Complication and Emergency Protocol Pack for Filler Injectors

Ten physician-authored, ready-to-adopt templates for filler vascular occlusion, hyaluronidase rescue, ultrasound triage and referral. Written by a fellowship-trained radiologist who injects.

When a filler occlusion happens, nobody in the room should be reading a journal article. The practices that do well already have the algorithm on the wall, the hyaluronidase volumes worked out for the product on their shelf, the kit sealed and logged, and the ophthalmology call scripted. This pack gives you exactly that, as editable documents you adopt under your own medical director.

Every dose, volume and decision point is drawn from the published literature, including the high-dose pulsed hyaluronidase protocol described by DeLorenzi, the ultrasound-targeted approach of Schelke and colleagues, the Global Aesthetics Consensus and the most recent world review of filler-related blindness. Full citations with DOI links are printed in the documents.

What is inside:

• 00 Cover and Index, with the evidence base
• 01 How to Adapt This Pack for Your State and Practice, with a medical director sign-off block
• 02 Vascular Occlusion Algorithm, 11 x 17 wall poster
• 03 Vascular Occlusion Pocket Card, 4 x 6, vision emergency on the back
• 04 Hyaluronidase Dosing and Reconstitution Sheet (Hylenex, Vitrase, Amphadase)
• 05 Ultrasound Triage Flowchart for occlusion and post-filler nodules
• 06 Emergency Kit Checklist with a 12-month inspection log
• 07 Ophthalmology Referral Script
• 08 Vascular Event Documented Timeline
• 09 Radiology Referral Letter for filler complications

Every document comes as an editable Word file and a print-ready PDF, plus one combined PDF of the whole pack.

Free update: Document 10, Delayed-Onset Nodules and Late Reactions: Treatment Ladder, is in final clinical review and will be sent free to every buyer when released.

About the author: Thomas McCann, MD is a board-certified diagnostic radiologist with fellowship training in musculoskeletal imaging at Yale. He is the medical director and sole injector of a physician-only aesthetic practice in New Jersey, where he personally performs every injectable, laser and device treatment.

Who it is for: physicians, nurse practitioners, physician assistants, registered nurses, dentists and medical directors who inject dermal fillers or supervise those who do. Written for clinicians, not patients.

Terms: single-practice license for internal use; no resale or sharing. Educational templates only, not medical advice; adapt to your state law and your medical director before use. Because files are delivered instantly, sales are final once downloaded. If a file is missing, corrupted or will not open, email hello@mccannmd.com within 14 days and it will be replaced or refunded. Full terms are included in the download.