Nauru CDS

Clinical Decision Algorithms

204 evidence-based emergency algorithms with step-by-step decision pathways

204 algorithms found

Abdominal Trauma

Assessment and management of blunt and penetrating abdominal trauma

trauma
Acute Appendicitis

Diagnosis and management of acute appendicitis

gi
Acute Cholangitis

Diagnosis and management of acute cholangitis (biliary sepsis)

gi
Acute Cholecystitis

Diagnosis and management of acute cholecystitis

gi
Acute Coronary Syndrome (ACS)

Systematic evaluation of chest pain suspicious for ACS including STEMI, NSTEMI, and unstable angina

cardiac
Acute Decompensated Heart Failure

Emergency management of acute pulmonary oedema and decompensated heart failure

cardiac
Acute Diverticulitis

Diagnosis and management of acute colonic diverticulitis

gi
Acute GI Bleeding (Upper & Lower)

Risk stratification and management of acute gastrointestinal hemorrhage

gi
Acute Hyponatremia

Assessment and correction of hyponatremia based on severity, chronicity, and volume status

metabolic
Acute Limb Ischaemia

Emergency recognition and management of acute limb ischaemia using the 6 Ps assessment

cardiac
Acute Liver Failure (ALF)

Recognition and management of acute liver failure with encephalopathy and coagulopathy

gi
Acute Meningitis

Emergency management of suspected bacterial meningitis including empiric antibiotics and adjunctive therapy

infectious
Acute Mesenteric Ischaemia

Recognition and emergency management of acute mesenteric ischaemia

gi
Acute Pancreatitis

Assessment, severity scoring, and management of acute pancreatitis

gi
Acute Pericarditis and Myocarditis

Diagnosis and management of acute pericarditis and myopericarditis

cardiac
Acute Poisoning / Overdose

General approach to the poisoned patient including toxidrome recognition and specific antidotes

toxicology
Acute Pulmonary Edema

Differentiation and management of cardiac vs non-cardiac pulmonary edema with comprehensive treatment pathways

cardiac
Acute Respiratory Distress Syndrome (ARDS)

Diagnosis and management of ARDS including lung-protective ventilation

respiratory
Acute Respiratory Failure and NIV

Classification and management of acute respiratory failure including NIV and intubation criteria

respiratory
Acute Right Heart Failure

Management of acute RV failure including RV infarction, massive PE, and pulmonary hypertension crisis

cardiac
Acute Seizure Management

Management of acute seizures and status epilepticus using time-based protocol

neuro
Acute Severe Anaemia

Management of acute severe anaemia including haemolytic anaemia

hematological
Acute Severe Asthma

Stepwise management of acute asthma exacerbation from mild to life-threatening

respiratory
Acute Severe Asthma (Adult)

Emergency management of acute severe and life-threatening asthma in adults

respiratory
Acute Spinal Cord Compression

Recognition and emergency management of acute spinal cord compression

neuro
Acute Stroke (Ischemic & Hemorrhagic)

Rapid assessment, CT interpretation, and thrombolysis decision pathway for acute stroke

neuro
Acute Urinary Retention

Emergency management of acute urinary retention including catheterisation and post-obstructive diuresis monitoring

gi
Acute Vertigo & Dizziness

Systematic approach to acute vertigo differentiating peripheral from central causes using HINTS examination

neuro
Addisonian Crisis

Recognition and emergency management of adrenal crisis

metabolic
Adrenal Crisis

Recognition and emergency management of acute adrenal insufficiency

metabolic
Alcohol Withdrawal

Management of alcohol withdrawal syndrome including delirium tremens

toxicology
Altered Mental Status (AMS)

Systematic approach to the confused or unconscious patient using AEIOU-TIPS mnemonic

neuro
Altitude Sickness

Management of acute mountain sickness, HACE, and HAPE

environmental
Anaphylaxis

Rapid recognition and treatment of anaphylaxis including refractory cases

resuscitation
Anaphylaxis Resuscitation

Emergency management of anaphylaxis and anaphylactic shock

resuscitation
Anaphylaxis — First Response

Immediate recognition and management of life-threatening allergic reaction

resuscitation
Antepartum Hemorrhage

Assessment and management of bleeding in pregnancy after 20 weeks — placenta praevia and abruption

