Clinical Guidelines

This page contains best practice guidelines produced by CEC and evidence based guidelines produced by the GEMNet subcommittee.

For clinical guidelines relevant to EM published by other organisations please go the External Guidelines page.

For clinical guidelines written by Emergency Departments (EDs) and shared for use/adaptation by other EDs please go to the Local Guidelines page.

 

CEC Position Statements

• Needlesticks - ED care of patients who have been potentially exposed to blood borne viruses(Feb 2013)

• Providing pre-transfusion blood samples for Police (Oct 2011)

• Triage (April 2011) - published by CEC, ENCA, FEN & RCN

• Alcohol related harms (Sept 2010)

• Unscheduled Care Facilities (2009) - Minimum requirements for units which see the less seriously ill or injured. Published by CEC, ENCA, FEN & RCN

 

CEC Best Practice Guidelines

• The Patient Who Absconds (May 2013)

• Consent, Capacity and Restraint of Adults in Emergency Departments (Mar 2013) PLEASE NOTE THAT THIS GUIDANCE HAS BEEN TEMPORARILY WITHDRAWN. A REVISED VERSION WILL BE PUBLISHED IN DUE COURSE

• HIV Testing in the Emergency Department  (Revised Oct 2012)

• Safe Sedation in the Emergency Department - Report and Recommendations by
  RCOA and CEM (Nov 2012)

• Management and Transfer of Patients with a diagnosis of Ruptured Abdominal Aortic Aneurysm to a specialist Vascular Centre (Oct 2012) - Endorsed jointly by the Vascular Society, the Royal College of Radiologists and CEM)

• Crowding in the Emergency Department (Revised Aug 2012)

• Providing a witness statement for the Police (Feb 2012)

• End of life care for adults in the Emergency Department (Feb 2012)

• Clinical guideline use in the Emergency Department (August 2011)

• Management of Adult Patients who attend Emergency Departments after Sexual Assault and / or Rape (June 2011)

• Cervical Spine: Management of alert, adult patients with potential cervical spine injury in the Emergency Department (November 2010)
  • Practical guide - a short summary of the above c-spine guideline

• Domestic Violence: Recognition and Management in Emergency Departments (June 2010)

• Management of Pain in Adults (June 2010)

• Management of Pain in Children (May 2010)

• Intravenous Regional Anaesthesia for Distal Forearm Fractures (Bier’s Block) (May 2010)CEM response to NICE guideline CG92: Venous thromboembolism (April 2010)

• Information sharing to reduce Community Violence (Sept 2009 - updated May 2010 and Aug 2011)

• Ketamine Sedation of Children in Emergency Departments (Sept 2009)

• Safeguarding Children (June 2009)

• Antidote Availability and Treatment Guideline (2008)
  • CEM Antidote Guidelines 2008 Introduction
  • CEM Antidote Guidelines 2008
  • CEM Antidote Guidelines 2008 Appendix 1
  • CEM Antidote Guidelines 2008 Appendix 2

 

CEC Resource Toolkits

• Mental Health in the ED (Feb 2013)

 

GEMNet Guidelines

Go to the GEMNet subcommittee page for more information about GEMNet

The following evidence-based guidelines have been published by GEMNet:

• Thromboprophylaxis in ambulatory trauma patients requiring temporary limb immobilisation - (Flowchart) (Oct 2012) Please note the flowchart was amended on 19 Oct 2012

• Acute allergic reaction - (Flowchart) (Dec 2009)

• First seizure in the ED - (Flowchart) (Dec 2009)

• Lone acute severe headache - (Flowchart) (Dec 2009)

• Tricyclic Antidepressant Overdose - (Flowchart) (Dec 2009)

 

CEC Quick Summaries of External Guidelines

Below is a list of College summaries of clinical guidelines relevant to Emergency Medicine which have been produced by external organisations.

• CEM summary of DVLA fitness to drive medical standards
  
  
• CEM summary of NICE Guideline CG47 - Feverish illness in children
  
  
• CEM summary of NICE Guideline CG54 - Urinary tract infection in children
  
  
• CEM summary of NICE Guideline CG88 - Early management of persitent non-specific low back pain
  
  
• CEM summary of NICE Guidelines CG100 & CG115 - Alcohol-use disorders
  
  
• CEM summary of NICE Guideline CG109 - Transient loss of conciousness  
  
  
• CEM summary of NICE Guideline CG112 - Sedation in children and young people
  
  
• CEM summary of Royal College of Nursing National Project - Dignity in dementia
  
  

For clinical guidelines relevant to Emergency Medicine produced by external organisations please click here.

 

Selected further guidance

• Paracetamol overdose: new guidance on the use of intravenous acetylcysteine (MHRA/CEM 3^rd Sept 2012)

• H1N1 influenza: Principles and resources for EDs (last updated 4^th Jan 2011)