Dr Victor Harold Wasson — Nauru Medical Centre Emergency Department
Dr Victor Harold Wasson
NMC Doctor — Nauru Medical Centre
This Clinical Decision Support System was conceived, designed, developed, and is administered by Dr Victor Harold Wasson, an NMC Doctor serving at the Nauru Medical Centre. Recognising the unique challenges of delivering emergency care in a remote, low-resource Pacific Island setting, Dr Wasson created this system to bridge the gap between evidence-based medicine and practical bedside decision-making.
The system was prepared specifically to support Emergency Room doctors and all health professionals at the Nauru Medical Centre, providing rapid access to clinical algorithms, drug dosing calculators, triage guidance, procedural references, and electrolyte correction protocols — all tailored to the resources and patient population of Nauru.
This resource is made freely available to all health professionals — doctors, nurses, paramedics, and allied health workers — both within Nauru and across the Pacific region. It is provided entirely free of charge, with no commercial sponsorship, no advertising, and no external funding. It is a labour of dedication to improving patient outcomes in one of the world's most remote healthcare settings.
What This System Provides
Emergency Triage
ATS-based triage system adapted for low-resource Pacific Island settings, with category calculators and specialist notification protocols.
Clinical Algorithms
25+ comprehensive decision trees covering all major emergency presentations — from STEMI to sepsis, stroke to anaphylaxis.
Drug Calculator
Weight-based dosing for 25+ drug categories including inotropes, antiarrhythmics, sedatives, anticonvulsants, opioids, and a dedicated insulin section.
Procedures Guide
40+ emergency procedures with step-by-step instructions, equipment lists, complications, and low-resource adaptations.
Electrolyte Protocols
Comprehensive electrolyte imbalance correction protocols with detailed calculators for sodium, potassium, calcium, magnesium, and phosphate.
IV Fluids & Resuscitation
Complete ACLS, PALS, and resuscitation protocols alongside crystalloid, colloid, and blood product management guidelines.
⚠ Medical Disclaimer
This system is intended as a clinical decision support tool and does not replace professional medical judgement, training, or experience. All clinical decisions must be made by qualified health professionals taking into account the individual patient's full clinical context. Drug dosing recommendations should be verified against current formularies and adjusted for individual patient factors including renal function, hepatic function, age, weight, and comorbidities. The developer accepts no liability for clinical decisions made using this system.
Acknowledgements
This system is dedicated to the patients and health workers of the Republic of Nauru. Special thanks to the medical and nursing staff of the Nauru Medical Centre Emergency Department for their invaluable feedback and support in developing this resource. This system is provided free of charge to all health professionals and carries no commercial sponsorship of any kind.