HEALTH PROFESSIONS COUNCIL OF SOUTH AFRICA PROFESSIONAL BOARD FOR EMERGENCY CARE CAPABILITIES OF EMERGENCY CARE PROVIDERS: JUNE 2016

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1 HEALTH PROFESSIONS COUNCIL OF SOUTH AFRICA PROFESSIONAL BOARD FOR EMERGENCY CARE CAPABILITIES OF EMERGENCY CARE PROVIDERS: JUNE 2016 CAPABILITIES Airway Management Finger sweep Head-tilt-chin lift Jaw-thrust Suctioning of the airway Airway obstruction removal techniques Use of Magill's forceps Oropharyngeal airway insertion Nasopharyngeal tube airway insertion Cricoid pressure Orotracheal intubation Nasotracheal intubation Blind nasotracheal intubation Digital endotracheal intubation 1

2 Airway Management Retrograde intubation Supraglottic extraglottic airway devices insertion Orogastric tube insertion Nasogastric tube insertion Needle cricothyroidotomy Surgical cricothyroidotomy Rapid sequence intubation, only with capnography & ventilator Oxygenation and Ventilation Oxygen therapy Nebulization (medicated) Use of pulse oximetry Needle thoracentesis Bag valve mask ventilation Bag valve tube ventilation Mechanical ventilation Use of PEEP Use of capnography Circulatory Management Blood pressure measurement Peripheral intravenous cannulation - 8 year old patients only Peripheral intravenous cannulation - all age categories External jugular vein cannulation Femoral vein cannulation 2

3 Circulatory Management Intra-osseous insertion Umbilical vein cannulation Fluid administration Intravenous drug administration Intraosseus drug administration Subcutaneous drug administration Intramuscular drug administration Endotracheal tube drug administration Drug infusions and use of infusion devices Use of syringe drivers Use of non-invasive blood pressure monitors External haemorrhage control including use of tourniquet Use of pneumatic anti-shock garment - legs only Use of pneumatic anti-shock garment - entire Automated external defibrillation Manual defibrillation (asynchronous) Synchronised cardioversion Vagal manoeuvres Central line management Transcutaneous cardiac pacing 3 Lead ECG monitoring 12 Lead ECG monitoring Fibrinolysis 3

4 ECG Rhythm Analysis Normal sinus rhythm Sinus bradycardia Sinus tachycardia Ventricular fibrillation Ventricular tachycardia Asystole / PEA All other emergency cardiac dysrrhythmias Obstetric Management Normal vaginal delivery Prolapsed cord management Breech delivery management (scope specific) Mal presentations management (scope specific) Preterm labour management (scope specific) Obstructed labour management (scope specific) Fundal massage Bimanual compression Tocolysis General CPR (adult, child, infant & neonate) Patient clinical assessment Vital sign assessment Finger prick and blood glucose measurement Cervical spinal clearance 4

5 General Application of cervical collar Application of head blocks Application of spider harness Spinal immobilization using scoop stretcher & long spinal board Spinal immobilization using an extrication device Application of splints including the traction splint Application of vacuum mattress Use of stretchers Urinary catheterization Basic wound care and application of dressings Suturing Declaration of death: withdrawal of resuscitation efforts Declaration of death: withholding resuscitation General patient inter-facility transfer Intensive care transfer Neonatal transfer (non-intubated patient) Neonatal intensive care transfer Medications Acetyl Salicylic Acid Activated charcoal Adenosine Adrenaline Amiodarone Hydrochloride 5

6 Medications Atropine sulphate Calcium chloride 10% Clopidogrel Corticosteroids hydrocortisone / methylprednisolone Cyclimorph Dextrose 5% Dextrose 50% Diazepam Enoxaparin Etomidate Flumazenil Furosemide Glucagon Glyceryl Trinitrate Heparin sodium Ipratropium Bromide Ketamine Lignocaine hydrochloride (local) Lignocaine hydrochloride (systemic) Lorazepam Magnesium sulphate Medical oxygen Metoclopramide monohydrochloride Midazolam Morphine sulphate 6

7 Medications Naloxone hydrochloride Nitrous oxide Oral glucose powder/gel Promethazine Rocuronium Sodium bicarbonate 8.5% Streptokinase Suxamethonium chloride Tenecteplase Thiamine Vecuronium β 2 Stimulants (inhaled) β 2 Stimulants (systemic) 7