PROTOCOLS

ALS PRACTITIONER PROTOCOLSINDICATIONS:• Cardiac arrest- Ventricular fibrillation, Pulseless ventricular tachycardia,Pulseless Electrical Activity, Asystole• Resistant symptomatic bradycardia• Anaphylaxis (for all patients with signs of systemic reaction:hypotension, laryngeal oedema or definite difficulty breathing)• Impending upper airway obstruction due to inflammation e.g:- Upper airway infection- Inhalational burns(With signs of stridor, cyanosis, dysphonia, etc)• Life-threatening severe asthma• Severe hypotension not due to hypovolaemia• Beta-blocker / calcium channel blocker toxicity• Croup (Laryngo-tracheo-bronchitis)CONTRA-INDICATIONS:• There are no absolute contra-indications in an emergency settingPRECAUTIONS:• Do not mix with alkaline solutions (e.g. sodium bicarbonate)• Hypertension• Angina, myocardial ischaemia, congestive cardiac failure• Diabetes Mellitus• Hyperthyroidism• Pregnancy• Stimulant abuse (e.g. cocaine) – AVOID adrenaline unless patient ispulseless!PACKAGING:• Ampoules: 1mg/1ml (1:1000) / 0.1%• Various pre-filled syringes designed to deliver predetermined doses28 SEPTEMBER 2006