Royal College of Emergency Medicine Guidance 

The Royal College of Emergency Medicine (RCEM) has clinical guidelines available for professionals working in emergency medicine. This section includes guidance on the following: RCEM Guidance, Toolkits and Best Practice. You will find information and college guidance below regarding the following: paracetamol overdose, mental health, drugs and alcohol and guidance implementation.. 

RCEM Guidance

College Guidelines 

This page contains guidelines and statements produced by the College's Quality in Emergency Care (QEC) committee. 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.

QEC Position Statements

Acute Ischaemic Stroke and Intravenous Thrombolysis (Dec 2015)
Alcohol related harm (May 2015)
Clinical responsibility for patients within the emergency department (Nov 2016)
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 CEM, ENCA, FEN & RCN
Unscheduled Care Facilities (2009) - Minimum requirements for units which see the less seriously ill or injured. Published by CEC, ENCA, FEN & RCN

QEC Best Practice Guidelines

ED Patients in Police Custody (revised June 2016)
Pharmacological Agents for Procedural Sedation and Analgesia (May 2016)
RCEM guidelines for management of Acute Behavioural Disturbance (May 2016)
Management of Radiology Results in the Emergency Department (February 2016)
Reducing redundant activity in the acute setting (December 2015)
Management of Adult Patients who attend Emergency Departments after Sexual Assault and / or Rape (revised Oct 2015)
Management of Domestic Abuse (March 2015)
End of Life Care for Adults in the ED (March 2015)
Chaperones in the Emergency Department (March 2015)
Management of Pain in Adults (Revised December 2014)
Frequent Attenders in the Emergency Department(August 2014)
Care of Frequent Attenders at Multiple Emergency Departments (August 2014)
Crowding in the Emergency Department (Revised June 2014)
Caring for adult patients suspected of having concealed illicit drugs (June 2014)
Intravenous Regional Anaesthesia for Distal Forearm Fractures (Bier’s Block) (revised March 2014)
Management of pain in children (revised July 2013) - see why this guideline has been revised
Consent, Capacity and Restraint of Adults, Adolescents and Children in Emergency Departments (July 2013)*
*IMPORTANT: We recommend Fellows and Members in Scotland refer to the Mental Welfare Commission for Scotland publication Right to treat document here
The Patient Who Absconds (May 2013)
HIV Testing in the Emergency Department  (Revised Oct 2012)
Safe Sedation in the Emergency Department - Report and Recommendations by
RCOA and RCEM
(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)
'The Silver Book': Quality Care for Older People with Urgent and Emergency Care Needs (Intercollegiate, June 2012)
Silver Book - Executive Summary
Silver Book - Short Version
Silver Book - Clinical Governance and Research
Silver Book - Training and Development
Silver Book - References
Providing a witness statement for the Police (Feb 2012)
Clinical guideline use in the Emergency Department (Aug 2011)
Cervical Spine: Management of alert, adult patients with potential cervical spine injury in the Emergency Department (Nov 2010)
Practical guide - a short summary of the above c-spine guideline
RCEM response to NICE guideline CG92: Venous thromboembolism (Apr 2010)
Information sharing to reduce Community Violence (Sept 2009 - updated May 2010 and Aug 2011)
Ketamine Sedation of Children in Emergency Departments (Sept 2009, reviewed Oct 2016)
Safeguarding Children (Mar 2014) 
 

QEC Resource Toolkits

ED crowding overview and toolkit (Dec 2015)
Alcohol toolkit (June 2015)
The Safety Toolkit (Dec 2013)
Mental Health in the ED (Feb 2013)
Paracetamol Overdose
Sepsis (Sept 2014)
 

GEMNet Guidelines

The following evidence-based guidelines have been published by GEMNet:
Suspected Scaphoid Fractures- (Flowchart) (Sept 2013)
Thromboprophylaxis in ambulatory trauma patients requiring temporary limb immobilisation - (Flowchart) (Oct 2012)
Info re thromboprophylaxis rev Aug 2013
Example protocol (with thanks to University Hospitals Bristol NHSFT)
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)  

Toxicology

RCEM toxicology resources and guidance
RCEM / NPIS Guideline on Antidote Availability for EDs (Jan 2017)
RCEM NPIS Antidote Guideline List
RCEM NPIS Antidote Guideline Appx 1
RCEM NPIS Antidote Guideline Letter

 

QEC 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. RCEM summary of DVLA fitness to drive medical standards 
RCEM summary of NICE Guideline CG47 - Feverish illness in children 
RCEM summary of NICE Guideline CG54 - Urinary tract infection in children
RCEM summary of NICE Guideline CG88 - Early management of persitent non-specific low back pain
RCEM summary of NICE Guidelines CG100 & CG115 - Alcohol-use disorders
RCEM summary of NICE Guideline CG109 - Transient loss of conciousness  
RCEM summary of NICE Guideline CG112 - Sedation in children and young people
RCEM 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.
 

Ebola Guidance

RCEM Ebola Guidance revised December 2014 
EPRR CRG Opinion on emergency care for Ebola (24 October 2014)

Further links to information and resources on the 2014 Ebola outbreak in West Africa:


Public Health England

RCEM letter to clinicians - travel history (March 2015)
Ebola: infection prevention and control for emergency departments (November 2014)
Ebola: infection prevention and control for primary care (November 2014)

European Centre for Disease Prevention and Control

Ebola outbreak in West Africa
Rapid Risk Assessment (13 October 2014)

 

World Health Organisation (WHO)

WHO Global Alert and Response (GAR) - Ebola

Selected further guidance and resources

Invasive procedure checklist for EDs (May 2016)
Paracetamol overdose guidance
H1N1 influenza: Principles and resources for EDs (last updated 4th Jan 2011)

Committee templates

Best Practice guideline template (Dec 2014)

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