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PROCEDURES

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Pre-hospital emergency anaesthesia (pHEA)

Pre-hospital emergency anaesthesia (pHEA)

Pre-hospital emergency anaesthesia (pHEA)

Too many elements... button below will direct to full PHEA audit form

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PRE-Hospital sedation

PRE-Hospital sedation

Decision

Start

Complete

TCC call?

stable throughout

initial dose

total dose

Pre-sedation observations

Post-sedation observations

Oxygen applied

End-tidal CO2 monitoring

Anchor 3

transcutaneous pacing

transcutaneous pacing

Decision

Start

mechanical capture

capture current

12-lead ECG

sedation required

initial heart rate

set rate

BP compromised

stable transfer

prior medications

Anchor 4

DC CARDIOVERSION

DC CARDIOVERSION

Decision

Start

successful

initial energy

12-lead ECG

sedation required

initial heart rate

stable transfer

associated medications

adverse features

attempts

successful energy

Anchor 5

Surgical airway

Surgical airway

Decision

Start

Complete

TCC call?

Sharps injuries?

CICO scenario

Oxygen applied

paralysis ensured

attempts

etCO2

secured at 

Anchor 6

Simple thoracostomy

Simple thoracostomy

Identified at primary survey 

Sharps injuries?

Performed at primary survey 

Anchor 7

Resuscitative thoracotomy

Resuscitative thoracotomy

Decision

Start

Complete

TCC call?

Pre-arrival briefing

Sharps injuries?

estimated time from arrest to procedure start

prior signs of life:

Anchor 8

Resuscitative Hysterotomy

Resuscitative Hysterotomy

Decision

Start

Complete

TCC call?

Pre-arrival briefing

Sharps injuries?

confirmed maternal arrest

gestation > 24 weeks

estimated time from arrest to start of procedure

Cord clamped & cut

Placenta delivered

Uterus packed

Abdomen closed

Oxytocin given

Neonatal signs of life? 

Neonatal interventions

AMPUTATION

AMPUTATION

Decision

Start

Complete

TCC call?

Checklist

Briefing

x2 Tourniquets

Shears

Gigli saw

Amputated limb conveyed

Anchor 9

safeguarding

safeguarding

Referral regarding

Referral done

Please refer to the formal referral procedures documented within the link. 

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