obstetric
Aortic Dissection

Rapid diagnosis and management of acute aortic dissection — Type A and Type B

cardiac
Aplastic Anaemia and Bone Marrow Failure

Emergency management of aplastic anaemia and acute bone marrow failure

hematological
Aspiration Pneumonia and Pneumonitis

Diagnosis and management of aspiration pneumonitis and aspiration pneumonia

respiratory
Asystole Management

Management of asystole and non-shockable cardiac arrest

resuscitation
Atrial Fibrillation with Rapid Ventricular Response

Management of AF with RVR including rate control, rhythm control, and anticoagulation

cardiac
Benzodiazepine Overdose

Management of benzodiazepine overdose including flumazenil use

toxicology
Beta-Blocker and Calcium Channel Blocker Overdose

Management of beta-blocker and calcium channel blocker overdose

toxicology
Blast Injury

Management of blast injuries including primary, secondary, tertiary, and quaternary effects

trauma
Bone Marrow Failure and Aplastic Anaemia

Management of aplastic anaemia and bone marrow failure

hematological
Bowel Obstruction

Differentiation and management of small and large bowel obstruction

gi
Bradycardia and Complete Heart Block

Systematic approach to symptomatic bradycardia including complete heart block and high-degree AV block

cardiac
Bronchiolitis

Management of acute bronchiolitis in infants

pediatric
Carbon Monoxide Poisoning

Recognition and management of carbon monoxide poisoning

toxicology
Cardiac Arrest (ACLS)

Advanced Cardiac Life Support algorithm for adult cardiac arrest including shockable and non-shockable rhythms

resuscitation
Cardiac Tamponade

Recognition and emergency management of cardiac tamponade including pericardiocentesis

cardiac
Cardiogenic Shock

Recognition and management of cardiogenic shock including inotropes and vasopressors

cardiac
Cellulitis and Skin Abscess

Management of cellulitis and skin abscess including MRSA considerations

infectious
Chemical Burns

Management of chemical burns including acid and alkali injuries

environmental
Choking (Foreign Body Airway Obstruction)

Management of foreign body airway obstruction in adults and children

resuscitation
CNS Infection — Meningitis and Encephalitis

Diagnosis and management of bacterial meningitis and viral encephalitis

neuro
Cold Water Drowning

Specific management of cold water drowning with hypothermia

environmental
Community-Acquired Pneumonia (CAP)

Diagnosis and management of CAP including severity scoring and antibiotic selection

respiratory
Community-Acquired Pneumonia and Pneumonia Sepsis

Management of community-acquired pneumonia including severity assessment

infectious
COPD Acute Exacerbation

Management of acute exacerbation of COPD including NIV and controlled oxygen therapy

respiratory
Cord Prolapse

Emergency management of umbilical cord prolapse

obstetric
Corneal Foreign Body & Eye Injury

Assessment and management of corneal foreign bodies, chemical burns, and traumatic eye injuries

trauma
Croup (Laryngotracheobronchitis)

Assessment and management of croup in children

pediatric
Crush Injury and Rhabdomyolysis

Management of crush injury and rhabdomyolysis including renal failure prevention

trauma
Decompression Illness (DCI)

Recognition and emergency management of decompression sickness and arterial gas embolism

environmental
Deep Vein Thrombosis (DVT)

Diagnosis and management of deep vein thrombosis

hematological
Delirium — Assessment and Management

Recognition, assessment, and management of acute delirium in hospital

neuro
Dengue Fever

Assessment and management of dengue fever including dengue haemorrhagic fever

infectious
Dental & Oral Emergency

Emergency management of dental trauma, avulsed teeth, dental abscess, and oral haemorrhage

trauma
Diabetic Ketoacidosis (DKA)

Systematic management of DKA including fluid resuscitation, insulin therapy, and electrolyte correction

metabolic
Digoxin Toxicity

Recognition and management of digoxin toxicity including Digibind therapy

toxicology
Disseminated Intravascular Coagulation (DIC)

