External Guidance

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, 2011)

Acute Coronary Syndrome

• Undiagnosed cardiomyopathy in a young person with autism (Healthcare Safety Investigation Branch, March 2020)
• Acute coronary syndromes (including myocardial infarction) – Quality Standards (NICE QS68, Sept 2014)
• Acute Heart Failure Clinical Guidelines (NICE, CG187 May 2014)
• Myocardial infarction with ST-segment elevation (NICE CG167, July 2013)
• 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, 2012)
• Acute Coronary Syndromes in patients presenting without ST-segment elevation (Management of)(European Society of Cardiology, 2011)
• Acute and Chronic Heart Failure: ESC Clinical Practice Guides (European Society of Cardiology, 2016)

Acutely ill patients

• Heat Related Illness (NASMeD Canada, July 2022)
• Cancer patients in crisis: responding to urgent needs (Royal College of Physicians, The Royal College of Radiologists, Nov 2013)
• Acutely ill patients in hospital: recognizing and responding to deterioration (NICE CG50, July 2007)

Anthrax

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

Arrhythmia

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

Asthma/Respiratory Disease

• Quality Standards for the acute non-invasive ventilation in adults (British Thoracic Society, Apr 2018)
• Asthma: diagnosis, monitoring and chronic asthma management (NICE NG80, Nov 2017)
• Guidelines for the Ventilatory Management of Acute Hypercapnic Respiratory Failure in Adults (British Thoracic Society/Intensive Care Society, March 2016)
• Appendix 1: Search Strategy and Clinical Questions
• Appendix 2: Evidence Tables
• Report on inquiry into respiratory deaths (All Party Parliamentary Group on Respiratory Health, June 2014)
• National Review of Asthma Deaths (RCP, May 2014)
• British Guideline on the Management of Asthma (The British Thoracic Society / Scottish Intercollegiate Guidelines Network, 2012)

Atrial fibrillation

• Atrial fibrillation: the management of atrial fibrillation (NICE CG180, June 2014) PLEASE NOTE: THERE HAS BEEN AN AMENDMENT SINCE PUBLICATION – See recommendation 1.7.2 in the NICE version and recommendation 64 in the full version (August 2014).
• Atrial Fibrillation (Management of) (European Society of Cardiology, 2010)

Bleeding

• Major trauma and the use of tranexamic acid in children: Evidence statement (RCPCH, Nov 2012)
• CRASH-2: tranexamic acid and trauma patients (LSHTM, Mar 2011)

Breathlessness

• Emergency Oxygen Use in Adult Patients (The British Thoracic Society, 2008) Last reviewed 2011. Update due 2014

Carbon Monoxide

• Carbon Monoxide Poisoning Diagnosis Algorithm (PHE, Nov 2013)
• Resource: Carbon Monoxide Poisoning Awareness Poster for EDs (August 2012) – see accompanying statement from Dr Ed Walker, RCEM Toxicology Group. With thanks to HPA for use of COMA acronym.
• Leaflet – CO awareness
• Poster: Free gas checks
• Poster: CO detectors
• Poster: Camping Safety
• Poster: Keeping children safe
• Poster: Keeping Babies safe
• Further resources including posters and information leaflets are available from the charity CO awareness

Cardiopulmonary Resuscitation (CPR)

• Resuscitation Guidelines (Resus Council, 2021)
• In Hospital Care of Out-of-Hospital Cardiac Arrests: Time Matters (NCEPOD, Feb 2021)
• RCEM summary of key recommendations (RCEM, Feb 2021)
• Resuscitation to Recovery: A National Framework to improve care of people with out-of-hospital cardiac arrest (OHCA) in England (NHS England, March 2017)
• Cardiovascular implanted electronic devices (CIEDs) in people towards the end of life, during cardiopulmonary resuscitation and after death (Resus Council 2015)
• Quality standards for cardiopulmonary resuscitation practice and training (Resus Council, 2013)
• Bridging the Gap: The financial case for a reasonable rebalancing of health and care resources (RCPsych, Dec 2013)

Cellulitis

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

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)

Chronic obstructive pulmonary disease (COPD)

