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Clinical Guidelines

scissorsThis 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 John Cronin (Chair), Consultant in Emergency Medicine, St. Vincent’s 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, Consultant in Emergency Medicine
  • 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 Jessica O’Connell, Locum 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

 

Trauma Teams: IAEM Trauma Team Position Paper (November 2020)

IAEM Guidelines

CGC Guidelines – Adult

Resuscitation

Clinical Guideline Status
Post Cardiac Arrest Care Published June 2023
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
Peri-capsular Nerve Group (PENG) Block for the Management of Pain in Neck of Femur, Acetabular and Pubic Ramus Fractures Published June 2023
Ultrasound guided serratus anterior plane block for the management of rib fractures Published February 2020
Thomas Splint Application for Femoral Shaft Fractures in the Emergency Department Published August 2023
Thromboprophylaxis in Lower Limb Immobilisation Published April 2019
The Use of Tranexamic Acid in Trauma Patients Published December 2015
Revised February 2021

Medical

Clinical Guideline Status
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
Management of Patients with Hypoglycaemia in the Emergency Department Published June 2023
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

Procedures

Clinical Guideline Status
Intraosseous Access in Adult Patients Published July 2023
Nasogastric Tube Placement in Adult Patients in the Emergency Department Published July 2023

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

Toxicology

Clinical Guideline Status
Acute Carbon Monoxide Poisoning Published June 2023
Emergency Management of Histamine Fish Poisoning (Scombrotoxic Fish Poisoning, Scombroid, Pseudo Allergic Fish Poisoning, Mahi Mahi Flush) / Histamine Poisoning in Adult Patients Published July 2023

Trauma

Management of Thermal, Chemical and Electrical Burns in the Emergency Department Published August 2023

CGC Guidelines – Paediatric

Resuscitation

Clinical Guideline Status
Management of Drowning in Children Published December 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

Miscellaneous

Clinical Guideline Status
The Limping Child Published August 2023

Surgical

Clinical Guideline Status
Periorbital and Orbital Cellulitis (Adults and Paediatrics) Published April 2022
Testicular Torsion Published August 2022

IAEM Guideline QR Code Posters

Adult Guidelines

Paediatric Guidelines

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.

 

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