Adrenaline
- Hypovolaemic shock without adequate fluid replacement
Aspirin
- Suspected
- Actively
- Bleeding
- Chest pain
- Hurts
- Hypersensitivity to aspirin / salicylates
- Actively bleeding peptic ulcers
- Bleeding disorders
- Suspected dissecting aortic aneurysm
- Chest pain associated with psychostimulant OD if SBP >160 mmHg
Ceftriaxone
Allergy to Cephalosporin antibiotics
Dexamethasone
- Known hypersensitivity
Dextrose 10%
- Nil of significance in the above indication
Fentanyl
- Hands
- Left
- History of hypersensitivity
2. Late second stage of labour
Glucagon
- Nil of significance in the above indication
Glyceryl Trinitrate
2 BP 3 HR 2 STEMI 3 Drugs Sensitive
- Known hypersensitivity
- Systolic blood pressure < 110 mmHg tablet
- Systolic blood pressure < 90 mmHg patch
- Sildenafil Citrate (Viagra) or Vardenafil (Levitra) administration in the
previous 24 hr or Tadalafil (Cialis) administration in the previous 4 days
(PDE5 inhibitors) - Heart rate > 150 bpm
- Bradycardia HR < 50 bpm (excluding autonomic dysreflexia)
- VT
- Inferior STEMI with systolic BP < 160 mmHg
- Right ventricular MI
Heparin
- Known allergy or hypersensitivity
- Active bleeding (excluding menses)
- Oral anticoagulants
- Bleeding disorders
- History of Heparin-Induced Thrombocytopaenia (HIT) ( low blood platelet count)
- Severe hepatic impairment / disease, including oesophageal varices
- Recent trauma or surgery (< 3 weeks)
Ipratropium Bromide
- Known hypersensitivity to Atropine or its derivatives
Ketamine
Suspected non-traumatic brain injury with severe hypertension (SBP > 180)
Lidocaine (Lignocaine
Known hypersensitivity to lidocaine or related local anaesthetics (bupivacaine, levobupivacaine,
prilocaine, ropivacaine
Lidocaine (Lignocaine) – AVOID-2 H B C P
AVOID-2 exclusion criteria:
Known hypersensitivity to lidocaine
Bradycardia (HR < 50)
Cardiac arrest or cardiogenic shock (SBP < 90mmHg)
Past history of epilepsy, renal failure or liver failure
Methoxyflurane M C P E P
Muscular dystrophy
Concurrent use of tetracycline antibiotics
Pre-existing renal disease / renal impairment
Exceeding total dose of 6 mL in a 24 hour period
Personal or family history of malignant hyperthermia
Midazolam
- Known hypersensitivity to benzodiazepines
Morphine
Hands Left & Right
- History of hypersensitivity
- Renal impairment / failure
- Late second stage of labour
Naloxone
- Nil of significance in the above indication
Olanzapine
- Nil
Ondansetron
- ondanceatron
- Known hypersensitivity
- Concurrent Apomorphine use
- Known Long Q-T syndrome
- Hypokalaemia or hypomagnesaemia
Oxytocin
P.H.E.C.
- Previous hypersensitivity
- Preaclampsia (toxemia)
- Exclude multiple pregnancy before drug administration
- Cord prolapse
Paracetamol 2 Does 1 kid ACS Sensitive
- Hypersensitivity to paracetamol
- Children < 1 month of age
- Paracetamol already administered within past 4 hours
- Total paracetamol intake within past 24 hours exceeding 4 g (adults) or
60 mg/kg (children) - Chest pain in suspected acute coronary syndrome
Prochlorperazine (Stematil)
Contras
1. Circulatory collapse (cool, pale, clammy skin, tachycardia, hypotension) 2. CNS depression 3. Previous hypersensitivity 4. Patients < 21 years of age 5. Pregnanc
Salbutamol
- Nil of significance in the above indications
Tenecteplase
- Major surgery in the past 3 months
- Significant head injury in the past 3 months
- Major trauma in the past 3 months
- Stroke/TIA in the past 3 months
- ICH at any time
- GI or genitourinary bleed in the past month
- Current bleeding disorder, active bleeding (excluding menses) or
bleeding tendencies - Anticoagulants or glycoprotein IIb/IIIa inhibitors
- Allergy to tenecteplase or gentamicin
