Emergency MedicineCardiology
Acute Heart Failure / Pulmonary Oedema
NICE NG106 — diagnosis with NT-proBNP, echo, oxygen, IV diuretic, vasodilators, NIV; ESC profile-based therapy.
Source: NICE NG106; ESC 2021 HF Guideline
Used in: Heart Failure
Step 1 of ~6
info
Initial Assessment
ABCDE, sat upright if tolerated. Oxygen titrated to SpO₂ 94–98% (88–92% if COPD). Continuous monitoring, IV access. ECG, CXR, ABG, FBC, U&E, LFTs, NT-proBNP, troponin, glucose. Echo if available within 48h (NICE).
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
Pathways
- Difficult Airway Algorithm (DAS) · DAS 2015; Royal College of Anaesthetists
- Major Haemorrhage Protocol · NICE NG24; UK MHP guidelines
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
Featured in these MRCEM clinical pathways
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MRCEM Primary / Intermediate / OSCE candidates: each pathway includes exam-style questions, RCEM/NICE citations, and FAQ summaries.
Decision support only. Always apply local guidelines and clinical judgement.