• Acute Non-Invasive Ventilation: Inspiring Change (NCEPOD, July 2017)
• Management of chronic obstructive pulmonary disease in adults in primary and secondary care (NICE CG101, June 2010)
• NICE CG101 Evidence Update (Jan 2012)

Complex regional pain syndrome

• Complex regional pain syndrome in adults (RCP, updated July 2018)
• CRPS concise guidance

Concussion

• Concussion guidelines for the education sector (Faculty of Sports and Exercise Medicine, June 2014)

Confidentiality

• Confidentiality – GMC guidance (GMC, 2009)

Coronavirus COVID-19

• Clinical practice guide for improving the management of adult COVID-19 patients in secondary care (GIRFT, Dec 2020)
• Developing professional identity in multi-professional teams (AoMRC, May 2020)
• Principles for reintroducing healthcare services COVID-19 (AoMRC, May 2020)
• Positions on medicines use and development relating to COVID-19 (BPS, May 2020)
• Safety and Wellbeing Advice for Survivors (Women’s Aid and Collaborators, April 2020)
• Rolling updates on coronavirus disease (WHO, Feb 2020)
• Coronavirus information including assessment and management of suspected UK cases (PHE, Jan 2020)
• Blog – what you need to know (PHE, Jan 2020)
• Information for the public (Department if Health and Social Care, Jan 2020)
• Advice for travel to China (PHE, Jan 2020)
• Statement on the coronavirus situation in Wuhan, China (DoH, Jan 2019)
• Statement by Secretary of State for Health and Social Care video and transcript(UK Parliament, Jan 2019)

Domestic Violence

• Domestic abuse during COVID-19: Guidance for mental health practitioners (Ava Project, 2020)
• Pathfinder Toolkit (June, 2020)
• Tackling violence against disabled women & girls toolkit (Vision Sense, AVA Project and CeDR (Lancaster University) for DRILL, 2019)
• Domestic Abuse: A Toolkit for Employers (Public Health England and Business In The Community, Jul 2018)
• A cry for health: Why we must invest in domestic abuse services in hospitals (SafeLives, Nov 2016)
• Domestic violence and abuse – how services can respond effectively (NICE PH50, Mar 2014)
• Complicated Matters: A toolkit addressing domestic and sexual violence, substance abuse, and mental ill-health (Ava Project, 2013)

ED Care and Service Delivery

• Nowhere else to turn. Exploring high intensity use of A&E services (British Red Cross, Nov 2021)
• Multi-Professional team-working: The experience and lessons from COVID-19 (AoMRC, Nov 2021)
• HSIB Report: Wrong site surgery – wrong patient: invasive procedures in outpatient settings (June 2021)
• HSIB Report Summary – Wrong site surgery – wrong patient: invasive procedures in outpatient settings (June 2021)
• Patient FIRST (CQC, Oct 2020)
• Improving Care by Using Patient Feedback (NIHR, Jan 2020)
• Consultation on changes to our revalidation requirements for patient feedback (GMC, July 2019).
• Training for better outcomes: Developing quality improvement into practice (AoMRC, June 2019)
• Lay involvement in revalidation: from the 2018 survey (AoMRC, June 2019)
• Academy Patient and Lay Committee comment on Lay involvement in revalidation report (AoMRC, June 2019)
• Acting as an expert or professional witness: Guidance for healthcare professionals (AoMRC, May 2019)
• An Alliance Against Bullying, Undermining and Harassment in the NHS (RCSEd, 2019)
• Clinical guidelines for major incidents and mass casualty events (NHS England, Dec 2018)
• Clinical Guidance: onward referral – a working group report (AoMRC, May 2018)
• Drug misuse and dependence: UK guidelines on clinical management (DH, Dec 2017)
• Extract produced for hospital staff (PHE, Jun 2019)
• Improving teams in healthcare – building effective teams (RCP Nov 2017)
• Improving teams in healthcare – team culture (RCP Nov 2017
• Improving teams in healthcare – team communication (RCP Nov 2017)
• Improving teams in healthcare – team development (RCP Nov 2017)
• GMC guidance on collecting patient feedback – Case studies about collecting feedback from patients and alternatives (GMC Nov 2017)
• Emergency Healthcare Workers, Exposure Prone Procedures (EPPs) and the Exposure Prone Environment (UKAP & Public Health England, April 2017)
• Guidelines for Management of Marathon Related Medical Emergencies (April 2017)
• Guidance for entering information onto e-portfolios (AoMRC Nov 2016)
• Emergency Standards for Children & Young People with Complex Medical Needs (BAPS, CEM, JRCALC, RCoA, RCGP, RCN and RCPCH, Sept 2014)

