Help to transform our extraordinary hospital into something even better.
- Refine search:
- Refine search:
Emergency Department Handbook
- Home
- Emergency Department Handbook
These guidelines are only for use at Sheffield Children’s NHS Foundation Trust. You can browse or search below.
- Trust medical standards of care
- Introduction to ED covers:
- Advice
- Clinical Records Protocol
- Approved Abbreviations
- Teaching
- Clinical Audit Meeting
- Research
- Locum guidance in ED
- Patient transport
- Letters to GPs
- Telephones and communication
- Legal issues
- Patient assessment
- Initial assessment of patients
- Triage
- National triage scale
- POPS chart
- Streaming to Primary Care
- Triage for patients with deliberate self-harm
- Patients aged 16+
- Children with chronic health problems
- Children with problems relating to a recent admission
- Minor streaming
- Initial assessment of patients
- Patients who do not speak English as a first language
- Senior supervision and support
- Escalation pathway
- Handover and referrals
- Radiology
- General info and making requests
- Risk management for missed fractures
- GP requests for x-rays
- Ionising radiation regulations
- Lab requests
- Venous blood samples
- Capillary blood samples
- Results
- POCT: point of care testing
- Procedural sedation
- Training and Education
- Leave
- Domestic abuse guideline
- Reattender with same complaint within 72 hours
- Prescribing
- TTOs
- Antibiotic prescribing
- Out of hours medicines
- Antibiotic quick reference guide
- Antibiotic dosing
- Parenteral nutrition sepsis guide
- Analgesia
- Intro and abbreviations
- Oral analgesia
- Intravenous opiates
- Intranasal diamorphine
- Intranasal ketamine
- Intranasal alfentanil
- Intranasal ketamine
- Local anaesthetics
- Methods of sedation
- Sedation with IV ketamine
- Dinoprostone for duct dependent cardiac disease
- Major incident plan
- Information for ED staff
- Instructions for senior ED doctor
- Instructions for junior ED doctors
- Departmental incident plan
- Chemical incidents and contamination
- BLS: Basic Life Support
- Choking
- ALS: Advanced Life Support
- SVT
- Anaphylaxis / Allergic reactions
- Convulsions and Status Epilepticus
- Hypothermia
- Drowning
- Massive blood loss
- Trauma Code Red
- When to stop resuscitation
- Child death in the ED
- Adult life support statement
- Dinoprostone for duct dependent cardiac disease
- Belmont Rapid Infuser SOP
Mental health in children and young people
- Background and triage
- Deliberate self-harm
- Other presentations
- Patients over 16 years old
- Section 136
- Patients who abscond or do not wait to be seen
- Tier 4 inpatient care
- Parents in mental health crisis
- Useful resources
- Introduction (and flow chart)
- Legal position on restraint
- Non-drug management
- Drug management – emergency tranquilisation
- Tranquilisation/post-restraint monitoring form
- BRUE: Brief, resolved, unexplained event
- CONI: care of the next infant
- Convulsions, fits and Status Epilepticus
- Febrile convulsions
- Afebrile fits
- Neonatal seizures
Allergy
Endocrine
- Children on steroids
- Obesity
- Hypoglycaemia (non-diabetic)
- Diabetes – general patient management
- DKA
- DKA guidelines
- DKA calculator
- Diabetic hypoglycaemia
Fever and infection
- Febrile child under 5
- Febrile infant proforma
- Sepsis
- Meningococcal disease
- Measles
- Petechial rash
- HSP
- Chicken pox and herpes zoster
- Notifiable diseases
- Immunisation
- General immunisation information
- Side effects of immunisations
- Tetanus-prone wounds
- Immunisation schedule
- Un-immunised children
- Contraindications for immunisations
Neurology
Poisoning
- Toxbase
- Ingestions
- Essential oils
- Deliberate self-harm
- Alcohol ingestion
- Illicit substance use
- Disposal of controlled drugs
- Paracetamol overdose
Respiratory
- Acute asthma and viral wheeze
- Pneumothorax
- Acute stridor and croup
- Inhaled foreign bodies
- Acute bronchiolitis
- Guide to setting up Airvo in the ED
- Pneumonia (CAP)
Cardiology
- Chest pain
- Murmurs
- Hypercyanotic spells in Tetralogy of Fallot
- Dinoprostone for duct dependent cardiac disease
- Yorkshire and Humber Congenital Cardiac Network External Guidelines
Gastrointestinal
Genitourinary
Haematology
- Haematological problems
- Background
- Bleeding disorders
- Children on anticoagulants
- Sickle cell
- Suspected ITP
- Venous thromboembolism
