GP Out of Hours Guidelines Highland HSCP (GP OOH)

• Alcohol screening and withdrawal: Unplanned alcohol withdrawal (Guidelines)
• TAM Children (under 16 years) under the influence of alcohol/drugs

• Bite wounds (NHS Highland intranet access required) (offline PDF version here)
• Bat bites and rabies (NHS Highland intranet access required)

• Severity of Burn and Fluid Replacement in Adults and Children (NHS Highland intranet access required)

TAM Acute coronary syndrome

TAM Stable Angina Management

TAM Stroke guidelines for:

• Acute Treatment of Ischaemic Stroke
• Referral of TIAs to Raigmore/Belford/Caithness General
• Where Should a Patient with Suspected Stroke or TIA be Treated?

TAM Suspected ischaemic chest pain

Resus Council UK (external link) for:

• Tachycardia in Adults
• Automated defibrillation
• Bradycardia in Adults

• Bell's Palsy (Guidelines)
• Healthcare Improvement Scotland: ihub | Health and social care improvement in Scotland - Delirium Toolkit (external link)

• For information on the management of death in NHS Highland see: TAM death

• Diabetes in Scotland (external link)
• TAM Hypoglycaemia in the community
• TAM Diabetic Foot Infection
• TAM Immediate management of suspected type 1 diabetes

• TAM Clinical decision algorithm for suspected Leg DVT
• Assessment and referral for investigation of lower limb DVT form (NHS Highland intranet access required)

• TAM Rapid Tranquillisation guidelines
• Emergency Detention certificate (external link)
• Mental Health Act - emergency and short-term powers: guide - gov.scot (www.gov.scot) (external link)

• TAM guideline: Ophthalmology referral guidelines, including OOH

• For Chronic knee pain and Low back pain see: Orthopaedics 

• Resusitation Council UK: Newborn life support (NLS) (external link)
• PEWS 0-11 Months (NEWS) (external link)

• TAM Emergency Contraception
• Maternity, gynaecology and neonatal guidelines, including post-partum haemorrhage, click here (NHS Highland intranet access required)

National resources

Resusitation Council UK for links to:

• ALS:  Paediatric Advanced Life Support
• BLS: Paediatric Basic Life Support algorithm
• Choking: children

BSACI: Paediatric allergy action plans 

PEWS: (external links)

• NEWS: 0-11 Months 
• PEWS: 12-23 Months
• PEWS: 2-5 Years
• PEWS: 5-11 Year
• PEWS: 12 Year and over

National guidelines:

• NG143 Traffic light tool: Traffic light system for identifying risk of serious illness in under 5s:(external link)
• NG143: Fever in under 5s: assessment and initial management (external link)
• NG84: Diarrhoea and Vomiting in Children: assessment and management (external link)

Local guidelines

• TAM: PAEDIATRIC THERAPEUTIC GUIDELINES
• Paediatric Guidelines (Raigmore) (NHS Highland intranet access required) 
  
  • Intranasal diamorphine administration in Children WITH atomiser (external link)
  • Intranasal diamorphine administration in Children WITHOUT atomiser (external link)
  • Limping Children: management and assessment (NHS Highland intranet access required) Offline PDF version here

Social care

• For Highland's Children: Child Protection Concern Form

• TAM Palliative care

• TAM HIV Post exposure prophylaxis pep
• Ebola risk assessment (viral haemorrhagic fever) (NHS Highland intranet access required) Offline PDF version here
• Tetanus Prophylaxis (NHS Highland intranet access required) Offline PDF version here
• Tick bites and Lyme (NHS Highland intranet access required) Offline PDF version here
• TAM Lyme disease

• SIGN 153: British guideline on the management of asthma (external link)
• TAM Respiratory guidelines

• TAM Suspected seizure: Patients presenting in ED or AMAU
• NICE Clinical knowledge summaries: Febrile Seizure: management after a seizure (external link)