Local Guidelines

This page contains guidelines, proformas and discharge advice produced by Emergency Departments (EDs) that can be downloaded and adapted for local use by other EDs.  The College wishes to thank all the authors who have kindly agreed to share their guidelines here.

If your Emergency Department has guidelines that you are willing to make available to others via this page please contact philip.mcmillan@collemergencymed.ac.uk

Click on these links to jump to the section you require:

Adult Guidelines / Protocols

Paediatric Guidelines / Protocols

Discharge Advice

Initial Assessment Tools

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Adult Guidelines / Protocols

• Acute pulmonary oedema (treatment with CPAP) (University Hospital of South Manchester, Dec 2011)

• Allergic reaction (Barts and the London, 2011)

• Asthma (moderate severity) (Barts and the London, 2011)

• Atrial Fibrillation (Russells Hall Hospital, Mar 2011)

• Burns Injury (Russells Hall Hospital, UPDATED Mar 2012)

• DVT (Newham University Hospital, Nov 2011)

• Ectopic Pregnancy: Management in the Emergency Department (Addenbrooke’s Hospital, 2009)

• Elderly falls/collapse (University Hospital of South Manchester, Dec 2011)

• Eyes (Emergency Care Institute, New South Wales, Australia Sep 2012)

• Falls in older patients (Russells Hall Hospital, 2012)

• First seizure in adults (Addenbrooke’s Hospital, 2009)

• Fragility Fracture (Russells Hall Hospital, Mar 2013)

• Fractured Neck of Femur (Leicester Royal Infirmary, 2009)

• Head Injury (Barts and the London, 2011)

• Mental health assessment form - adults (Addenbrooke's Hospital, 2013)

• Mental health risk assessment matrix (Bristol Royal Infirmary, 2013)

• Migraine (Barts and the London, 2011)

• Non-invasive ventilation (BiPAP) for COPD (University Hospital of South Manchester, Dec 2011)

• Paracetamol overdose (Barts and the London, 2011)

• Paracetamol poisoning proforma to guide ED management of ORAL ingestions in adults (Leicester Royal Infirmary, 2012)

• Paracetamol poisoning proforma - post NAC (Leicester Royal Infirmary, 2012)

• Procedural sedation proforma for adults (Queen Elizabeth Hospital Birmingham, Feb 2012)

• Pneumothorax (Barts and the London, 2011)

• Red Eye Algorithm (Mark Wright. This diagnostic algorithm is taken from chapter 3 of Pocket Tutor Ophthalmology and reproduced with the kind permission of JP Medical Ltd)

• Referral of Patients from Emergency Department (ED) to Inpatient Teams (Salisbury District Hospital, 2012)

• Sedation record (Barts and the London, 2011)

• Post-seizure (Barts and the London, 2011)

• Pulmonary embolism (Barts and the London, 2011)

• Rapid sequence induction (Addenbrooke’s Hospital, 2009)

• Renal colic (Barts and the London, 2011)

• Sedation of adult patients (Addenbrooke’s Hospital, 2009)

• Subarachnoid haemorrhage (Barts and the London, 2011)

• Triage (Hinchingbrooke, June 2012)

• Vertigo (Barts and the London, 2011)

 

Paediatric Guidelines / Protocols

• Acute gastroenteritis in childhood (Central Manchester University Hospitals, 2009)

• Acute paracetamol overdose (Central Manchester University Hospitals, 2009)

• Afebrile fits (Central Manchester University Hospitals, 2009)

• Apparently drunk child (Central Manchester University Hospitals, 2009)

• Asthma in childhood (Central Manchester University Hospitals, 2009)

• Bronchiolitis (Central Manchester University Hospitals, 2009)

• Constipation in childhood (Central Manchester University Hospitals, 2009)

• Croup (Central Manchester University Hospitals, 2009)

• Distal Forearm Buckle Fractures in Children (Addenbrooke’s Hospital, 2009)

• Febrile convulsions (Central Manchester University Hospitals, 2009)

• Fever in young children (Central Manchester University Hospitals, 2009)

• Gastroenteritis in children (Addenbrooke’s Hospital, 2009)

• Head injury in childhood (Central Manchester University Hospitals, 2009)

• Jaundice in the newborn (Central Manchester University Hospitals, 2009)

• Limping child without trauma (Central Manchester University Hospitals, 2009)

• Nasal diamorphine for children (Addenbrooke’s Hospital, 2009)

