Clinical Procedures Change Update
Steve Henderson

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New Delegated scopes of practice for 2009 - 2011
• Ondansetron
• PEEP valves
• Tourniquets
• RSI
• Intra-osseous drills

• 12 lead interpretation and automated defibrillation removed
• Synchronised cardioversion

• Turkel decompression needles (an alternative technique) – not a change in scope of practice
EZ-IO
• EZ-IO G3 Power Driver
– EZ-IO 15 mm Needle
15 gauge (1.8 mm) x
15 mm long
– EZ-IO 25 mm Needle
15 gauge (1.8 mm) x
25 mm long
– EZ-IO 45 mm Needle 15 gauge (1.8 mm) x
45 mm long

EZ-IO

Combat Application Tourniquet (CAT)
• Uncontrolled bleeding from a limb that can not be stopped by conventional methods, or
• When bleeding is immediately life threatening, or
• When you can’t get to bleeding site
Key points

Turkel™ Safety Thoracentesis System
• The features of the Turkel™ safety system include a blunt safety cannula, housed within the sharp, bevelled hollow needle and a safety colour change indicator.
Transport…
Transport them (wherever possible) direct to a hospital that regularly receives major trauma.

Any Questions?