On Duty:
Izzy is available until 16:30
On Call:
No CCP on call.
Contact CCC to request critical care input.
HEMS may be available subject to current deployment and weather conditions. Contact CCC for more information.
The CCP Team can help with:
Cardiac Arrest
- Video laryngoscope for difficult airway management
- Advanced management of refractory VF/VT rhythms
- Calcium Chloride for patients in cardiac arrest where hyperkalaemia is the likely cause or suspected calcium channel blocker overdose
- Post ROSC sedation for tolerance of airway devices
- Targeted ventilation strategies for post ROSC patients
- Use of syringe driver for post ROSC adrenaline infusions to aid circulatory support
- Use of ultrasound for supportive decision making in PEA
- Intra-arrest thrombolysis for specific patients where MI/PE is the likely cause
- Ketamine infusion for post ROSC sedation
- Management of resuscitation induced awareness during cardiac arrest
Trauma
- Advanced analgesia in adults and children where morphine is contraindicated or ineffective
- Emergency sedation to facilitate extrication and manage agitation in seriously injured patients
- Procedural sedation to facilitate provision of painful procedures (e.g reduction of fracture/dislocation with vascular compromise)
- Use of ultrasound in trauma FAST scans and in difficult IV access
- Use of Hypertonic Saline in suspected and specific head injury patients
- Finger thoracostomy
Cardiac
- Clinical and/or logistical support (if required) with the management of STEMI patients requiring PPCI hovercraft transfer
- Emergency sedation to manage synchronised DC cardioversion or external pacing
Medical
- Advanced analgesia where morphine is contraindicated or ineffective
- Emergency sedation for agitated patients believed to be seriously ill and requiring assessment and treatment
- Correction of vasoplegia in patients with hypotension thought to be caused by loss of vasoconstrictor tone.
Neurology
- Levetiracetam (Keppra) for second line management/control of convulsive status epilepticus in adults and children
- Hypertonic Saline for hyperosmolar therapy in cases of raised intracranial pressure