Health Professionals
Health Professionals
Oncologic Emergencies

CCNS has recently developed Guidelines for the Management of Oncologic Emergencies in Adult Cancer Patients. The guidelines were developed in consultation with Oncology, Emergency and EHS health professionals from across Nova Scotia.

The guidelines address the most common emergency situations experienced by adult cancer patients: Bleeding (GI,Hematuria, Hemoptysis and Vaginal bleeding), Brain Metastases, Increased Intracranial Pressure (ICP) and Seizures, DIC, Febrile Neutropenia, Hyperviscosity Syndrome, Malignant Airway Obstruction, Malignancy Associated Hypercalcemia, Spinal Cord Compression, Superior Vena Cava Obstruction, Syndrome of Inappropriate Antidiuretic Hormone Secretion &Tumor Lysis Syndrome.

In-services for health professionals regarding the guidelines are available upon request, call 1-866-599-2267.

Oncologic Emergencies Guideline - Quick Reference

Oncologic Emergencies Guideline - Full Version

Tracheo-Esophageal Puncture (TEP) Emergency Procedures

Some head and neck cancer patients require total laryngectomy surgeries with tracheo-esophageal puncture (TEP) to restore voicing. On occasion, the TEP prosthesis can become dislodged, leading to aspiration of saliva and food/liquid, loss of the ability to communicate verbally, and the puncture site could close, necessitating another surgical procedure.

Patients with a TEP carry a wallet card which gives a brief description of emergency procedures.

Nova Scotia Hearing and Speech Centres have prepared detailed information about how to help a person with a TEP if the prosthesis becomes dislodged, visit