Recognition and management of DIC including underlying cause treatment and coagulation factor replacement

hematological
DOAC Reversal

Management of DOAC-related bleeding and reversal agents

hematological
Drowning / Submersion Injury

Rescue, resuscitation, and post-immersion management of drowning victims

resuscitation
Drowning Resuscitation

Resuscitation approach for drowning victims

resuscitation
Eclampsia

Emergency management of eclamptic seizures

obstetric
Eclampsia & Severe Pre-eclampsia

Emergency management of eclampsia and severe pre-eclampsia with seizure control and delivery planning

obstetric
Ectopic Pregnancy

Diagnosis and management of ectopic pregnancy

obstetric
Electrical Burns and Injury

Management of electrical injuries including high-voltage and lightning

environmental
Epiglottitis

Recognition and emergency management of acute epiglottitis in adults and children

respiratory
Epistaxis (Nosebleed) Management

Systematic approach to anterior and posterior epistaxis including packing techniques

trauma
Extremity Vascular Injury

Recognition and management of extremity vascular injuries

trauma
Eye Trauma

Management of eye trauma including open globe and chemical injuries

trauma
Febrile Neutropenia

Management of febrile neutropenia in oncology patients

hematological
Febrile Seizure

Management of febrile seizures in children including simple vs complex classification

pediatric
Foreign Body Ingestion and Airway

Management of foreign body ingestion and airway foreign body in children

pediatric
Frostbite

Recognition and management of frostbite

environmental
Gastrointestinal Perforation

Recognition and emergency management of GI perforation

gi
Genitourinary Trauma

Management of genitourinary trauma including renal, bladder, and urethral injuries

trauma
Guillain-Barre Syndrome

Recognition and management of Guillain-Barre syndrome including respiratory monitoring

neuro
Haemolytic Anaemia Crisis

Emergency management of acute haemolytic anaemia including G6PD crisis

hematological
Haemophilia Bleeding

Management of bleeding in haemophilia A and B

hematological
Haemoptysis

Assessment and management of haemoptysis from minor to massive

respiratory
Haemorrhagic Shock

Management of haemorrhagic shock using damage control resuscitation

trauma
Heat Stroke

Emergency management of classic and exertional heat stroke with rapid cooling protocols

environmental
Hepatic Encephalopathy

Grading and management of hepatic encephalopathy

gi
High-Altitude Illness

Recognition and management of acute mountain sickness, HACE, and HAPE

environmental
HIV/AIDS Emergency Presentations

Management of emergency presentations in HIV/AIDS patients

infectious
Hypercalcaemia

Assessment and management of hypercalcaemia

metabolic
Hyperemesis Gravidarum

Diagnosis and management of severe nausea and vomiting in pregnancy

obstetric
Hyperkalemia

Emergency management of life-threatening hyperkalemia with cardiac stabilization and potassium lowering

metabolic
Hypernatraemia

Diagnosis and management of hypernatraemia

metabolic
Hyperosmolar Hyperglycaemic State (HHS)

Emergency management of hyperosmolar hyperglycaemic state in type 2 diabetes

metabolic
Hypertensive Emergency

Management of hypertensive emergency with target organ damage

cardiac
Hypertensive Encephalopathy

Recognition and management of hypertensive encephalopathy

neuro
Hypertrophic Pyloric Stenosis

Recognition and management of infantile hypertrophic pyloric stenosis

pediatric
Hyperviscosity Syndrome

Recognition and management of hyperviscosity syndrome

hematological
Hypoglycaemia

Recognition and management of hypoglycaemia

metabolic
Hypoglycemia

Rapid recognition and treatment of hypoglycemia with investigation of underlying cause

metabolic
Hypomagnesaemia

Diagnosis and management of hypomagnesaemia

metabolic
Hyponatraemia

Systematic approach to diagnosis and management of hyponatraemia

metabolic
Hypothermia

Classification and rewarming management of accidental hypothermia

environmental
Hypothermic Cardiac Arrest

Resuscitation of hypothermic cardiac arrest

resuscitation
Infective Endocarditis

Diagnosis and management of infective endocarditis including Duke criteria and antibiotic therapy

cardiac
Intussusception

Recognition and management of intussusception in children

pediatric
Ischaemic Colitis

Diagnosis and management of ischaemic colitis

gi
Leptospirosis

Diagnosis and management of leptospirosis including Weil's disease

infectious
Leukaemia Emergency Presentations

Management of acute leukaemia emergency presentations

hematological
Lightning Strike

Management of lightning strike injuries

environmental
Lithium Toxicity

Recognition and management of lithium toxicity

toxicology
Lower GI Bleeding

Assessment and management of lower gastrointestinal bleeding

gi
Lung Abscess

Diagnosis and management of lung abscess including antibiotic therapy and drainage

respiratory
Major Burns

Assessment and fluid resuscitation of major burn injuries using Parkland formula

trauma
Major Trauma — Primary Survey (ATLS)