Ebola

• Summary guidance for acute trust staff: identifying and managing patients who require assessment for Ebola virus disease (Public Health England, October 2014)

End of life

• Care at the end of life (Faculty of Intensive Care Medicine, Sept 2019)
• The role of Ambulance Trusts in respecting people’s end-of-life wishes (Compassion in dying, Sept 2018)
• ReSPECT: Recommended Summary Plan for Emergency Care and Treatment (Mar 2017)
• Priorities for Care – new approach to care for the dying published (DH, June 2014)
• End of Life Care Co-ordination Information Standard (Public Health England’s National End of Life Care Intelligence Network, Jan 2014)
• When a patient seeks advice or information about assistance to die (GMC, Jan 2013)
• Guidance for the Investigation Committee and case examiners when considering allegations about a doctor’s involvement in encouraging or assisting suicide (GMC, Jan 2013)
• The route to success in end of life care – achieving quality in ambulance services (National End of Life Care Programme, Feb 2012)
• Treatment and care towards the end of life: good practice in decision making (GMC, 2010)
• Diagnosis of death: A code of practice for the diagnosis and confirmation of death (Academy of Medical Royal Colleges, 2008)

Endocrinology

• Acute Hypercalcaemia – Emergency Guidance (Society for Endocrinology, 2016)
• Pituitary Apoplexy – Emergency Guidance (Society for Endocrinology, 2016)

Falls

• Falls and fracture consensus statement & resource pack (Public Health England, July 2017)
• Falls: the assessment and prevention of falls in older people (NICE CG161, June 2013)

Feverish children

• Feverish illness in children under 5 years – quality standards (NICE QS64, July 2014)
• Feverish illness in Children (NICE CG160, May 2013)

Fit notes

• Fit notes: guidance for hospital doctors (HM Government, 2009)

Fitness to drive

• Assessing Fitness to Drive – a guide for medical professionals (DVLA, Sept 2019)

Gastro-Intestinal

• Acute upper GI bleeding (NICE CG141, Jun 2012) – Evidence update (Sept 2014)
• Management of Bariatric Patients in the ED – poster (Monkhouse SJW, Morgan JDT, Norton SA, 2012)
• Management of acute upper and lower gastrointestinal bleeding (Scottish Intercollegiate Guidelines Network, 2008)

Handover

• Adult Critical Care Transfer services – Service specification covering the provision of Adult Critical Care Transfer Services (ACCTS)
• Healthcare record standards – Standards for admission, handover, discharge, outpatient and referral records (AoMRC, July 2013)
• The ABC of Handover – Tool for EM (Imperial College Healthcare, 2012)
• Implementation Guide

Head injury

• Management of Perceived Devastating Brain Injury – Consensus Statement (Faculty of Intensive Care Medicine, Jan 2018)
• Head injury – Quality Standards (NICE QS74, Oct 2014)
• Triage, assessment, investigation and early management of head injury in infants, children and adults (NICE CG176, January 2014)

Headache

• Headaches: diagnosis and management of headaches in young people and adults (NICE CG150, Sept 2012)

Hip Fracture

• NICE addendum on hip fracture: management (NICE CG124, May 2017)
• Hip Fracture – Evidence Update (NHS Evidence, March 2013)
• The management of hip fracture in adults (NICE CG124, June 2011)

Hospital Discharge

• Hospital discharge: the patient, carer and doctor perspective (BMA April 2014)

Hypertension

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

Infectious diseases

• Annual flu programme (GOV UK, Nov 2018)
• Tetanus: the green book (PHE, Nov 2018)

Intravenous Fluid Therapy

• Intravenous fluid therapy in adults in hospital – Quality Standards (NICE, QS66, August 2014)
• Intravenous fluid therapy in adults in hospital (NICE, CG174, Dec 2013)

Low back pain

• Low back pain and sciatica in over 16s: assessment and management (NICE NG59, Nov 2016)

