Emergency and complications protocol
HSI Clinical Rescue™ — Complications in Aesthetic Medicine
A single working document for the complications that matter in toxin and hyaluronic acid filler practice: what to recognise, what to do in the first twenty minutes, how much hyaluronidase, when to transfer, and how to manage nodules, delayed inflammatory reactions and biofilm.
Free clinical PDF · 9 pages
Read the full protocol
What is inside the protocol?
- Emergency quick reference — vascular occlusion kit, vision-loss kit and the written massage standard.
- Triage: which pathway is this patient on, by presentation and timing.
- Vascular occlusion recognition, including why absent pain does not exclude it.
- The first twenty minutes as a numbered sequence.
- Hyaluronidase: dose, territory and the clinical endpoint.
- Adjuncts: what helps, what is theatre.
- Vision loss and cerebral involvement, with high-risk injection sites.
- Nodules, the moulding problem, delayed inflammatory reactions, infection and biofilm.
- Botulinum toxin complications and readiness, governance and documentation standards.
Related reading: the Vascular Occlusion Emergency Protocol one-pager, the fully referenced dermal filler complications handbook, and HSI complications training.