Guidelines & Protocols

Clinical Guidelines & Protocols

All protocols are only for use within Raigmore Critical Care areas. They do not constitute medical advice and no responsibility is taken by the authors for any treatment decisions made.

Airway

• DAS / FICM critical care intubation guidelines
• Blocked Tracheostomy Algorithm
• Paediatric RSI checklist
• Setting up for perc tracheostomy
• PERC TRACHY POLICY

Respiratory

• Asthma CEACCP
• bronchoscopy in ICU
• Referral for ECMO
• ECMO Cannulation and Retrieval Guidelines for Referring Hospitals 17.4.18
• Refractory Hypoxaemia
• APRV
• AIRWAY PRESSURE RELEASE VENTILATION 2011
• Proning checklist

Cardiovascular

• Management of Acute Coronary Syndrome in Critical Care
• Management of Atrial Fibrillation in Critical Care
• Raigmore echo protocol
• Fluid management in critical care
• LIDCO MONITORING
• Scottish national acute heart failure – referral

GI

• bowel care protocol
• NG tubes
• Cirrhosis bundle
• Fulminant liver failure guideline – RIE
• Sengstaken Blakemore Tube – Quick Guide
• stress ulcer prophylaxis
• variceal haemorrhage
• Guidelines for enteral feeding in the perioperative period
• Oesophagectomy Intensive Care

Renal

• Electrolytes kardex prescription
• Hypokalaemia protocol
• Hypocalcaemia protocol
• Hypomagnesaemia protocol
• Hypophosphataemia – addiphos
• Hypophosphataemia – glycophos
• Hypophosphataemia – potassium acid phosphate

Micro / sepsis

• Empiric Antibiotic Guidelines for ITU

Neuro

• Status epilepticus (on TAM, see quick reference guide)
• Temperature management post cardiac arrest
• Osmotherapy (hypertonic saline)
• Neuromuscular blockade in critical care
• Traumatic Brain Injury
• Meningitis
• Stroke secondary prevention
• Stroke Thrombolysis guidelines
• Acute treatment of ischaemic stroke
• Sedation break protocol

Trauma / Haemorrhage

• Management of massive haemorrhage in adults flow sheet
• Tertiary survey
• Major Obstetric Haemorrhage_protocol_

Transfer

• Theatre Handover
• Raigmore Interhospital Transfer Chart
• Raigmore Intra-Hospital Transfer Form

End of Life care

• End of Life care bundle
• AOMRC Best Practice on Diagnosis of Death

• NHS Blood and Transplant Best Practice Guidelines
• NHS Blood and Transplant Brain Stem Death Diagnosis Videos
• Physiology of brain stem death BJA education summary
• Diagnosis_of_Death_using_Neurological_Criteria – short
• Diagnosis_of_Death_using_Neurological_Criteria long
• DBD Donor optimisation bundle
• Guidance for Anaesthetists during DBD donation in theatre
• Donation after Cardiac Death (DCD) – a guide
• Donation after Cardiac Death BJA summary article
• Theatre care of potential DCD lung donors
• Referral for corneal donation

Paediatrics

• Edinburgh Paediatric drug dosing table
• Scotstar drug calculator
• Scotstar clinical guidelines
• Evelina (South Thames) clinical guidelines
• Paeds asthma guidelines
• paeds retrieval checks
• croup

Other

• Procurator fiscal referral guidelines
• Midnight law – refusal of emergency treatment