Clinical Guidelines
This area contains clinical guidelines developed by IAEM Clinical Guidelines Committee (CGC). This committee was established in 2014 to meet the increasing need for high quality, evidence-based Emergency Department (ED)-specific clinical guidelines in Ireland. It’s main objective is to improve the quality and safety of ED patient care in Ireland.
The current membership of the committee is:
- Dr Karen Harris (Chair), Consultant in Emergency Medicine, Sligo University Hospital
guidelines@iaem.ie - Dr Termizi Hassan (Vice Chair), Consultant in Emergency Medicine, Hermitage Medical Clinic, Dublin
- Dr Aniqa Bano, Registrar in Emergency Medicine, Cork University Hospital
- Dr Carol Blackburn, Consultant in Paediatric Emergency Medicine, OLCHC, Dublin
- Dr James Condren, Specialist Registrar in Emergency Medicine, University Hospital Waterford
- Prof Conor Deasy, Consultant in Emergency Medicine, Cork University Hospital
- Dr Chloe Doran (Trainee representative), Specialist Registrar in Emergency Medicine, Connolly Hospital, Blanchardstown, Dublin
- Dr James Foley, Senior Clinical Fellow in Emergency Medicine, North Bristol NHS Trust, UK
- Dr Kiren Govender, Consultant in Emergency Medicine, Portiuncula Hospital, Ballinasloe
- Dr Laura Heffernan (Trainee representative), Specialist Registrar in Emergency Medicine, Beaumont Hospital, Dublin
- Dr Carla Hopper, Consultant in Emergency Medicine, Midlands Regional Hospital, Tullamore
- Dr Aileen McCabe, Consultant in Emergency Medicine, Tallaght University Hospital, Dublin
- Dr Mustafa Mehmood, Consultant in Emergency Medicine, St. James’s Hospital, Dublin
- Dr Victoria Meighan, Consultant in Emergency Medicine, Tallaght University Hospital, Dublin
- Dr Laura Melody, Consultant in Paediatric Emergency Medicine, OLCHC, Dublin
- Dr David Menzies, Consultant in Emergency Medicine, St. Vincent’s University Hospital, Dublin
- Dr Gideon-Phil Meyer, Registrar in Emergency Medicine, University Hospital Limerick
- Dr Áine Mitchell, Consultant in Emergency Medicine, Sligo University Hospital
- Dr George-Lucian Obeada, Consultant in Emergency Medicine, Midlands Regional Hospital, Mullingar
- Dr Saema Saeed, Specialist Registrar in Emergency Medicine, Tallaght University Hospital, Dublin
- Dr Deirdre Philbin, Consultant in Emergency Medicine, Beaumont Hospital, Dublin
- Dr Nigel Salter, Consultant in Emergency Medicine, St Vincent’s University Hospital, Dublin
Latest IAEM Guidelines:
Management of Local Anaesthetic Systemic Toxicity (LAST) in the Emergency Department (April 2023)
Acute Otitis Media (April 2023)
Management of Local Anaesthetic Systemic Toxicity (LAST) in the Emergency Department (April 2023)
Acute Otitis Media (April 2023)
Interim Guidance: Escalation of Respiratory Support for Patients with Suspected COVID 19 (April 2020)
Trauma Teams: IAEM Trauma Team Position Paper (November 2020)
Sign up: Sign up to author an IAEM Guideline
IAEM Guidelines
CGC Guidelines – Adult
Resuscitation
| Clinical Guideline | Status |
|---|---|
| Emergency Intubation Guideline | Updated July 2020 |
| Management of Patients with Tension Pneumothorax in the Emergency Department | Published January 2019 |
| Procedural Sedation | Published June 2022 |
| Traumadoc | Published October 2018 |
Injuries
| Clinical Guideline | Status |
|---|---|
| Emergency Department Analgesia in Adults | Published July 2013 |
| Bite Wound Management | Published November 2016 |
| Emergency Department Management of Blunt Chest Wall Injuries | Published August 2021 |
| Ultrasound-guided Erector Spinae Plane Block for the Management of Rib fractures in the Emergency Department | Published February 2023 |
| Fascia Iliaca Compartment Block for Proximal Femur Fracture | Published November 2018 |
| Management of Patients with Suspected Hip Fracture in the Emergency Department | Published September 2018 |
