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Standard Treatment Protocol of Emergency Health Service Package

by Public Health Update


The Curative Services Division, DoHS, Ministry of Health and Population-Nepal, and the World Health Organization (WHO), Country Office for Nepal, jointly disseminated “Standard Treatment Protocol of Emergency Health Service Package” – a quick reference book for the frontline healthcare workers to enhance their knowledge and skills in management and treatment of health emergencies at point of service delivery.

This Standard Treatment Protocol will be rolled out in all provinces through orientations to health care providers and officials in health governance and policy for universal accessibility, availability, and affordability of emergency health care services at all levels. (WHO Nepal Facebook Page)

The guidelines provided in this Standard Treatment Protocol of Emergency Health Service Package is expected to be useful for all health workers including nurses and doctors and other health-care providers, and health promoters. This can be used to:

  • Support the emergency health services by developing a national standard treatment protocol in all health institutions.
  • Ensure that all the necessary equipments and resources are available.
  • The STP is proposed to be used at the following levels of health service as endorsed recently by the Government of Nepal, depending on the resources available [Basic Health Service Centers (BHSC), Primary hospitals (up to 5-15 bedded hospitals) and General hospitals (up to 50 bedded hospitals)]

Content of the document

  • Background
  • Definition of Emergency Health Services
  • Rationale of the STP
  • Development Process of the STP
  • Utilization of the STP
  • Assumptions made for the implementation of the STP
  • How to use the STP 4 ABCDE Approach in the Emergency Room
  • Adult Basic Life Support
  • Paediatric Basic Life Support
  • Paediatric Cardiac Arrest Algorithm
  • Adult Cardiac Arrest Algorithm
  • Adult Tachycardia with a Pulse Algorithm
  • Adult Bradycardia Algorithm
  • Adult Post- Cardiac Arrest Care Algorithm

List of emergency conditions included in STP

  • Respiratory Emergencies
  • Cardiac Emergencies
  • Neurological Emergencies
  • Gastrointestinal Emergencies
  • Genitourinary Emergencies
  • Gynaecology and Obstetrical Emergencies
  • Orthopedics and Trauma
  • Metabolic Emergencies
  • Ocular Emergencies
  • ENT Emergencies
  • Burns
  • Mental Health Emergencies
  • Toxicological Emergencies
  • Snake bite, Animal bite, Insect bite
  • Pediatric Emergencies
  • Miscellaneous


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