Dermatology
- Atopic eczema
- Neonatal skin conditions
- Scabies
- Impetigo
- Common fungal infections
- Tinea capitis
- Petechial rash
- HSP
- Pain management
- Major Trauma
- Background
- Phone numbers
- Transfers
- Pre-hospital communication
- Trauma call triggers
- Trauma team activation
- Trauma team composition
- Consultant input
- Actions before patient arrival
- Receiving the patient
- Primary survey
- Use of imaging
- Secondary survey
- Documentation and audit
- References
- Belmont Rapid Infuser SOP
- Code Red Trauma
- Cardiothoracic trauma
- Massive blood loss
- Head injuries
- Cervical Spine injuries
- Fractures and dislocations – general principles
- Orthopaedic emergencies
- Compartment syndrome
Facial injuries
- Facial fractures
- Dental injuries
- Dental haemorrhage
- Dental infection and acute facial infections
- Emergency access to dental care
Limb fractures
Leg injuries
- Femoral fractures
- Femoral nerve block
- Knee injuries
- Atraumatic knee pain
- Ankle and foot injuries
Arm injuries
- Clavicle fractures
- Hand injuries
- Elbow injuries
- Elbow fractures and positive fat pads
- Pulled elbows
- Buckle fractures of the distal radius
- Trapped fingers, amputated fingers
- Long bone fractures in children under 2 years old
- Manipulation of fractures in the ED
Other injuries, symptoms, treatments
- Limping child
- Back pain
- Physiotherapy
- Wounds
- Background
- Dressings
- Wound management
- Nurse-led dressing clinic
- Bites
- Dog bites
- Needlestick injuries
- Burns
- Neonatal surgical problems
- Umbilical hernia
- Pyloric stenosis
- Intussusception
- Hypospadias
- Atresias and Malrotation
- Abdominal pain
- Vomiting in babies
- Management of gastrostomy and jejunostomy tubes
- Inguinoscrotal problems
- Background and differential diagnosis
- Herniae and hydrocoeles
- Testicular torsion
- Torsion of appendix testis
- Epididymo-orchitis
- Undescended testes
- Penile inflammation
- Phimosis
- Paraphimosis
- Balanitis and posthitis
- Balanitis Xerotica Obliterans
- Swallowed foreign bodies
- Defining hazardous foreign bodies
- Button batteries [inc flow chart]
- Magnets and super-strong magnets [inc flow chart]
- Sharp or otherwise hazardous ingested FB flow chart
- Upper third oesophageal FBs
- Non-hazardous ingested FB flow chart
- ENT problems
- Epistaxis
- Nose injuries
- Foreign bodies in the nose
- Foreign bodies in the ear
- Perichondritis
- Haematoma of the pinna
- Acute otitis media
- Tonsillitis
- Neck lumps
- Eye problems
- History
- Examination
- Differential diagnosis of eye signs and symptoms
- Management plans by diagnosis
- Acute onset of squint
- Acute visual loss
- Leukocoria – white pupil
- Infective conjunctivitis
- Lid lumps, styes, chalazion
- Blepharitis
- Pre-septal cellulitis
- Orbital (post-septal) cellulitis
- Acute dacryocystitis (inflammation of the lacrimal sac)
- Keratitis
- Uveitis, iritis
- Foreign bodies in the eye
- Chemical eye injuries
- Blunt eye trauma
- Orbital blow-out fractures
- Penetrating eye trauma
- Eye lid lacerations
- Eye referrals flow chart
- Gastrointestinal bleeding
- Gynaecological problems
- Vaginal discharge
- Menstrual problems
- Emergency contraception
- Pregnancy and related problems
- Definition and background
- Legal considerations
- Pregnancy testing in the ED
- How to approach the possibly pregnant patient
- What to do about a positive pregnancy test (well patient)
- Miscarriage
- Ectopic pregnancy
- Hypertension in pregnancy
- Normal delivery
- Post-partum haemorrhage
- Female genital mutilation
- Safeguarding overview
- Thresholds of need, Sheffield Safeguarding Children Board
- ED safeguarding referrals
- ED safeguarding alerts
- ED safeguarding checklist
- Non-accidental injury
- Presentation to the ED
- ED management
- Indications of possible abuse (inc Fabricated or Induced Illness)
- Referral for medical assessment
- Information sharing and confidentiality
- Long bone fractures in children under 2
- Child sexual abuse
- Pathway for injury in non independently mobile children
- Dog bites in ED
- Social care and early help
- Paediatric liaison service
- Child death in the ED
- Safeguarding publications and links
- Definitions
- Background and health inequalities
- Communication
- Sensory processing
- Diagnostic overshadowing
- POPS and atypical presentations
- Reasonable adjustments
- ED resources
- ED Pledge
Quick links