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Emergency medicine and urgent care, Guidance

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Access to antidotes and other medicines in the context of Emergency Preparedness, Response and Resilience (EPRR). Advice to Chief Pharmacists in England July 2018

6 July 2018This page was first created on July 6th 2018. It will be reviewed regularly and updated as necessary.

Regional Medicines Optimisation Committee Antidotes Advisory Statement

17 June 2019The RMOC recommendation is in the process of being revised to reflect the Royal College of Emergency Medicine (RCEM)/National Poisons Information Service (NPIS) 2021 updated…

Diazepam solution injection for managing seizures

5 October 2021SPS PGD template for administering diazepam solution for injection for the management of seizures by registered Paramedics and Nurses.

Flumazenil injection for reversal of midazolam

5 October 2021SPS PGD template for administering flumazenil for reversal of sedative effects of midazolam in conscious sedation by registered Paramedics and Nurses.

Buccal midazolam for the management of seizures

5 October 2021SPS PGD template for administering buccal midazolam for the management of seizures by registered Paramedics and Nurses.

Tranexamic acid injection for treatment of severe haemorrhage

5 October 2021SPS PGD template for administering tranexamic acid injection for treatment of severe haemorrhage by registered Paramedics and Nurses.

Diazepam rectal tubes for managing seizures

5 October 2021SPS PGD template for administering diazepam rectal tubes for the management of seizures by registered Paramedics and Nurses.

Reversing an adult opioid overdose with naloxone in the medical setting

18 October 2022A patient safety alert highlighted the risks of giving inappropriate doses of naloxone. This page guides on using appropriate intravenous doses.