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NHS Evidence

On 10 May 2011 a new version of NHS Evidence – the service which provides health and social care professionals with access to quality-assured, best-practice information – went live.

NHS Evidence now provides you with access to a broadened range of relevant and high quality information including the latest guidelines, high quality patient information, research uncertainties and other selected information across a wide range of conditions and specialties.

Below is a list of clinical guidelines relevant to Emergency Medicine produced by external organisations. This page is regularly reviewed and updated by the CEC Best Practice subcommittee. Please report any dead links to philip.mcmillan@collemergencymed.ac.uk

Click on a category to see related guidelines:

Abdominal	Chronic obstructive pulmonary disease (COPD)	Pregnancy
Acute coronary syndromes	Diabetic foot disease	Pre-hospital
Acutely ill patients	End of life	Pulmonary embolism
Advance care planning	Falls	Radiology
Airway management	Feverish children	Rheumatology
Alcohol	Fitness to drive	Safeguarding children
Allergies	Gastrointestinal bleeding	Sedation
Ambulatory care	Head injury	Seizure
Anthrax	Hypertension	Self-harm
Aortic diseases	Influenza	Sepsis
Arrhythmia	Low back pain	Stroke / TIA
Asthma	Lower limb	Syncope
Atrial fibrillation	Meningitis	Toxicity
Bleeding	Mental health	Transient loss of consciousness
Breathlessness	Organ Donation	Urinary tract infection
Carbon monoxide	Pneumonia	Venous thrombosis
Cellulitis	Pneumothorax	Violent behaviour
Chest pain	Post-traumatic stress disorder

Abdominal

Blunt abdominal trauma: Clinical Policy: Critical Issues in the Evaluation of Adult Patients Presenting to the Emergency Department With Acute Blunt Abdominal Trauma (American College of Emergency Physicians, 2003)

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Acute coronary syndromes

Unstable angina and NSTEMI: the early management of unstable angina and non-ST-segment-elevation myocardial infarction (NICE CG94, March 2010)

Acute Myocardial Infarction in patients presenting with ST-segment elevation (Management of) (European Society of Cardiology, 2008) View Details

Acute Coronary Syndromes in patients presenting without ST-segment elevation (Management of) (European Society of Cardiology, 2007) View Details

Acute Heart Failure: ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure (European Society of Cardiology, 2008) View Details

The clinical effectiveness and cost effectiveness of drugs for early thrombolysis in the treatment of acute myocardial infarction (NICE TA52, 2002)

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Acutely ill patients

Acutely ill patients in hospital (NICE CG50, July 2007)

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Advance care planning

Advance care planning - National Guidelines (Royal College of Physicans, 2009). View Details

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Airway management

Emergency Airway Management in the Trauma Patient (NSW Institute of Trauma and Injury Management, 2008) View Details

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Alcohol

Alcohol-use disorders: physical complications (NICE CG100, June 2010). See also NICE Public health guidance Alcohol-use disorders: preventing harmful drinking (NICE PH24, June 2010)

CEM Summary of NICE CG100 & CG115 (Jan 2012)

Paddington Alcohol Test - this is not a clinical guideline but a clinical and therapeutic tool to ‘make the connection’ between Emergency Department (ED) attendance and drinking alcohol (Imperial Healthcare NHS Trust, 2009)

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Allergies

Care pathways for children with allergies (RCPCH, 2010)

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Ambulatory care

The Directory of Ambulatory Emergency Care for Adults (2007)

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Anthrax

Interim Clinical Guidance for the Management of Suspected Anthrax in Drug Users (Health Protection Scotland, 2010)

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Aortic diseases

Aortic Dissection (Diagnosis and Management of) (European Society of Cardiology, 2001) View Details

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Arrhythmia

Supraventricular Arrhythmias (Guidelines for the Management of Patients with) (American Heart Association, 2003)

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Asthma

British Guideline on the Management of Asthma (The British Thoracic Society / Scottish Intercollegiate Guidelines Network, 2009)

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Atrial fibrillation

Atrial Fibrillation (Management of) (European Society of Cardiology, 2010)

The management of atrial fibrillation (NICE CG36, June 2006)

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Bleeding

Guideline on the selection and use of theraputic products to treat haemophilia and other hereditary bleeding disorders (United Kingdom Haemophilia Centre Doctors' Organisation (UKHCDO), 2008)

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Breathlessness

Emergency Oxygen Use in Adult Patients (The British Thoracic Society, 2008)

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Carbon monoxide

Carbon Monoxide Poisoning Algorithm (Health Protection Agency, 2009) View Details

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Cellulitis

Guidelines on the management of cellulitis in adults (CREST, 2005)

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Cervical spine

Cervical Spine (Dr Siong-Seng Liau, 2003)

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Chest pain

Chest pain of recent onset: assessment and diagnosis of recent onset chest pain or discomfort of suspected cardiac origin (NICE CG95, March 2010)

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Chronic obstructive pulmonary disease (COPD)

Management of chronic obstructive pulmonary disease in adults in primary and secondary care (NICE CG101, June 2010)

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Diabetic foot disease

Putting feet first: Commissioning specialist services for the management and prevention of diabetic foot disease in hospitals (Diabetes UK, July 2009)

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End of life

Diagnosis of death: A code of practice for the diagnosis and confirmation of death (Academy of Medical Royal Colleges, 2008) (CEM summary)
Treatment and care towards the end of life: good practice in decision making (GMC, 2010)