Systematic ABCDE approach to major trauma assessment and immediate life-saving interventions

trauma
Malaria

Diagnosis and management of malaria including severe malaria

infectious
Marine Envenomation

Management of marine envenomation including jellyfish, stonefish, and sea snake

environmental
Mass Casualty Incident (MCI) Triage

START triage and mass casualty incident management

resuscitation
Massive Transfusion Protocol (MTP)

Activation and management of massive transfusion protocol for life-threatening hemorrhage

hematological
Maxillofacial Trauma

Management of maxillofacial trauma including airway and haemorrhage

trauma
Meningococcal Septicaemia

Recognition and emergency management of meningococcal disease

infectious
Miscarriage and Early Pregnancy Loss

Assessment and management of miscarriage and early pregnancy complications

obstetric
Myasthenic Crisis

Recognition and management of myasthenic crisis including respiratory failure

neuro
Myxoedema Coma

Recognition and management of myxoedema coma (severe hypothyroidism)

metabolic
Near Drowning (Submersion Injury)

Management of submersion injury including pulmonary and neurological complications

environmental
Necrotising Fasciitis

Recognition and emergency surgical management of necrotising fasciitis

infectious
Neonatal Jaundice

Assessment and management of neonatal jaundice including phototherapy and exchange transfusion

pediatric
Neonatal Resuscitation

Systematic approach to neonatal resuscitation at birth

pediatric
Neuroleptic Malignant Syndrome (NMS)

Recognition and management of neuroleptic malignant syndrome

toxicology
Obstetric Sepsis

Recognition and management of obstetric sepsis

obstetric
Opioid Overdose

Recognition and management of opioid overdose including naloxone administration

toxicology
Organophosphate & Carbamate Poisoning

Emergency management of cholinergic crisis from organophosphate or carbamate pesticide poisoning

toxicology
Paediatric Anaphylaxis

Recognition and management of anaphylaxis in children

pediatric
Paediatric Asthma

Acute asthma exacerbation management in children

pediatric
Paediatric Basic Life Support

BLS algorithm for infants and children

resuscitation
Paediatric Burns

Assessment and management of burns in children

pediatric
Paediatric Diabetic Ketoacidosis (DKA)

Management of DKA in children with emphasis on cerebral oedema prevention

pediatric
Paediatric Fever Without Source

Risk stratification and management of febrile children under 5 years with no identifiable source of infection

pediatric
Paediatric Meningitis

Recognition and management of bacterial meningitis in children

pediatric
Paediatric Pneumonia

Diagnosis and management of community-acquired pneumonia in children

pediatric
Paediatric Sepsis

Recognition and management of sepsis in children including septic shock

pediatric
Paediatric Trauma

Systematic approach to paediatric trauma including anatomical differences

pediatric
Paracetamol Overdose

Management of paracetamol overdose including N-acetylcysteine (NAC) therapy

toxicology
Pediatric Resuscitation (PALS)

Pediatric Advanced Life Support algorithm with weight-based dosing and age-specific considerations

pediatric
Pelvic Fracture

Management of pelvic fractures including haemorrhage control

trauma
Penetrating Chest Trauma

Management of penetrating chest trauma including cardiac tamponade and haemothorax

trauma
Peritonsillar Abscess (Quinsy)

Diagnosis and management of peritonsillar abscess including needle aspiration and incision & drainage

infectious
Phaeochromocytoma Crisis

Recognition and emergency management of phaeochromocytoma crisis

metabolic
Placenta Praevia

Management of placenta praevia and antepartum haemorrhage

obstetric
Placenta Praevia & Accreta Spectrum

Emergency management of placenta praevia and placenta accreta spectrum disorders

obstetric
Placental Abruption

Recognition and management of placental abruption

obstetric
Pleural Effusion

Diagnosis and management of pleural effusion including thoracocentesis and Light's criteria

respiratory
Pneumothorax (Simple & Tension)

