For cardiac arrest or medical emergencies, If there is NO ANSWER after dialling 2222 and letting the phone ring for 5 RINGS. Replace the handset, pick back up the telephone, dial 81 and wait for the paging system to answer, then press 29990# the voice will say "Paging Request Accepted" - DO NOT HANG UP but wait until the voice says "Talk Now" - You then have to speak your message, and say for example, "Cardiac arrest J for James North , room 9, IRH" and repeat this 3 times. Press # and replace the handset.

For a fire call OR violent incident, repeat the same steps as above but instead of pressing 29990# press 29991# and again repeat the message clearly 3 times before pressing # and hanging up.

Peri-Arrest Calling Criteria - April 2009

  Clinical Emergencies within the MRI department - January 2009

Updated Management and Treatment of Anaphylaxis - IRH Guideline

Anaphylaxis Management Algorithm (updated January 2008)

NICE Guideline 50 - Acutely Ill Patients in Hospital 

- In conjunction with the library service, we have developed Resuscitation current awareness bulletins that contain new published research / articles available. The link to the list of bulletins is:

www.nhsggc.org.uk/content/default.asp?page=s716_1_61

Improving response in emergencies- 

- All our emergency trolleys across IRH have been replaced with smaller, lightweight and more robust units. In addition, all oxygen cylinders now have a suction unit built in too that will make better suction available in all departments.

  We have established a system at IRH known as Early Warning Scoring or EWS in an attempt to track the progress of patients in wards and to act as a trigger system when patient physiology becomes deranged in order to seek help earlier.

This system relies entirely on all staff recording patient observations accurately and often, charting them on the EWS chart and counting the score.

If you would like more information regarding EWS or are unsure in it's use, please contact the Hospital at Night Coordinator, Steven McDowall or the Resuscitation Officer, Tony Miller