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Clinical Guides


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


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:


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

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