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ED Patient Presentation Guidelines

These guidelines have been written to provide staff with guidance in the management of the wide spectrum of conditions that you are likely to meet during your time in the Department.

The central aim is to provide high quality and evidence based care where this is available as well as information on the practicalities of follow up for patients.

LGI Emergency Department Guidelines -

Latest guidelines....

Current Research Projects

Inter Specialty Agreements & Policies

The TCC Ten Steps Document & GP Referal Flow Chart October 2007

Patients with Spinal Problems

Hands referals

Thoracic trauma referals

Physiotherapy referals

Major Trauma calls

CDU & Medical Patients

Police Policies

Centralisation Issues

Respiratory Centralisation

EDPD

Stroke Thrombolysis EDPD

Hot Topics

Measles in Leeds

OPD Referal Documents

including acute Neurology OPD

Clinic Feedback Forms

An A to Z Index of the Guidelines

The Guidelines ...

1. General Management

1.1    -    Introduction
1.2    -    Staffing
1.3    -    General Managerial and Administrative Issues
1.4    -    Educational Opportunities
1.5    -    Emergency Department Function
1.6    -    Clinical Decisions Unit
1.7    -    Referrals
1.8    -    Transfers and Pitfalls
1.9    -    ED Clinic
1.10 -    Note Keeping and Documentation
1.11 -    Clinical Guidelines, Protocols, and Flow Charts
1.12 -    Investigations
1.13 -    Out-Patients
1.14 -    Ward 1 on CDU (Observation Ward)
1.15 -    Prescribing
1.16 -    Discharges
1.17 -    Social Problems
1.18 -    Major Incident Procedure
1.19 -    The Police, the Coroner, and the Law
1.20 -    Useful Telephone Numbers
1.21 -    The Coding System

2. Emergency Medicine

2.1    -    Introduction - Evidence based medicine
2.2    - Cardiovascular
2.3    - Anaphylaxis & C1 Esterase Deficiency
2.4    - Respiratory
2.5    -   Gastroenterology
2.6    - Diabetes
2.7    - Infectious diseases
2.8    - Neurology
2.9    - Haematology
2.10 - Hypothermia
2.11 - Poisonings

2.12 - Pathway Referral to ICU

2.15 - Pain relief in Emergencies - ED Pain Strategy-Final 07

3. General Surgery & Trauma

3.1 - M anagement of the Acutely Ill Surgical Patient
3.2 - Maxillofacial

3.3    - Soft tissue injuries & General Orthopaedics
3.4    - Major Trauma
3.4.1 - Team approach in the department
3.4.2 - Initial assessment
3.5    - Specific injuries-regional orthopaedics

Neck, Back, Shoulder,Hip,Hands & Wrists, Knee

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4. Ophthalmology/ ENT/ ObGyn/Urology/ GUM

4.1    -    Opthalmology
4.2    - ENT
4.3    -    Obstetrics, Gynaecology
4.4    -    Urology Pathways
4.5    - GUM Referrals

5. Paediatrics

5.1 - Paediatric Department Details

5.1.1 - Paediatric Resus Data

5.1.2 -   Paediatric Anaphylaxis Management
5.2    - Abuse (see also NAI)
5.3    - Head Injury in Children- management
5.4    - Child and Adolescent Psychiatry in A & E
5.5    - Management of the atraumatic limping child
5.6    - Diabetes in children
5.7    - UTI in Children

5.8 - D&V in Children

5.9 - The Isabel Paediatric Diagnosis Support system

5.10 - Swallowed metal foreign bodies and hand held metal detector

protocols

6. Psychiatry

6.1 - What to do when a patient refuses to accept essential medical

treatment after an episode of self-harm.
6.1.1- Assessing capacity
6.1.2- Role of the Mental Health Act.
6.2 - Protocol for managing patients in A&E who refuse essential medical

treatment.

7. Appendices

7.1 - Appendix - Guidelines for the structure of an educational project by

junior medical staff in emergency medicine
7.2 - Appendix - Guideline development and clinical effectiveness in the

Emergency Department
7.3 - Appendix - Processing of patients who are eligible for admission to CDU.
7.4 - Appendix - An ED Users’ Guide to the Medical Admissions Process July

2005
7.5 - Appendix - Guidelines for referral to ED Review clinic
7.6 - Appendix - The rapid response assessment team
7.7 - Appendix - Development of emergency medicine ultrasound

Eyes ENT guidelines - August 2005

Archived Guidelines

Clinical Web Master - Dr Taj Hassan Consultant in A&E Medicine