[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-364882-105":59,"doc-detail-364882-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","clinical-procedures-and-guidelines-comprehensive-edition-2019-2022","Clinical Procedures and Guidelines - Comprehensive edition 2019 - 2022","","Clinical Procedures and Guidelines (CPGs) for St John New Zealand’s emergency ambulance sector provide standing orders for authorised clinical personnel. The guidelines support clinical decision-making when delivering patient care, including treatment principles, calling clinical support, documentation, and key assessment steps such as primary and secondary survey. Coverage spans respiratory, cardiac, shock and trauma, altered consciousness and metabolic conditions, infection, paediatrics, and pregnancy. The CPGs incorporate governance structures and specify review and expiry timelines through February 2022.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/clinical-procedures-and-guidelines-comprehensive-edition-2019-2022/364882/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/clinical-procedures-and-guidelines-comprehensive-edition-2019-2022/364882.png","ImageObject",300,407,{"name":92,"@type":93},"Aldword","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-24","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Who are the Clinical Procedures and Guidelines (CPGs) intended for?","Question",{"text":113,"@type":114},"They are intended for St John personnel with current authority to practise, providing clinical care to patients on behalf of St John within the New Zealand emergency ambulance sector.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How often are the CPGs reviewed and when do they expire?",{"text":118,"@type":114},"They are reviewed at the end of 2020 and 2021, with updates issued if required. They expire at the end of February 2022 and are then formally updated and reissued.",{"name":120,"@type":111,"acceptedAnswer":121},"What major clinical topics are included in the Contents?",{"text":122,"@type":114},"The Contents cover general treatment principles and specific clinical areas including respiratory, cardiac, shock and trauma, altered consciousness/metabolic conditions, infection, paediatrics, and pregnancy.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},364882,1790862952,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146},2336478940917,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Clinical Proceduresand Guidelines  \nComprehensive edition 2019 – 2022  \n© St John New Zealand, 2019  \nExcept as provided by the Copyright Act 1994, no part of this publication may be reproduced or stored in a retrieval system in any form or by any means without the prior written permission of the copyright owner.  \nClinical Procedures and Guidelines-Comprehensive Edition  \n\n| Issued by: Dr Tony Smith, Medical Director | Issue No: 8 | Document No: CDT508 |\n| --- | --- | --- |\n| Authorised by: Norma Lane, Director of Clinical Operations | Issue date:\u003Cbr>June 2019 | Expiry date: February 2022 |\n\nIntroduction  \nThese are the Clinical Procedures and Guidelines (CPGs), incorporating standing orders for use of personnel within the New Zealand emergency ambulance sector. These CPGs are for the use of St John personnel with current authority to practise, when providing clinical care to patients on behalf of St John. These CPGs have been developed by the National Ambulance Sector Clinical Working Group and are issued to individual clinical personnel by Dr Tony Smith, the Medical Director for St John.  \nThese CPGs will be reviewed at the end of 2020 and 2021, with updates being issued at that time if required. These CPGs expire at the end of February 2022 at which time they will be formally updated and reissued. They remain the intellectual property of the National Ambulance Sector Clinical Working Group and may be recalled or updated at any time. Any persons other than St John personnel using these CPGs do so at their own risk. Neither St John nor the National Ambulance Sector Clinical Working Group will be responsible for any loss, damage or injury suffered by any person as a result of, or arising out of, the use of these CPGs by persons other than authorised St John personnel.  \nNational Ambulance Sector Clinical Working Group Members  \nPete Collins, Patient Safety Manager, Wellington Free Ambulance Dr Craig Ellis, Deputy Medical Director, St John  \nHannah MacLeod, Clinical Innovation and Learning Manager, St John Daniel Ohs, Assistant Director of Operations-Clinical Practice, St John Dr Tony Smith (Chair), Medical Director, St John  \nAdam Stevenson, Intensive Care Paramedic, Wellington Free Ambulance Dr Andy Swain, Medical Director, Wellington Free Ambulance  \nComments and enquiries  \nPersonnel should send an email [to](to clinical.excellence@stjohn.org.nz. Others)[ clinical.excellence@stjohn.org.nz](to clinical.excellence@stjohn.org.nz. Others)[. Others](to clinical.excellence@stjohn.org.nz. Others)[ ](to clinical.excellence@stjohn.org.nz. Others)wishing to make formal comments or enquiries should contact Dr Tony Smith at [tony.smith@stjohn.org.nz](tony.smith@stjohn.org.nz).  \nDr Tony Smith  \nMedical Director  \nDr Ian Civil  \nChair of the Clinical Governance Committee  \nContents  \n1: General treatment principles 1  \n1.1 Authority to practise and practice  \nlevels 1  \n1.2 General principles 4  \n1.3 Providing treatment that differs from that authorised in these CPGs 6  \n1.4 Analgesia 11  \n1.5 Advance directives and advance care plans 21  \n1.6 Patient competency 23  \n1.7 Calling the Clinical Desk 26  \n1.8 Personnel on the Clinical Desk providing advice 27  \n1.9 Crew resource management 28 1.10 Handover 31 1.11 Informed consent 32 1.12 Initial management of a major  \nincident 34  \n1.13 End of life care 38  \n1.14 Verification of death 40  \n1.15 Oxygen administration 43  \n1.16 Status codes 47  \n1.17 Requesting a helicopter 49  \n1.18 Treatment and referral decisions 54  \n1.19 Vital signs 59  \n1.20 Documentation 63  \n1.21 The primary and secondary survey 68  \n2: Respiratory 70 2.1 Asthma 70  \n2.2 Chronic obstructive pulmonary disease (COPD) 78  \n2.3 Foreign body airway obstruction 85  \n2.4 Positive end expiratory pressure (PEEP) 88  \n2.5 Stridor 90  \n2.6 Croup 92  \n3: Cardiac 93  \n3.1 Assessment for myocardial ischaemia 93  \n3.2 Myocardial ischaemia 101  \n3.3 ST elevation myocardial infarction (STEMI) 104  \n3.4 Fibrinolytic therapy 111  \n3.","cbCaimIFxSNJhUJ3","https://ap.wps.com/l/cbCaimIFxSNJhUJ3","pdf",2850106,562,"English","# Introduction\n# General treatment principles\n## Authority to practise and practice levels\n## General principles\n## Providing treatment that differs from that authorised in these CPGs\n## Analgesia\n## Advance directives and advance care plans\n## Patient competency\n## Calling the Clinical Desk\n## Personnel on the Clinical Desk providing advice\n## Crew resource management\n## Handover\n## Informed consent\n## Initial management of a major incident\n## End of life care\n## Verification of death\n## Oxygen administration\n## Status codes\n## Requesting a helicopter\n## Treatment and referral decisions\n## Vital signs\n## Documentation\n## The primary and secondary survey\n# Respiratory\n## Asthma\n## Chronic obstructive pulmonary disease (COPD)\n## Foreign body airway obstruction\n## Positive end expiratory pressure (PEEP)\n## Stridor\n## Croup\n# Cardiac\n## Assessment for myocardial ischaemia\n## Myocardial ischaemia\n## ST elevation myocardial infarction (STEMI)\n## Fibrinolytic therapy\n## Inter-hospital transfer of patients with STEMI","[{\"question\":\"Who are the Clinical Procedures and Guidelines (CPGs) intended for?\",\"answer\":\"They are intended for St John personnel with current authority to practise, providing clinical care to patients on behalf of St John within the New Zealand emergency ambulance sector.\"},{\"question\":\"How often are the CPGs reviewed and when do they expire?\",\"answer\":\"They are reviewed at the end of 2020 and 2021, with updates issued if required. They expire at the end of February 2022 and are then formally updated and reissued.\"},{\"question\":\"What major clinical topics are included in the Contents?\",\"answer\":\"The Contents cover general treatment principles and specific clinical areas including respiratory, cardiac, shock and trauma, altered consciousness/metabolic conditions, infection, paediatrics, and pregnancy.\"}]","Clinical Procedures and Guidelines - Comprehensive edition 2019 - 2022 | PDF",1790159316,1416]