Resource Centre

Annual Quality Report 2021-22

Executive summary - The academic year 2021 – 2022 has been yet another year full of challenges.

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RCEM Progress Against Delivery Plan

The winter of 2022/23 posed significant challenges for the NHS, prompting the Department for Health and NHS England to publish two ‘plans’ to recover

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RCEM Position Statement on Clinical Responsibility

Clinical Responsibility for Patients within the Emergency Department, updated.

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MRCEM OSCE Information and Regulations

Updated detailed information on the MRCEM OSCE examination

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Response to HSCS inquiry into winter planning

RCEM Scotland's response to Scottish Health, Sport and Social Care committee inquiry into NHS winter planning.

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Suspected Cannabinoid Hyperemesis Syndrome

Updated guidance bridging the gap between evidence and the need to provide quality care and advice.

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Measuring the Quality of Patient Care in the ED

RCEM Best practice guide for a safe, committed, compassionate and caring service.

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SNAP Regimen Treatment of Paracetamol Toxicity

Use of the SNAP Regimen for Treatment of Paracetamol Toxicity in adults and children

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RCEM Diversity Calendar 2023

To celebrate some of the many days which are important to our members and our emergency medicine community.

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ACP Credentialing Checklist (2017 curriculum) – Dual

The ACP Credentialing Checklist, a simplified version of which can be found on the ACP’s ePortfolio dashboard,

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ACP Credentialing Checklist (2017 curriculum) – Children

The ACP Credentialing Checklist, a simplified version of which can be found on the ACP’s ePortfolio dashboard.

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ACP Credentialing Checklist (2017 curriculum) – Adults

The ACP Credentialing Checklist, a simplified version of which can be found on the ACP’s ePortfolio dashboard

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Reducing unnecessary cannulation in the ED

Environmental and financial benefits from the Royal Free Emergency Department

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Management of Adolescent Young Adults in the ED

From the RCEM Paediatric Emergency Medicine Professional Advisory Group

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Assessing Cognitive Impairment in Older People

RCEM National Quality Improvement Project - National Report 2019/20

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CT Scans Requiring IV Iodinated Contrast Agent

Position Statement - Emergency CT Scans

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Improving Hip Fracture Care & Treatment

Improving Emergency Department Care and Treatment for People with a Hip Fracture

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Care of Older People in the ED – QIP Information Pack

For Care of Older People QIP – Data Collection 5 May 2023 – 2 May 2025

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RCEM Oral Questions Briefing: House of Lords

RCEM briefing on Oral questions in the House of Lords: Prime Minister’s pledge to strengthen the NHS

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Wales’ Emergency Medicine Workforce Census 2023

This report was written on behalf of the National Board of Wales by Tamara Pinedo, Senior Policy Officer.

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Consultant Sign Off Report 2021-22

Performance of safe discharge of adult and child patients - published April 2023

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Infection Prevention and Control – Year 2 Report

National Quality Improvement Project Report - published April 2023

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Pain in Children National Report 2021-22

National Quality Improvement Project Report - published April 2023

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Urgent concerted effort required to tackle the emergency care crisis

News that public satisfaction levels with the NHS and Accident and Emergency Services have fallen further is disheartening, but not at all surprising....

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UK charities launch campaign for Syrian earthquake victims

Two UK charities are partnering with a Cambridge Emergency Medicine doctor who escaped war-torn Syria as a young medical student and is returning to h...

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Assessment of Risk During the Maternity Pathway

An independent report by the Healthcare Safety Investigation Branch

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Proposal for Health & Social Care Select Committee Prevention Inquiry

Proposal - The Health and Social Care Select Committee should examine the role emergency care can play in prevention in its upcoming prevention inqu...

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RCEM Wales’ Emergency Medicine workforce census reveals significant staffing shortages, as health service remains in crisis

A landmark survey of Emergency Medicine staff in Wales has found that there are far too few clinicians to cope with demand within the stricken health ...

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PiPP Project: Key Study Recommendations

Key Recommendations for Retention and Workforce Wellbeing in Emergency Care

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RCEM Position Statement – Artificial Intelligence

Recent years have seen a rapid development in clinically-orientated Artificial Intelligence (AI) including Machine Learning (ML) applications

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Psychologically Informed Practice and Policy (PIPP) Study – Executive Summary

The UK National Health Service (NHS) and specifically Emergency Medicine (EM) is facing a retention crisis...

