Emergency MedicineOphthalmology
Acute Red Eye / Vision Loss Screen
Differentiate sight-threatening vs benign — angle-closure glaucoma, GCA, retinal detachment, central retinal artery occlusion, scleritis.
Source: RCOphth 2020; NICE CKS
Used in: Acute Red Eye
Step 1 of ~8
info
History & Initial Exam
Time course, pain (gritty vs deep), photophobia, vision change (blurring vs loss vs floaters/flashes), discharge, contact lens use, trauma. Visual acuity (Snellen each eye), pupils (RAPD), fundoscopy if possible, IOP if available.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Glyceryl Trinitrate (Sublingual / IV) · Nitrate / Acute Angina
- Dobutamine (Acute HF / Stress Echo) · Inotrope / Acute Heart Failure
- Milrinone · Inodilator / Acute Heart Failure
- Prednisolone (Systemic) · Systemic Corticosteroid — Acute Dermatoses
- Methoxyflurane · Inhaled Analgesic — Acute Pain
- Prednisolone (Sudden Sensorineural Hearing Loss) · Corticosteroid (systemic — SSNHL treatment)
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
A deeper exam-focused version of this pathway is available on our sister siteReviseMRCEM.
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.