Clinical Guidelines

scissors 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 Nigel Salter, Consultant in Emergency Medicine, St Vincent’s University Hospital, Dublin
Dr Áine Mitchell, Consultant in Emergency Medicine, Sligo University Hospital
Dr Laura Heffernan (Trainee representative), Specialist Registrar in Emergency Medicine, Beaumont Hospital, Dublin
Prof Conor Deasy, Consultant in Emergency Medicine, Cork University Hospital
Dr Victoria Meighan, Consultant in Emergency Medicine, Tallaght University Hospital, Dublin
Dr John Cronin, Consultant in Emergency Medicine, St. Vincent’s University Hospital, Dublin
Dr Carol Blackburn, Consultant in Paediatric Emergency Medicine, OLCHC, Dublin
Dr Laura Melody, Consultant in Paediatric Emergency Medicine, OLCHC, Dublin
Dr Aileen McCabe, Consultant in Emergency Medicine, Tallaght University Hospital, Dublin

RCEM guidance on Vaccine Induced Thrombosis and Thrombocytopenia (April 2021)

Latest IAEM Guidelines:

Emergency Department Management of Blunt Chest Wall Injuries (August 2021)

Management of Patients Presenting to the Emergency Department with Suspected Lower Limb Deep Vein Thrombosis (August 2021)

Interim Guidance: Escalation of Respiratory Support for Patients with Suspected COVID 19 (April 2020)

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

IAEM Guidelines

CGC Guidelines – Adult

Clinical Guideline	Status
Management of Patients Presenting to the Emergency Department with Suspected Lower Limb Deep Vein Thrombosis	Published August 2021
Emergency Department Management of Blunt Chest Wall Injuries	Published August 2021
Management of Patients with Acute Epididymo-orchitis in the Emergency Department	Published April 2021
End of Life Care in the Emergency Department	Published July 2020
Emergency Intubation Guideline	Updated July 2020
COVID-19 Guideline	Published March 2020
Ultrasound guided serratus anterior plane block for the management of rib fractures	Published February 2020
Management of Acute Alcohol Withdrawal Syndrome in the Emergency Department	Published October 2019
Management of syncope in the Emergency Department	Published April 2019
Thromboprophylaxis in Lower Limb Immobilisation	Published April 2019
Acute Thoracic Aortic Dissection	Published February 2019
Management of Patients with Tension Pneumothorax in the Emergency Department	Published January 2019
Fascia Iliaca Compartment Block for Proximal Femur Fracture	Published November 2018
Traumadoc	Published October 2018
Management of Patients with Suspected Hip Fracture in the Emergency Department	Published September 2018
Bite Wound Management	Published November 2016
The Use of Tranexamic Acid in Trauma Patients	Published December 2015 Revised February 2021
Emergency Department Management of Patients with Implantable Cardioverter Defibrillators (ICDs)	Published June 2014
Emergency Department Management of Renal Colic and Suspected Renal Calculus	Published May 2014
Emergency Department Analgesia in Adults	Published July 2013

CGC Guidelines – Paediatric

Clinical Guideline	Status
Emergency Management of Children Presenting with Acute Onset Torticollis	Published April 2021
Paediatric Cervical Lymphadenopathy	Published February 2021
Management of Drowning in Children	Published December 2020
Pain Management in Paediatric Emergency Care	Published August 2020
Bronchiolitis	Published November 2018
HHFNC in Bronchiolitis	Published October 2018
Foreign Bodies: The Emergency Department Management of Inhaled and Inserted Objects in Children	Published October 2018
Paediatric Syncope	Published August 2018
Henoch Schonlein Purpura	Published March 2018
Management of Laryngomalacia	Published November 2016
Laundry detergent capsule ingestion	Published November 2016
Management of Vulvovaginitis	Published November 2016

International Guidance

Geriatric Emergency Medicine Care

GeriEM Europe Posters

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 Clinical Guidelines Committee (CGC) – Terms of Reference

1. Apply agreed IAEM criteria for quality assurance of ED clinical guidelines in Ireland
2. Disseminate a template on how ED clinical guideline development should be structured, and with what methodology it should be pursued
3. Recommend non-IAEM ED clinical guidelines that have been quality assured against agreed IAEM criteria
4. Ensure the timely update of published IAEM clinical guidelines based on the best available current evidence
5. Facilitate with other agencies the dissemination of endorsed guidelines to front-line ED staff in an appropriate format
6. Report periodically to IAEM Executive on the development of new clinical guidelines, updating of published guidelines and implementation of endorsed guidelines

IAEM uses a robust tool to assist in ensuring that its Clinical Guidelines are of the highest quality