Cardiology
Atrial Fibrillation
For patients presenting in Atrial Fibrillation please see current NYGH ED protocol
Code STEMI
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):
CrCU/ED Tenecteplase/TNKase for Myocardial Infarction/STEMI
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)
Thrombolysis for Myocardial Infarction: Inclusion and Exclusion Criteria  (Link) (PDF)
Enoxaparin Dose Banding Table for Myocardial Infarction (STEMI) with Thrombolytic (Link) (PDF)
Infectious Diseases
Blood Cultures
COVID 19
Centre for Effective Practice COVID-19 in 2023 Care and Operations Guidance
Lyme Disease
Rabies (Toronto Public Health) PEP/Reporting Tool
To solely report an animal exposure without requesting PEP: www.toronto.ca/BiteReport
To request PEP:
Thoracics
Pneumothorax
ED Management of Spontaneous pneumothorax - Complete Guideline
One Page Algorithm
Patient Handout (can also be found on patient handout page)
Communication Guides
End of Life Communication Guide