Guidelines
There are now a
plethora of guidelines for many conditions and the College of Emergency
Medicine has stated in the past that it likes to cover them in examinations; particularly
those that have been recently released.
We know from our experience both that writing examination questions from
guidelines is relatively straight forward (and therefore likely to be done by
time-pressured examiners!) and that the recently released guidelines act as a
reminder to those writing the examination questions of topics that had perhaps
slipped their minds. As such you
should be familiar with most if not all of the guidelines below.
In many, but unfortunately not all,
cases there is a ‘quick reference
guide’ or flowchart for a guideline and given the volume of information to be
assimilated for the MCEM B we suggest that you use these for the majority of
your revision. We have tried to
include only those guidelines that have some information pertinent to Emergency
Medicine but many guidelines are predominantly for other clinicians and you
should look to only revise that which is directly relevant to emergency
care. The more detailed full
guidelines can be used to supplement areas that are not clear.
Where one guideline is
shared between two institutions (e.g. Royal College of Physicians and National
Institute of Excellence) we have listed it under only one institution. Where NICE have provided guidance and
the College of Emergency Medicine have provided a response (e.g. Venous thromboembolism) we have listed only the College’s
guidance. We have listed only the
most up to date guidance with a preference for those from UK institutions and,
with apologies, a preference for NICE guidelines over SIGN guidelines where
there is a different guideline for each.
For ease of use, all paediatric guidelines, including those from NICE,
are grouped together.
National Institute for
Clinical Excellence (NICE):
|
TOPIC |
LAST UPDATED |
GUIDELINE |
|
Head Injury |
2007 |
|
|
Falls |
2004 |
|
|
NSTEMI |
2010 |
|
|
Atrial Fibrillation |
2006 |
|
|
COPD |
2010 |
|
|
Stroke & TIA |
2008 |
|
|
Respiratory tract infections |
2008 |
|
|
Chest pain of recent onset |
2010 |
|
|
Self harm |
2004 |
Scottish
Intercollegiate Guidelines Network (SIGN):
|
TOPIC |
LAST UPDATED |
GUIDELINE |
|
Acute upper and lower GI Bleeds |
2008 |
|
|
Hip Fractures |
2009 |
|
|
Suspected bacterial UTI in
adults |
2006 |
College of Emergency
Medicine (CEM):
|
TOPIC |
LAST UPDATED |
GUIDELINE |
|
First fit |
2009 |
|
|
Tricyclic poisoning |
2009 |
|
|
Acute allergic reaction |
2009 |
|
|
Lone acute severe headache |
2009 |
|
|
Ketamine sedation in children |
2010 |
|
|
Domestic violence recognition |
2010 |
|
|
Management of pain - Adults |
2010 |
|
|
Management of pain - Children |
2010 |
|
|
Bier’s blocks |
2010 |
|
|
CEM response to NICE VTE
guideline |
2010 |
|
|
Safeguarding children |
2009 |
British Thoracic
Society (BTS):
|
TOPIC |
LAST UPDATED |
GUIDELINE |
|
Community Acquired Pneumonia |
2009 |
|
|
Asthma |
2009 |
|
|
Pneumothorax |
2010 |
|
|
Chest drain insertion |
2003 |
|
|
Diving |
2003 |
|
|
Pulmonary embolism |
2003 |
|
|
Diving |
2003 |
|
|
Emergency Oxygen in Adults |
2008 |
|
|
NIV in COPD |
2008 |
|
|
NIV in acute respiratory
failure |
2002 |
Paediatrics:
|
TOPIC |
LAST UPDATED |
GUIDELINE |
|
Fever |
2007 |
|
|
UTI |
2007 |
|
|
Non-accidental injury |
2009 |
|
|
Gastroenteritis |
2009 |
|
|
Diabetic Ketoacidosis |
2008 |
|
|
Bacterial meningitis and
meningococcal septicaemia in children |
2010 |
|
|
When to suspect child
maltreatment |
2009 |
|
|
Bronchiolitis |
2006 |
|
|
Community acquired pneumonia |
2002 |
|
|
Other websites with useful
guidance |
|
European Society of
Cardiologists (ESC):
|
TOPIC |
LAST UPDATED |
GUIDELINE |
|
ST elevation MI |
2008 |
|
|
Syncope |
2009 |
|
|
Heart failure |
2008 |
|
|
Pulmonary Embolism |
2008 |
|
|
Aortic Dissection |
2001 |
Others:
|
TOPIC |
LAST UPDATED |
GUIDELINE |
|
Meningitis |
2005 |
|
|
Septic Arthritis |
2006 |
|
|
Procedural Sedation |
2001 |
|
|
Diabetic Emergencies |
2006 |
|
|
Sepsis |
2008 |
Surviving Sepsis Pocket Guide, Surviving Sepsis Full Guideline
|
|
Resuscitation Council |
2005 |
|
|
Rapid Sequence Induction |
2004 |
|
|
Can’t intubate,
can’t ventilate |
2004 |