Major Trauma

• Major trauma: assessment and initial management (NICE NG39, Feb 2016)

MEED: Medical Emergencies in Eating Disorders (Updated May 2022)

• MEED: Medical Emergencies in Eating Disorders  (2nd edn) (RCPsych, May 2022)

Meningitis

• The UK joint specialist societies guideline on the diagnosis and management of acute meningitis and meningococcal sepsis in immunocompetent adults (Journal of Infection, Feb 2016)
• Investigations algorithm (Feb 2016)
• Algorithm for the empirical treatment of suspected meningitis (Feb 2016)
• Poster for EDs (Feb 2016)
• Meningococaccal Audit tool (Feb 2016)
• Bacterial meningitis and meningococcal septicaemia (NICE CG102, Sept 2010)
• NICE CG102 Evidence update (Jan 2012)
• Meningitis – management of meningococcal disease in children and young people (Meningitis Research Foundation, 2013) (this is an expert opinion based algorithm which reflects best current practice – it is very useful and helpful) View Details
• Meningitis – Management of Suspected Bacterial Meningitis and Meningococcal Septicaemia in Immunocompetent Adults (Meningitis Research Foundation, 2013) View Details

Mental Health (see also RCEM mental health toolkit, Self-Harm and Post Traumatic Stress Disorder)

• Right to treat Mental Welfare Commission for Scotland (July 2011)
• The Police Use of Restraint in Mental Health and Learning Disability Settings (College of Policing, Jan 2017)
• Revised Code of Practice: Mental Health Act (GOV UK, 2015)
• Revised Code of Practice: Mental Health Act – Reference Guide (DH, April 2015)
• Recognising the importance of physical health in mental health and intellectual disability – achieving parity of outcomes (BMA, May 2014)
• Positive and Proactive Care: reducing the need for restrictive interventions (Dept of Health, April 2014)
• Mental Health Crisis Care Concordat (HM Government and intercollegiate, Feb 2014)
• Liaison psychiatry for every acute hospital: Integrated Mental and Physical Healthcare (CR 183, RCPsych, Dec 2013)
• Quality standard for self harm (NICE, QS34)
• Resources for young people – U can cope (Royal College of Psychiatrists, Aug 2012)
• Patient advice leaflet: Feeling on the edge? Helping you get through it (Royal College of Psychiatrists, Apr 2012)
• Quality standard for service user experience in adult mental health (NICE, QS14, December 2011)Evidence update (June 2014)
• Dignity in dementia: improving care in general hospital settings (Royal College of Nursing, Sept 2011)
• Dignity in dementia – RCEM summary
• Standards on the use of section 136 of the Mental Health Act (RCPsych, CR159, July 2011)
• Delirium: Diagnosis, prevention and management (NICE CG103, July 2010)
• CG103 evidence update April 2012
• Managing Urgent Mental Health Needs in the Acute Trust (AoMRC, 2008)

Neurological conditions suspected

• Suspected neurological conditions: recognition and referral Quality standard (NICE QS198, Jan 2021)
• Suspected neurological conditions: recognition and referral (NICE NG127, July 2019)

Older People

• CPOC BGS Guideline for Perioperative Care for People Living with Frailty Undergoing Elective and Emergency Surgery
• CPOC Frailty Guideline 2021 Infographic
• CPOC Frailty Guideline Launch 28 September 2021
• Delirium quality standard (NICE QS63, July 2014)
• ‘The Silver Book’: Quality Care for Older People with Urgent and Emergency Care Needs (Multiple, June 2012)
• Silver Book – Executive Summary
• Silver Book – Short Version
• Silver Book – Clinical Governance and Research
• Silver Book – Training and Development
• Silver Book – References

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)

