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Updated: Nov 10


Atrial Fibrillation

For patients presenting in Atrial Fibrillation please see current NYGH ED protocol


IMPORTANT: Phone contact with the interventionalist is required prior to all STEMI transfers and initiation of antiplatelets or heparin.

DO NOT GIVE TICAGRELOR until the patient is confirmed for PCI.

Please note: Sunnybrook is using one table for PCI for STEMI so there may be delays, redirect to UHN and then St.Mikes is still available.

Relevant PowerPlans (order through Firstnet):

  1. CrCU/ED Tenecteplase/TNKase for Myocardial Infarction/STEMI

  2. Enoxaparin for Myocardial Infarction/STEMI: Thrombolytic Given

Supporting documents linked to the PowerPlans and IV guidelines with their links on ERIC (links only active while @ NYGH)

  1. Thrombolysis for Myocardial Infarction: Inclusion and Exclusion Criteria  (Link) (PDF)

  2. Enoxaparin Dose Banding Table for Myocardial Infarction (STEMI) with Thrombolytic (Link) (PDF)

  3. IV Tenecteplase guidelines (Link) (PDF)

  4. IV enoxaparin guidelines (Link) (PDF)

Infectious Diseases

Blood Cultures

NYGH Blood Culture Algorithm


COVID 19 Treatment Guidelines

Centre for Effective Practice COVID-19 in 2023 Care and Operations Guidance

Lyme Disease

Lyme Disease 2023
Download PDF • 571KB

Rabies (Toronto Public Health) PEP/Reporting Tool

Rabies TPH May 2023
Download PDF • 177KB

To solely report an animal exposure without requesting PEP:

To request PEP:

ED Rabies RA / PEP Request


NYGH Pediatrics Post Circumcision Care Guide

Post Circumcision Care
Download PDF • 687KB



Communication Guides

NYGH Palliative Care Goals of Care Discussion Guide

NYGH Rapid Sequence Discussion Goals of Care Guide
Download PDF • 230KB

End of Life Communication Guide

Intimate Partner Violence Communication Guide


To follow up your own patients within 72h of original ED visit:

To view future booked appointments:

Physician Manual

Virtual ED_Physician Manual
Download PDF • 1.23MB


Updated: Dec 14, 2022

Treatment guidelines for outpatient COVID therapeutics (Ontario Science Table)

last updated Apr 2022 from

Referral Forms for Outpatient Therapeutics

Markham Stouffville Clinical Assessment Centre Referral (Paxlovid & Sotrovimab)

Scarborough Health Network Referral Form (Paxlovid & Sotrovimab)

Humber River Referral Form (Sotrovimab only)

Paxlovid Drug Information

PAXLOVID (Nirmatrelvir & Ritonavir) Drug Information Form for Patients

PAXLOVID drug info for patients
Download PDF • 680KB

Paxlovid Drug-Drug Interactions

MSH Paxlovid Drug-Drug Interactions Chart for CAC
Download PDF • 136KB

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