On Duty:
No CCP on duty.
On Call:
No CCP on call.
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