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Rebuilding the NHS better medical pathways for Acute Care

Urgent update, immediate priorities, and recommendations

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Group A Strep and scarlet fever during a time of winter pressures – a joint statement from RCPCH, RCEM and RCGP

Three Medical Royal Colleges are issuing advice for worried parents and healthcare professionals working during a very tough winter.

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Advice for Clinicians Involved in ED IT Procurement

From the RCEM Informatics Committee

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National QIP User Guide 2022/23

A guide for users of the RCEM National online QI system.

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Children’s Mental Health Risk Pathway Assessment Document

A checklist provided by Wirral University teaching hospital.

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EC-ACP Guide to Credentialing

2017 Curriculum - Updated October 2022

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RCEM Coronavirus Infection, Prevention and Control (IPC) Guidance (October 2022)

The recommendations in this document are a re-statement of good infection and control procedures that should be in place in emergency departments (EDs...

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Mild Head Injury Patient Advice Leaflet

Manchester Royal Infirmary, October 2022

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Concussion and Sport Patient Advice Leaflet

Manchester Royal Infirmary, October 2022

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Discharge to General Practice – Update

Latest edition update October 2022

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RCEM Quality Improvement Guide

Updated version - September 2022

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Acute Behavioural Disturbance in ED’s

Updated version - September 2022

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Guidance for emergency departments: initial assessment

The 2022 to 2023 NHS planning guidance...

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Reconfiguring Emergency Medicine Services

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How to Login to Kaizen

PDF download with full instructions

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Position statement on drink spiking

Joint statement with the College of Policing and National Police Chiefs' Council - Drink spiking is when someone puts drugs or alcohol into a person’s...

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‘We are seeing the sharp demise of the health service’, RCEM says

Responding to the latest Emergency Department performance figures published by NHS England for July 2022, Vice President of the Royal College of Emerg...

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Nitrous Oxide & Pre-hospital Emergency Medicine

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Heat Related Illness – NASMeD Guidance of July 2022

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Joint statement from medical royal colleges and the Academy of Medical Royal Colleges on the Conservative leadership contest

The impacts of the COVID-19 pandemic on the general health of the British public and the NHS will be long lasting. NHS waiting lists currently stand a...

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Urgent and Emergency Care Recovery 10 Point Action Plan – Briefing

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Survey of Children and Adolescent Mental Health (CAMH) Services in the Emergency Department

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New report exposes real number of A&E waits, as over 1,000 patients faced a 12-hour wait in A&E every day in 2021

A new report by The Royal College of Emergency Medicine ‘Tip of the Iceberg: 12-Hour Stays in the Emergency Department’ reveals that on average 1,047 ...

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RCEM Consultant Workforce Recommendations

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New report shows 13,000 staffed beds required across the NHS to drive meaningful change and improvement

A new report by The Royal College of Emergency Medicine ‘Beds in the NHS’ shows that 13,000 staffed beds are required in the NHS across the UK to driv...

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RCEM Safeguarding Policy (December 2021)

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National Quality Improvement Project (QIP) User Guide 2022

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RCEM Committee Structure Chart

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Consultant Sign Off QIP Information Pack

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EMSAS Person Specification for Specialist Doctors

Updated March 2022

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MRCEM Exam Primary Information and Regulations

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MRCEM Exam Guidance for Candidates with Additional Requirements

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Ambulance Handover Delays: Options Appraisal to Support Good Decision Making

Updated 31 March 2022

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Infection Prevention and Control – National Report 2020-2021

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Misconduct Policy for MRCEM and FRCEM Examinations

Updated March 2022

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Marking Exams by the Angoff Method

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QIP: Infection Prevention and Control Information Pack

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Resource Toolkits: Sepsis

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Medical Emergencies in Pregnancy for the ED Team Programme

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RCEM Event Sponsorship Pack 2022

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Agents of Change – Advocating for Public Health in the ED Programme

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Forgotten Tribe – Adolescents in the ED Programme

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Delirium in the ED Programme

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Learning Disabilities in the ED Programme

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Acute Behavioural Disturbance

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Ketamine Procedural Sedation for Children in ED’s

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Environmental Sustainability in EM

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Equality & Diversity Guidance

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Guidance for Participants at Virtual Events

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Guidance for Speakers at RCEM Conferences

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Guidance for Speakers at Virtual Events

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Pain in Children National Report

