Airway interventions |
• Use of airway adjunct or procedure to maintain patent airway. |
• Use of intravenous/intramuscular adrenaline to treat or prevent airway compromise. |
Breathing interventions |
• Bag-valve-mask ventilation (unless during procedural sedation), intermittent positive pressure ventilation, or non-invasive ventilation. |
• Decompression of tension pneumothorax. |
• Drainage of significant pleural effusion (>1 litre). |
• Insertion of chest drain for pneumothorax in patients with pre-existing lung disease. |
• Intravenous therapy except steroids for asthma. |
Circulation interventions |
• Cardioversion (chemical or DC) of ventricular tachycardia or supraventricular tachycardia or atrial fibrillation with accessory pathway. |
• CPR. |
• Emergency endoscopy or surgery for upper GI bleed or use of Sengstaken tube or use of vasopressin/terlipressin. |
• Infusion of >2 litres of fluid or transfusion for haemodynamic instability. |
• Laparotomy for GI bleed/gynaecological bleed (including ectopic)/AAA. |
• Sepsis care bundle. |
• Thrombolysis for AMI or PE, or percutaneous revascularisation. |
• Therapeutic (not diagnostic) pericardiocentesis. |
• Transcutaneous or external pacing or administration of atropine (except in theatre). |
• Vasopressor use (except bolus dosing in theatre). |
Disability interventions |
• Administration of naloxone or flumazenil (unless related to procedural sedation). |
• Administration of 10 %/50 % dextrose. |
• Administration of >1 dose benzodiazepines/other anticonvulsants for fitting. |
• Neurosurgical intervention. |
Other interventions |
• Active rewarming (not including Bearhugger). |
• Laparotomy for sepsis/infarction/obstruction. |
• New initiation of renal replacement therapy. |
• Specific poisons antidotes including N-acetylcysteine. |