asthma
- pulmonary oedema
- severe allergic reactions
- COPD
- smoke inhalation
- Oleoresin Capsicum spray exposure |
|
|
Term
| Sodium Bicarbonate 8.4% Primary Emergency Indications |
|
Definition
1. To reduce metabolic acidosis during CPR after 15min. of ambulance personnel CPR
2. Symptomatic Tricyclic Antidepressant OD |
|
|
Term
| Suxamethonium Primary Emergency Indications |
|
Definition
| Complete muscle relaxation to allow endotracheal intubation |
|
|
Term
| Verapamil Primary Emergency Indications |
|
Definition
| SVT with adequate or borderline perfusion, but symptomatic, i.e rate related chest pain and/or shortness of breath with crackles present, which has not responded to abdominal valslva manoeuvre |
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