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Spring CPD Conference Programme 2022

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Improving Hospital Flow for Urgent Care

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Quality Strategy Part A January 2022

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Acute Aortic Dissection Programme – 7 June 2022

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Examination Fees 2022

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Improving Medical Pathways for Acute Care

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Security & Restraint Survey Report

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Mental Health Toolkit – Updated November 2022

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Pain in Children QIP Information Pack

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Diagnosis of Thoracic Aortic Dissection

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Diagnostic Dilemmas Around the World Programme

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Paediatric Pearls & Pitfalls Programme

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Mental Health in the Emergency Department

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Best Practice: Acute Behavioural Disturbance in Emergency Departments

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Older Person Trauma Programme

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Research Engagement Day January 2022 Programme

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Trainees Research Engagement Day Programme

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Best Practice Guideline – College Publications Template (January 2022)

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2022 National Recruitment – EM ACCS

National recruitment in Emergency Medicine is delivered by Health Education England, supported by the EM Heads of Schools who sit on the RCEM Training...

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Meeting the mental health needs of children and young people in acute hospitals: these patients are all our patients

Joint statement by RCEM, RCPCH and RCPsych The Royal Colleges of Emergency Medicine, Paediatrics and Child Health, and Psychiatrists recognise the ...

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Trainee Emergency Research Network (TERN) Fellowship 2021

We’ve launched the second round of the RCEM TERN Fellowship scheme, which will fund 50% of the successful applicant’s time over a two-year period.

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Educational Meeting: Supplementary Review’s Preview

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Doctoral Research Fellowship 2022

We've launched the next round of our PhD Fellowship Scheme. Applications are invited from EM trainees from CT1 and above before 21 January 2022.

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Why all EM trainees should have their say in the annual EMTA survey

In this month's guest blog, EMTA Committee Chair talks about the importance of trainees giving feedback in the annual EMTA survey.

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Acute Care Assessment 2021

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Performing an Anaesthetic Pre-Operative Assessment’s Preview

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General Anaesthesia for an ASA I/II Patient Having Uncomplicated Surgery

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Holistic Assessment of Learning Outcomes – HALO

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IAC Initial Assessment of Competence Certificate’s Preview

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MCR / MTR ACCS’s Preview

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ACCS End of Placement Report’s Preview

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ACP Faculty Educational Governance Statement’s Preview

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ARCP Form’s Preview

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Educational Meeting 2015 Curriculum’s Preview

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Educational Meeting ST3 – ST7’s Preview

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Educational Supervisor Report ACCS’s Preview

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Educational Supervisor Report Covid-19: HST’s Preview

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Educational Supervisor Report Covid-19: Intermediate’s Preview

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Faculty Education Governance Statement – ACCS CT1-2 / ST1-2 Trainee

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Faculty Education Governance Statement – ST6 Trainee

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Faculty Education Governance Statement – Interim / Formative

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Faculty Education Governance Statement – Intermediate ST3 Trainee

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Faculty Education Governance Statement – ST4 & ST5

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Structured Training Report 2015 Curriculum

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Educational Meeting CT1/ST1 – CT2/ST2’s Preview

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Discharge to General Practice

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Guideline on Antidote Availability for EDs

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Toxicology: RCEM NPIS Antidote Guideline List

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Best Practice: Discharge to General Practice

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EMTA Online 2021

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RCEM Complaints Policy Procedures

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RCEM Acute Insight Series: Crowding and its Consequences

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FASSGEM Annual Conference 2021 Programme

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New report reveals shocking number of excess deaths caused by crowding…

A new report by the Royal College of Emergency Medicine ‘Crowding and its Consequences’ has found that at least 4,519 patients have died as a result o...

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Scottish Policy Forum Programme

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RCEM CARES: The Next Phase

Outlines the Royal College of Emergency Medicine’s (RCEM) system wide plan to improve patient care.

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Really Useful Guide to Managing Your ED

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RCEM NPIS Antidote Guideline Update 2021

RCEM & NPIS guidelines on antidote availability for Emergency Departments - 2021 Update.