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Falls

Falls: the assessment and prevention of falls in older people (NICE CG21, November 2004)

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Feverish children

Feverish illness in Children (NICE CG47, May 2007)

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Fitness to drive

At a glance guide to the current medical standards of fitness to drive (DVLA, Feb 2011)

CEM summary of DVLA fitness to drive medical standards (Jan 2012)

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Gastrointestinal bleeding

Management of acute upper and lower gastrointestinal bleeding (Scottish Intercollegiate Guidelines Network, 2008)

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Head injury

Triage, assessment, investigation and early management of head injury in infants, children and adults (NICE CG56, September 2007)

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Hypertension

Hypertension: management of hypertension in adults in primary care (NICE CG127, August 2011)

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Influenza

Human H1N1 and Seasonal Influenza (Various, Jan 2011)

Flu Pandemic (Department of Health, 2009) - See here for more advice about Flu.

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Low back pain

Low Back Pain: Early management of persistent non-specific low back pain (NICE CG88, May 2009)

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Lower limb

Standards for the management of open fractures of the lower limb (British Association of Plastic Reconstructive and Aesthetic Surgeons, Sep 2009)

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Meningitis

Bacterial meningitis and meningococcal septicaemia (NICE CG102, Sept 2010)

Meningitis - early management of meningococcal disease in children (Meningitis Research Foundation, 2006) (this is an expert opinion based algorithm which reflects best current practice – it is very useful and helpful) View Details

Meningitis - early management of suspected bacterial meningitis and meningococcal and septicaemia in immunocompetent adults (Meningitis Research Foundation, 2006) View Details

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Mental health

Dignity in dementia: improving care in general hospital settings (Royal College of Nursing, Sept 2011)

Managing Urgent Mental Health Needs in the Acute Trust (AoMRC, 2008)

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Organ Donation

Organ donation for transplantation: improving donor identification and consent rates for deceased organ donation (NICE CG135, Dec 2011)

The Role of Emergency Medicine in Organ Donation: Report of a Workshop, 4 October 2011 (BTS, NHS Blood & Transport, CEM)

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Pneumonia

Guidelines for the Management of Community Acquired Pneumonia in Adults (The British Thoracic Society, updated 2009)

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Pneumothorax

Guidelines for the Management of Spontaneous Pneumothorax (The British Thoracic Society, 2003)

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Post-traumatic stress disorder

Post-traumatic stress disorder: The management of PTSD in adults and children in primary and secondary care (NICE CG26, March 2005)

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Pregnancy

Pregnancy and complex social factors (NICE CG110, September 2010)

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Pre-hospital

Pre-hospital Anaesthesia (Assoc. of Anaesthetists of Great Britain and Ireland, 2008)

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Pulmonary embolism

Acute Pulmonary Embolism (Diagnosis and Management of) (European Society of Cardiology, 2008) View Details

Guidelines for the Management of Suspected Acute Pulmonary Embolism (The British Thoracic Society, 2003)

Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting With Suspected Pulmonary Embolism (American College of Emergency Physicians, 2002)

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Radiology

Standards of practice and guidance for trauma radiology in severely injured patients (Royal College of Radiologists, 2011)

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Rheumatology

Guidelines for management of the hot swollen joint in adults (British Society of Rheumatology, 2006)

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Safeguarding children

The Physical Signs of Child Sexual Abuse - Interim Statement (RCPCH, Aug 2011) - Details: http://www.rcpch.ac.uk/csa

When to suspect child mistreatment (NICE, CG89, July 2009) View Details

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Sedation

Sedation in children and young people (NICE CG112, December 2010)

Clinical Policy: Procedural Sedation and Analgesia in the Emergency Department (American College of Emergency Physicians, 2005)

Safe Sedation Practice for healthcare procedures in adults (AoMRC, 2001)

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Seizure

The epilepsies: the diagnosis and management of the epilepsies in adults and children in primary and secondary care (NICE CG20, October 2004)

Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Seizures (American College of Emergency Physicians, 2004)

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Self-harm

Self-harm: The short-term physical and psychological management and secondary prevention of self-harm in primary and secondary care (NICE CG16, July 2004)

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Sepsis

Surviving Sepsis Campaign (Survive Sepsis, 2009). See CEM clinical standards for sepsis and additional resources

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Stroke / TIA

Diagnosis and initial management of acute stroke and transient ischaemic attack (TIA) (NICE CG68, July 2008)

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Syncope

Syncope (Guidelines on Diagnosis and Treatment of) (European Society of Cardiology, 2009) View Details

Syncope: Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department with Syncope (American College of Emergency Physicians, 2007)

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Toxicity

Management of Severe Local Anaesthetic Toxicity (Assoc. of Anaesthetists of Great Britain and Ireland, 2010)

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Transient loss of consciousness

Transient loss of consciousness in adults and young people (NICE CG109, August 2010)

CEM summary of NICE CG109 (Jan 2012)

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Urinary tract infection

Urinary tract infection in children: diagnosis, treatment and long-term management (NICE CG54, August 2007)

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Venous thrombosis

Reducing the risk of venous thromboembolism (deep vein thrombosis and pulmonary embolism) in patients admitted to hospital (NICE CG92, January 2010) CEM response

Procedures for the outpatient management of patients with deep venous thrombosis (BCSH, 2005)

Violent behaviour

Violence: The short-term management of disturbed/violent behaviour in in-patient psychiatric settings and emergency departments (NICE CG25, February 2005)

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