🚨 Clinical Decision-Making on the Road

SA EMS FIELD PROTOCOLS:
IN REAL CONTEXT

The HPCSA Clinical Practice Guidelines translated into real road scenarios, acute decision trees, statutory pharmacology monographs, and cadre backup triggers.

61 Drug Protocols

Indications & dosages strictly aligned to HPCSA CDST v1.3 & Annexure A; contraindications & adverse effects referenced from SAMF (14th Ed) & emergency pharmacotherapy.

Assessment Tools

Pre-Hospital Shock Index, GCS, airway decision trees, and permissive hypotension matrices.

Resus Calculators

Push-Dose inotrope formulas, pediatric weight & dosage drivers, and Parkland burn calculations.

Cadre Triggers

Immediate clinical escalation thresholds across BAA, ECA, AEA, ECT, CCA, NDip, and ECP.

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208 Registered MedicsGoal: 2,000

Community Goal: When we hit 2,000 verified signups, Case Packs 1–10 unlock completely free for all registered SA medics.

CASE SCENARIO DRILL 01

Real Road Case Simulation

[PREVIEW CARD]

Case Name

Scenario Walkthrough: Rural Polytrauma (TBI + Hemorrhagic Shock)

Scenario / Description

Case Presentation: 28-year-old male, unrestrained driver in a high-speed rollover on a regional gravel road (90-minute transport time to referral center). GCS 6 (unresponsive, snoring airway, clenching jaw), compound left femur fracture with arterial spurting, rigid/distended abdomen. Vitals: BP 78/42 (MAP 54), HR 138 (thready), RR 8/min (shallow), SpO2 84%.

POLYTRAUMA

FULL CASE ACCESS LOCKED • UNLOCKS AT OFFICIAL LAUNCH

Exclusive Previews: Built Into Every Case

Here is a preview of the 3 tactical tools embedded in Case 01: Drug Profiles, Assessment Tools, and Resuscitation Calculations.

Live Preview Only

DRUG PROFILE CARD≥ AEA / ECA (Arrest & Anaphylaxis) • ANT / ECP (Push-Dose & Infusion)BAA: Strictly Not Permitted

TITRATION TARGET: MAP ≥ 65 mmHg

Adrenaline (Epinephrine) Inotrope / Push-Dose(Sympathomimetic Catecholamine)

Indications: Based on HPCSA CDST v1.3 • Oct 2025 • Contra/Adverse: SAMF 14th Ed

HPCSA Indication:Refractory Hemorrhagic Shock • Neurogenic Shock • Post-RSI Hypotension

Dose & Route:Push-Dose: 5–20 mcg IV boluses (10 mcg/mL) • Infusion: 2–10 mcg/min (titrated to MAP ≥ 65 mmHg)

SAMF Warnings & Adverse Effects:Splanchnic/renal ischemia in uncorrected hypovolemia; fatal arrhythmias & intracranial hemorrhage if given undiluted IV in perfusing patients.

Spoken Pharmacology Teaser:“Receptor Mechanism & Volume Restriction in Torso Exsanguination”

30-Second Clinical Teaser • Studio Audio Production

Open Full Adrenaline Monograph & Tactical Cheat Card →Includes Spoken Audio Briefing, SAMF Adverse Warnings & Pathophysiology

ASSESSMENT TOOL PREVIEWTBI & Trauma Resus

Pre-Hospital Shock Index & Permissive Hypotension Target

Calculation:Shock Index (SI) = HR ÷ SBP

• Normal: 0.5 – 0.7
• SI > 1.0 (Case 01: 138 ÷ 78 = 1.76): Indicates massive occult internal bleeding. Mandates immediate push-dose vasopressor support & pre-alerting trauma surgical theater.

Private Clinical Tool • Locked

RESUS CALCULATOR PREVIEWHPCSA CDST v1.3 • Oct 2025

Adrenaline Infusion & Compounding Calculator

Gravity Drip (60 gtt):1 mg in 250 mL (4 mcg/mL)

Syringe Driver (50 mL):2 mg in 50 mL (40 mcg/mL)

• Modality Engines: Gravity Drips (with real drop metronome), 50 mL Syringe Driver (PALS-compliant), Volumetric Smart Pump, and Push-Dose pressors.
• Clinical Verification: Dynamic saline withdrawal vs direct injection rules, paediatric safe-start dosing (0.1 mcg/kg/min), and fluorescent barrel labeling.

Interactive Calculator Locked

SA EMS FIELD PROTOCOLS: IN REAL CONTEXT