Paediatric EM

• Facing the Future: Standards and Resources
• Facing the Future: Standards for children in emergency care settings (RCPCH, Jun 2018)
• Urinary tract infection in under 16s: diagnosis and management (NICE, Spet 2017)
• Stroke in Childhood: Clinical guideline for diagnosis, management and rehabilitation (RCPCH, May 2017)
• Standards for Short-Stay Paediatric Assessment Units (SSPAUs) (RCPCH, Mar 2017)
• Child Health Profiles 2014 (Child and Maternal Health Intelligence Network, Mar 2014)
• Child Health Reviews – UK (Clinical Outcome Review Programme)
• Overview of child deaths in the four UK countries (Sept 2013, RCPCH)
• Coordinating Epilepsy Care: A UK-wide review of healthcare in cases of mortality and prolonged seizures in children and young people with epilepsies (Sept 2013, RCPCH)
• Paediatric EM guidance (NHS Institute for Innovation and Improvement) Following the closure of the NHS Institute, their guidelines for Paediatric EM can now be found in the next section.
• Feverish Illness in Children (NICE, CG160, May 2013)
• Standards for Children and Young People in Emergency Care Settings, [third edition] (RCPCH, June 2012)
• International Standards of Care for Children in Emergency Departments (IFEM, 2012)
• Right care, right place, first time? Joint statement on the urgent and emergency care of children and young people (CEM, RCGP, RCN, RCPCH, Dec 2011)

Parkinson’s

• Emergency Management of Patients with Parkinson’s

Pneumonia

• Management of Community Acquired Pneumonia in Children (The British Thoracic Society, updated 2011)

Police Liaison

• Management of choking in police care & custody (Oct 2018)
• Disclosure of Personal Information to the Police (IGA, July 2017)
• Information sharing to tackle violence – guidance for community safety partnerships (DH, Sept 2012)
• Substance misuse detainees in police custody: guidelines for clinical management (RCPsych, CR169, Nov 2011)
• Management of Choking in Police Care & Custody – Recommendations for Police Personnel (FFLM, April 2014)
• Template Protocol for the management of detainees suspected of swallowing or having packed drugs or foreign objects into body orifices or cavities (CEM, NPIA, ACPO, ACE, June 2011)
• Template Protocol for the Management of Detainees Who Require Hospital Treatment (CEM, NPIA, ACPO, ACE, June 2011)
• Template Protocol for the Management of Intoxicated and Incapable Persons (CEM, NPIA, ACPO, ACE, June 2011)
• Guide to Coroners and Inquests and Charter for Coroner Services in England and Wales (HM Government, Feb 2014)

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) Last reviewed Dec 2011

Pregnancy

• The assessment of venous thromboembolism risks associated with pregnancy and the post natal period – Report (HSIB, December 2022)
• The assessment of venous thromboembolism risks associated with pregnancy and the post natal period – Summary (HSIB, December 2022)
• Saving Lives, Improving Mothers Care (MBRRACE UK, December 2020)
• The diagnosis of ectopic pregnancy (Healthcare Safety Investigation Branch, March 2020)
• Acute care toolkit 15: Managing acute medical problems in pregnancy (RCP, October 2019)
• Ectopic pregnancy and miscarriage (Quality Standards (NICE QS69, September 2014)
• Ectopic pregnancy and miscarriage (NICE CG154, December 2012)
• Saving Mothers’ Lives: Reviewing maternal deaths to make motherhood safer 2006–2008. The Eighth Report of the Confidential Enquiries into Maternal Deaths in the United Kingdom (Centre for Maternal and Child Enquiries, March 2011)
• Maternal Collapse in Pregnancy and the Puerperium (Royal College of Obstetricians and Gynaecologists, Feb 2011)
• Pregnancy and complex social factors (NICE CG110, September 2010)

Pre-hospital

• UK Ambulance Services Clinical Practice Guidelines (JRCALC, 2019)
• Rabies: the green book, chapter 27 (PHE, revised July 2018)
• Rabies: risk assessment, post-exposure treatment, management (PHE, revised July 2018)
• Rabies post-exposure treatment: management guidelines (PHE, revised July 2018)
• Acid attacks – NHS advice and services
• NHS England acid advices (NHS England, Aug 2017)
• Acid attack infographic (NHS England, Aug 2017)
• Acid and chemical burns (NHS Choices, Aug 2017)
• Pre-hospital Anaesthesia (Assoc. of Anaesthetists of Great Britain and Ireland, 2008)

Pulmonary embolism

• Guideline for the initial outpatient management of pulmonary embolism (PE) (British Thoracic Society, July 2018)
• Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting With Suspected Pulmonary Embolism (American College of Emergency Physicians, 2011)