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Return to Emergency Medicine Virtual Study Day

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PhD Fellowship Scheme & Guidance

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Covid-19: Paediatric Emergency Department Care Record

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RCEM Position Statement: Use of the SNAP Regime for the Treatment of Paracetamol Toxicity

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Toxicology: RCEM NPIS Antidote Guideline Letter

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Toxicology: RCEM NPIS Antidote Guideline Appendix 1

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Best Practice: Patient Care in the ED

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Best Practice: Management of Controlled Energy Device (Taser) Attendances

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Best Practice: Diagnosis of Thoracic Aortic Dissection in the Emergency Department

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National QIP User Guide

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Remote or Rural ED Study Day

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Retain, Recruit, Recover

Policy planning for recovery

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RCEM Acute Insight Series: What’s Behind the Increase in Demand in EDs?

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Problems & Promises of PoCUS Programme

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Transition from Trainee to Consultant Study Day Programme

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Covid-19: Safety Flash – PPE Buddy System

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Covid-19: Emergency Department Care Record

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Retain, Recruit, Recover – Call for action to improve urgent & emergency care

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Scotlands Emergency Medicine Workforce Census

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Best Practice: Better Together: Collaborative Working Between Emergency and Critical Care

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Best Practice: Management of Pain in Adults

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RCEM Explains: Hospital Beds – Parliamentary Briefing

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Best Practice: Ingestion of Super Strong Magnets in Children

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Summer to Recover: A Guide for Clinical Leads

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Best Practice: Pharmacological Agents for Procedural Sedation and Analgesia in the ED

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Covid-19: Airway Management in the Pandemic

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Mental Health National Slides 2019/20

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Mental Health National Report 2019/20

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Manchester Triage System Update Letter

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RCEM Statement on Vaccine Hesitancy

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Burnout to Brilliance Programme

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Toxicology Around The World Programme

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Mental Health (Self-Harm) Quality Improvement Project National Report

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Letter to Foreign Secretary – UN Political Declaration – March 2021

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Letter to the Chancellor Regarding the Spring Budget 2021

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Position Statement: Public Health in Emergency Medicine

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Assessing for Cognitive Impairment in Older People National Results

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Covid-19: ED Infection Prevention and Control during Covid-19 Pandemic

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Response to the Clinical Review of Standards Consultation

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RCEM CARES: Retention Policymaker Brief for MPs

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Best Practice: ED Infection Prevention and Control during the Coronavirus Pandemic

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Care of Children National Results 2019/20

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Care of Children National Report 2019/20

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PPE Ethnic Minorities and Risk in EDs During the Pandemic

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Security & Restraint Survey Report

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Resource Toolkits: End of Life Care

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Best Practice: Management of Suspected Internal Drug Trafficker

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Best Practice: HIV Testing in the Emergency Department

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EM Advanced Clinical Practitioners providing safe sedation in the adult ED

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RCEM Guidance: Key Questions for Clinical Leads

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RCEM Position Statement: Patients who do not attend appointments in EDs

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NHS Ambulance Services pre-alert guideline for the deteriorating adult patient

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Ambulatory Care: Ambulance Services Pre-alert Guideline for the Deteriorating Adult Patient

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Best Practice: Traumatic Cardiac Arrest in Adults

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Best Practice: Fascia Iliaca Block in the Emergency Department

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Management of Adult Cardiac Arrest Patients Taken to EDs during Covid-19

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Mental Health Newsletter June 2020

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Best Practice: Absconding Guidance

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Covid-19: All That Glitters – Things to Remember During the Pandemic

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Covid-19: Children Clinical Brief

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Best Practice: The Patient Who Absconds

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Best Practice: Management of Investigation Results in the ED

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COVID-19 Experiences from doctors in UK and Australia – a conversation

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Resetting Emergency Care – Position Statement

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Summer to Recover: Winter-proofing Urgent and Emergency Care for 2021

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Position Statement: ED Doctors Performing Mental Health Act Assessments

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Position Statement: ED Doctors performing Mental Health Act Assessments

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Covid-19: Salbutamol peak flow and nebulisation advice

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Best Practice: Emergency Department Out of Hours Discharge Medications

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Best Practice: Inclusion Health in the ED – Caring for Patients Who Are Homeless or Socially Excluded

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Covid-19: Safety Alert – People with Diabetes

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Covid-19: Herd Wellbeing and Resilience

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Covid-19: Individual Wellbeing and Resilience

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Position Statement: Cauda Equina Syndrome

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Crib Sheet for Care in Children QIP

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Best Practice: Ketamine Procedural Sedation for Children in the ED

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Care of Children in the ED Information Pack