| Ultrasound guided serratus anterior plane block for the management of rib fractures | Published February 2020 |
| Thromboprophylaxis in Lower Limb Immobilisation | Published April 2019 |
| The Use of Tranexamic Acid in Trauma Patients | Published December 2015 Revised February 2021 |
Medical
| Emergency Management of Anaphylaxis in Adult Patients | Published November 2022 |
| Management of Acute Alcohol Withdrawal Syndrome in the Emergency Department | Published October 2019 |
| COVID-19 Guideline | Published March 2020 |
| Management of Patients Presenting to the Emergency Department with Suspected Lower Limb Deep Vein Thrombosis | Published August 2021 |
| End of Life Care in the Emergency Department | Published July 2020 |
| Emergency Department Management of Patients with Implantable Cardioverter Defibrillators (ICDs) | Published June 2014 |
| Management of Local Anaesthetic Systemic Toxicity (LAST) in the Emergency Department | Published April 2023 |
| Management of Syncope in the Emergency Department | Published April 2019 |
Surgical
| Clinical Guideline | Status |
|---|---|
| Management of Patients with Acute Epididymo-orchitis in the Emergency Department | Published April 2021 |
| Periorbital and Orbital Cellulitis (Adults and Paediatrics) | Published April 2022 |
| Emergency Department Management of Renal Colic and Suspected Renal Calculus | Published May 2014 |
| Testicular Torsion | Published August 2022 |
| Acute Thoracic Aortic Dissection | Published February 2019 |
CGC Guidelines – Paediatric
Resuscitation
| Clinical Guideline | Status |
|---|---|
| Management of Drowning in Children | Published December 2020 |
Injuries
| Clinical Guideline | Status |
|---|---|
| Foreign Bodies: The Emergency Department Management of Inhaled and Inserted Objects in Children | Published October 2018 |
| Laundry detergent capsule ingestion | Published November 2016 |
| Pain Management in Paediatric Emergency Care | Published August 2020 |
Medical
| Clinical Guideline | Status |
|---|---|
| Acute Otitis Media | Published April 2023 |
| Bronchiolitis | Published November 2018 |
| Paediatric Cervical Lymphadenopathy | Published February 2021 |
| Evaluation and Management of Children Presenting with Chest Pain to the Emergency Department | Published November 2022 |
| HHFNC in Bronchiolitis | Published October 2018 |
| Henoch Schonlein Purpura | Published March 2018 |
| Management of Laryngomalacia | Published November 2016 |
| Paediatric Syncope | Published August 2018 |
| Emergency Management of Children Presenting with Acute Onset Torticollis | Published April 2021 |
| Management of Vulvovaginitis | Published November 2016 |
Surgical
| Clinical Guideline | Status |
|---|---|
| Periorbital and Orbital Cellulitis (Adults and Paediatrics) | Published April 2022 |
| Testicular Torsion | Published August 2022 |
IAEM Guideline QR Code Posters
International Guidance
Geriatric Emergency Medicine Care
Disclaimer
While IAEM takes every care to compile accurate information and to keep it up-to-date, we cannot guarantee its absolute correctness and completeness. The information provided on this website does not constitute business, medical or other professional advice and is subject to change. We cannot accept responsibility for any loss, damage or expense resulting from the use of this information or guidance. IAEM recognises that patients, their situations, Emergency Departments and staff all vary. These guidelines cannot cover all clinical scenarios. The ultimate responsibility for the interpretation and application of these guidelines, the use of current information and a patient’s overall care and wellbeing resides with the treating clinician.
IAEM uses a robust tool to assist in ensuring that its Clinical Guidelines are of the highest quality