Recognition and management of pneumothorax from observation to emergency decompression

respiratory
Post-Cardiac Arrest Care

Systematic post-resuscitation care after return of spontaneous circulation

resuscitation
Postpartum Haemorrhage

Prevention and management of postpartum haemorrhage

obstetric
Postpartum Hemorrhage (PPH)

Systematic management of primary and secondary postpartum hemorrhage using the 4T approach

obstetric
Pre-eclampsia Management

Diagnosis and management of pre-eclampsia and severe features

obstetric
Preeclampsia / Eclampsia

Emergency management of severe preeclampsia and eclamptic seizures in pregnancy

obstetric
Pulmonary Embolism (PE)

Diagnosis and management of pulmonary embolism from low-risk to massive PE

respiratory
Pulseless Electrical Activity

Recognition and management of PEA cardiac arrest

resuscitation
Radiation Exposure

Management of radiation exposure and acute radiation syndrome

environmental
Raised Intracranial Pressure (ICP)

Recognition and management of raised ICP including herniation syndromes

neuro
Rapid Sequence Intubation (RSI)

Step-by-step protocol for emergency airway management using rapid sequence intubation

resuscitation
Salicylate (Aspirin) Overdose

Recognition and management of salicylate toxicity

toxicology
Sepsis & Septic Shock

Hour-1 bundle approach to sepsis recognition, resuscitation, and source control

infectious
Septic Arthritis

Recognition and management of septic arthritis

infectious
Serotonin Syndrome

Recognition and management of serotonin syndrome

toxicology
Severe and Life-Threatening Asthma

Management of severe and life-threatening asthma exacerbation

respiratory
Shoulder Dystocia

Recognition and management of shoulder dystocia

obstetric
Sickle Cell Crisis

Management of vaso-occlusive crisis, acute chest syndrome, and other sickle cell emergencies

hematological
Smoke Inhalation

Management of smoke inhalation injury including carbon monoxide and cyanide

environmental
Snakebite

Management of snakebite including antivenom administration

toxicology
Spinal Injury

Assessment and management of traumatic spinal injury

trauma
Spontaneous Bacterial Peritonitis

Diagnosis and treatment of spontaneous bacterial peritonitis in cirrhosis

gi
Status Epilepticus

Time-critical management of status epilepticus with escalating benzodiazepine and antiepileptic therapy

neuro
Supraventricular Tachycardia (SVT)

Systematic approach to diagnosis and management of narrow complex tachycardia

cardiac
Syncope — Assessment and Management

Systematic approach to syncope including risk stratification and investigation

neuro
Tension Pneumothorax

Recognition and emergency management of tension pneumothorax

respiratory
Testicular Torsion

Emergency diagnosis and management of testicular torsion — a urological emergency requiring surgery within 6 hours

gi
Tetanus

Recognition and management of tetanus

infectious
Thrombocytopenia

Systematic approach to thrombocytopenia including ITP and TTP

hematological
Thyroid Storm

Recognition and management of thyroid storm (thyrotoxic crisis)

metabolic
Transient Ischaemic Attack (TIA)

Assessment and management of TIA to prevent stroke

neuro
Traumatic Brain Injury

Assessment and management of traumatic brain injury from mild concussion to severe TBI

trauma
Traumatic Cardiac Arrest

Management of traumatic cardiac arrest including reversible causes

trauma
Tricyclic Antidepressant (TCA) Overdose

Recognition and management of TCA overdose including sodium bicarbonate therapy

toxicology
Typhoid Fever

Diagnosis and management of typhoid fever and its complications

infectious
Undifferentiated Shock

Systematic approach to identifying and treating the cause of shock using clinical assessment and bedside ultrasound

resuscitation
Urinary Tract Infection and Urosepsis

Management of UTI spectrum from uncomplicated cystitis to urosepsis

infectious
Variceal Bleeding

Management of acute oesophageal and gastric variceal haemorrhage

gi
Ventricular Tachycardia (VT)

Management of sustained VT including pulseless VT, monomorphic VT, and torsades de pointes

cardiac
Vertigo and Dizziness

Systematic approach to vertigo and dizziness including HINTS exam and BPPV management

neuro
Warfarin Reversal

Management of warfarin over-anticoagulation and reversal for bleeding or surgery

hematological
Wernicke Encephalopathy

Recognition and treatment of Wernicke encephalopathy — a medical emergency

neuro