Radiology

• Paediatric trauma radiology protocols (RCR, Sept 2014)
• Standards of practice and guidance for trauma radiology in severely injured patients (Royal College of Radiologists, 2011)

Rheumatology

• Guidelines for management of the hot swollen joint in adults (British Society of Rheumatology, 2006)Reviewed 2012

Safeguarding children

• Child Protection Evidence: systematic review on bruising (RCPCH, March 2020)
• Child Sexual Exploitation (AOMRC, Sep 2014)
• Safeguarding Children and Young People (RCPCH, March 2014)
• Working together to safeguard children: A guide to inter-agency working to safeguard and promote the welfare of children (HM Government, Mar 2013) Archived
• Protecting children and young people: the responsibilities of all doctors (GMC, July 2012)
• 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) Reviewed August 2012
• ED Safety Checklist
• Healthcare Safety Investigation Branch reports
• Emergency Department Safety Checklist (West of England Academic Health Science Network, developed by University Hospitals Bristol NHS Foundation Trust, Sept 2017)

Sedation

• Clinical Policy: Procedural Sedation and Analgesia in the Emergency Department (American College of Emergency Physicians, 2014)
• Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural sedation: A consensus document from the World SIVA International Sedation Task Force (Jan 2012)
• Sedation in children and young people (NICE CG112, December 2010)
• RCEM Summary of NICE CG112

Seizure

• The epilepsies: the diagnosis and management of the epilepsies in adults and children in primary and secondary care (NICE CG137, Jan 2012)
• CG137 Evidence update (Feb 2014)
• Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Seizures (American College of Emergency Physicians, 2014)

Self-harm

• Self-harm, assessment, management, and preventing recurrence (NICE, September 2022)
• Quality standard for self harm (NICE QS34)
• Self-harm: The short-term physical and psychological management and secondary prevention of self-harm in primary and secondary care (NICE CG16, July 2004) Reviewed 2012

Sepsis

• Quality standard for Sepsis (NICE QS161, Sept 2017)
• See more here.

Sickle cell

• Sickle cell acute painful episode (NICE CG143, June 2012)

Stroke/TIA

• See the paediatric section below for the latest guidance on stroke in childhood
• Stroke and transient ischaemic attack in over 16s: diagnosis and initial management (NICE NG128, May 2019) NOTE: this replaces CG68

Syringe labelling in anaesthesia and critical care areas: review 2022

• Syringe labelling in anaesthesia and critical care areas (Association of Anaesthetists – September 2022)

Toxicity

• Management of Severe Local Anaesthetic Toxicity (Assoc. of Anaesthetists of Great Britain and Ireland, 2010)
• Guidance on the Clinical Management of Acute and Chronic Harms of Club Drugs and Novel Psychoactive Substances (NEPTUNE (Novel Psychoactive Treatment UK Network), 2015)

Transient loss of consciousness

• Decreased Conscious Level Multi-site Audit Report (RCPCH, 2012)
• RCEM summary of NICE CG109 (Jan 2012)
• NICE CG109 Evidence Update (Mar 2012)
• Transient loss of consciousness in adults and young people (NICE CG109, August 2010)
• Management of the Child with a Decreased Conscious Level (RCPCH, 2005) UNDER REVIEW 2014

Urinary tract infection

• RCEM Summary – Urinary Tract Infection in Children
• Urinary tract infection in children: diagnosis, treatment and long-term management (NICE CG54, August 2007)

Venous thrombosis

• Venous thromboembolism in over 16s: reducing the risk of hospital-acquired deep vein thrombosis or pulmonary embolism (Update) (NICE NG89, March 2018)
• Venous thromboembolic diseases: the management of venous thromboembolic diseases and the role of thrombophilia testing (NICE CG144, June 2012)

Violent/challenging behaviour

• Violent and aggressive behaviours in people with mental health problems (NICE, QS154, July 2017)
• Meeting needs and reducing distress: Guidance for the prevention and management of clinically related challenging behaviour in NHS settings (NHS Protect, Dec 2013)
• Violence: The short-term management of disturbed/violent behaviour in in-patient psychiatric settings and emergency departments (NICE, NG10 May 2015)
• NHS Protect resources