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Position Statement: Paediatric Trauma – Stabilisation of the Cervical Spine

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Position Statement: Winter pressures in children’s emergency care settings

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Assessing for Cognitive Impairment in Older People Information Pack

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Mental Health Audit Information Pack 2019

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Mental Health Newsletter October 2019

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Mental Health Newsletter August 2019

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EM-POWER: A Wellness Compendium for Emergency Medicine

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Best Practice: Drug Misuse and the Emergency Department

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The role of pharmacists in the ED

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Position Statement: Improving Quality Indicators and System Metrics for EDs in England

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Position Statement: Advanced Life Support

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Ambulatory Care: Emergency Toolkit

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Ambulatory Emergency Care Toolkit

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Best Practice: Patients with a Diagnosis of Ruptured Abdominal Aortic Aneurysm

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RCEM FICM joint statement on winter pressures (2018)

In their joint position statement the Faculty and College take the unprecedented step of warning that critical and emergency care services will be str...

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Understanding SPC Charts

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Winter Flow Project Report 2017-18

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National Survey on Mental Health Services for Children and Young People

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Best Practice: Consent in Adults, Adolescents and Children in EDs

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A Guide to Section 136 for Emergency Departments

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Best Practice: A brief guide to Section 136 for EDs

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Best Practice: Intravenous Regional Anaesthesia for Distal Forearm Fractures (Bier’s Block)

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Best Practice: Guideline for Information Sharing to Reduce Community Violence

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Position Statement: CQUIN to Reduce Frequent Attenders and Mental Health Attendances

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Best Practice: Frequent Attenders in the Emergency Department

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Ambulatory Care: Position Statement

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Best Practice: A Universal FGM Flowchart and Reporting Tool

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Best Practice: Management of Pain in Children

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Best Practice: Emergency Department Care

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Winter Flow Project Report 2016-17

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Ambulatory Care: Operational Guide

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Position Statement: Resuscitative Thoracotomy in Trauma Units

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Position Statement: Complications of Early Pregnancy and the role of the Emergency Department

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Response to RCR Imaging in Paediatric Trauma Guidelines

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Best Practice: Mental Capacity Act in EM Practice

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Mental Capacity Act Guideline

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Best Practice: The Mental Capacity Act in Emergency Medicine Practice

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Initial Assessment of Emergency Department Managers

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Best Practice: Giving Information to Patients in the Emergency Department

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Position Statement: Clinical Responsibility for Patients within the ED

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Winter Flow Project Report 2015-16

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Best Practice: Emergency Department Patients in Police Custody

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Invasive Procedure Checklist for EDs

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Best Practice: Guidelines for the Management of Excited Delirium / Acute Behavioural Disturbance

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Emergency Airway Management

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Position Statement: Acute Ischaemic Stroke and Intravenous Thrombolysis

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Tackling Emergency Department Crowding

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Best Practice: Management of Adult Patients Who Attend ED After Sexual Assault and / or Rape

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Best Practice: Reducing Redundant Activity in the Acute Setting

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Alcohol: A Toolkit for Improving Care

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Position Statement: Alcohol Related Harm

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Ebola: RCEM Letter to Clinicians – Travel History

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Best Practice: Chaperones in Emergency Departments

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Best Practice: Management of Domestic Abuse

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Best Practice: Ebola Guidance

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Ebola: EPRR CRG Opinion on emergency care for Ebola

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Ebola: Rapid Risk Assessment

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Safety Toolkit

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Gemnet: Management of Suspected Scaphoid Fractures in the ED

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Gemnet: Thromboprophylaxis Example Protocol

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Position Statement: Care of patients exposed to blood borne viruses by needlesticks

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Paracetamol Overdose Guidance

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Best Practice: Safe Sedation of Adults in the Emergency Department

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Gemnet: Thromboprophylaxis in Ambulatory Trauma Patients Requiring Temporary Limb Immobilisation

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Best Practice: Providing a Witness Statement for the Police

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Position Statement: Providing pre-transfusion blood samples for the police

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Position Statement: Triage

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Human Swine Influenza – H1N1

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Gemnet: Management of Tricyclic Anti-depressant Overdose

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Gemnet: Management of Lone Acute Severe Headache

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Gemnet: Management of First Seizure in the Emergency Department

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Gemnet: Management of Acute Allergic Reaction

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Unscheduled Care Facilities: Minimum requirements for units which see the less seriously ill or injured

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