• Paracetamol poisoning proforma to guide management of all ORAL ingestions in patients aged >1 month and <16 years old (Leicester Royal Infirmary, 2012)

• Procedural sedation for paediatric patients using Ketamine (Dudley Group of Hospitals 2012)

• Staggered paracetamol overdose (Central Manchester University Hospitals, 2009)

• The limping child (Addenbrooke’s Hospital, 2009)

• UTI in childhood (Central Manchester University Hospitals, 2009)

• Triage (Hinchingbrooke, June 2012)

 

Discharge advice for patients

• Abdominal pain (men) - discharge advice (Addenbrooke’s Hospital, 2011)

• Abdominal pain (women) - discharge advice (Addenbrooke’s Hospital, 2011)

• Ankle sprain (acute) - discharge advice (Sunderland Royal Hospital, June 2012)

• Cellulitis - discharge advice (Sunderland Royal Hospital, June 2012)

• Chest drain - leaving hospital discharge advice (Sunderland Royal Hospital, June 2012)

• Chest drain after chest injury - discharge advice (Sunderland Royal Hospital, June 2012)

• Deep Vein Thrombosis (DVT) - discharge advice (Glasgow Royal Infirmary, 2011)

• Digital nerve block - discharge advice (Sunderland Royal Hospital, June 2012)

• Discloated shoulder - discharge advice (Sunderland Royal Hospital, June 2012)

• Early Pregnancy Problem - discharge advice (Glasgow Royal Infirmary, 2011)

• Hand (5th Metacarpal) Fracture - discharge advice (Glasgow Royal Infirmary, 2011)

• Head Injury - discharge advice for adult carers (Sunderland Royal Hospital, June 2012)

• Head Injury - discharge advice for patients over 12 years (Sunderland Royal Hospital, June 2012)

• Head Injury - gradual return to sport discharge advice (Glasgow Royal Infirmary, 2011)

• Ketamine sedation (children) - discharge advice (Addenbrooke’s Hospital, 2011)

• Ketamine sedation (Children) - discharge advice (Dudley Group of Hospitals 2012)

• Mallet Finger Injury - discharge advice (Glasgow Royal Infirmary, 2011)

• Mallet Finger - discharge advice (Sunderland Royal Hospital, June 2012)

• Pneumothorax - discharge advice (Addenbrooke’s Hospital, 2011)

• Pretibial laceration (Lower Leg Wounds) - discharge advice (Sunderland Royal Hospital, June 2012)

• Procedural Sedation - discharge advice for adults (Glasgow Royal Infirmary, 2011)

• Procedural Sedation - discharge advice (Addenbrooke's Hospital, 2011)

• Radial Head/Neck Fracture - discharge advice (Glasgow Royal Infirmary, 2011)

• Sedation - discharge advice (Sunderland Royal Hospital, June 2012)

• Self discharge against advice (Refusal of treatment) (Glasgow Royal Infirmary, 2011)

• Supra-ventricular tachycardia (SVT) - discharge advice (Addenbrooke's Hospital, 2011)

• Syncope - discharge advice (Sunderland Royal Hospital, June 2012)

• Torus “Buckle” Fractures - discharge advice (Glasgow Royal Infirmary, 2011)

 

Initial Assessment Tools

IMPORTANT: The following tools have been designed for use by nurses at the point of initial assessment

• Abdominal pain (QMC Nottingham, Jan 2013)

• Alcohol withdrawal (QMC Nottingham, Jan 2013)

• Cardiac chest pain (QMC Nottingham, Jan 2013)

• Cellulitis (QMC Nottingham, Jan 2013)

• Collapse (QMC Nottingham, Jan 2013)

• Confusion (QMC Nottingham, Jan 2013)

• Diarrhoea and vomiting (QMC Nottingham, Jan 2013)

• Fractured neck of femur (QMC Nottingham, Jan 2013)

• GI bleed (QMC Nottingham, Jan 2013)

• Head Injury (QMC Nottingham, Jan 2013)

• Pain (QMC Nottingham, Jan 2013)

• Pleuritic chest pain (QMC Nottingham, Jan 2013)

• Paracetamol overdose (QMC Nottingham, Jan 2013)

• PV bleed (QMC Nottingham, Jan 2013)

• Seizure (QMC Nottingham, Jan 2013)

• Septic athritis (QMC Nottingham, Jan 2013)

• Shortness of breath (QMC Nottingham, Jan 2013)

• Stroke (QMC Nottingham, Jan 2013)

• UTI (QMC Nottingham, Jan 2013)