Vascular

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  Emergency

  If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or follow local emergency care protocols or seek emergent medical advice if in a remote region.

  • Crescendo or multiple recent TIA (Transient Ischemic Attack) / amaurosis fugax
  • Acute stroke
  • Acute aortic dissection
  • Ruptured AAA
  • Symptomatic AAA (abdominal/back pain/tenderness, compressive symptoms, distal embolisation)
  • Axillary vein thrombosis, iliofemoral DVT
  • Acute DVT
  • Active infection in leg with peripheral arterial disease
  • Diabetic foot infection (refer to high-risk foot pathway)
  • Acute arterial ischemia/threatened limb
  • Ischaemic changes and/or threatened limb (ulcer, gangrene, rest pain)
  • Active infection in leg with peripheral arterial disease
  • Diabetic foot infection (refer to high-risk foot Healthpathway)
  • Foot ulcer with infection and systemically unwell or febrile, invasive infection or rapidly spreading cellulitis (defined by peripheral redness around the wound >2cm), acute ischaemia, wet gangrene, acute or suspected Charcot - A
  • Thrombosed AVF (refer to vascular registrar on call or the renal access nurse)
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  CPC in scope Not an exhaustive list

  Please note this is not an exhaustive list of all conditions for outpatient services and does not exclude consideration for referral unless specifically stipulated in the CPC out of scope section.

  • Aortic aneurysm ADULT
  • Carotid artery disease ADULT
  • Dialysis access procedure (specialist-to-specialist referral) ADULT
  • High-risk foot (Vascular) ADULT
  • Peripheral arterial disease ADULT
  • Venous disease ADULT
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  CPC out of scope

  The following are not routinely provided in a public Vascular service.

  • Asymptomatic / cosmetic varicose veins (unless within scope of your local health service)
  • Leg pain with tibial vessel occlusions in non-diabetic patients