Emergency MedicineObstetrics & Gynaecology
Pre-Eclampsia / Eclampsia in ED
NICE NG133 — recognition of severe pre-eclampsia, blood pressure control, magnesium sulfate for eclampsia, urgent obstetric input.
Source: NICE NG133; RCOG Green-top 10A
Step 1 of ~5
info
Recognise — Pregnancy ≥20w or ≤6w Postpartum
Pre-eclampsia: BP ≥140/90 + significant proteinuria (PCR ≥30, ACR ≥8) OR organ involvement. Severe features: BP ≥160/110, severe headache, visual disturbance, RUQ/epigastric pain, vomiting, papilloedema, brisk reflexes/clonus, platelets <100, LFTs ↑, creatinine ↑, pulmonary oedema. Eclampsia = pre-eclampsia + seizure.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Magnesium Sulphate (Obstetric — Eclampsia/Neuroprotection) · Anticonvulsant / Neuroprotectant
- Magnesium sulfate · Electrolyte / antiarrhythmic / anticonvulsant
- Glycerol with magnesium sulfate and phenol · Topical drawing paste / suppository combo
- Atropine Eye Drops 1% / 0.01% · Antimuscarinic — Cycloplegic / Myopia Control
- Morphine · Opioid Analgesic — Severe Ureteric Colic / Post-Operative Pain
- Morphine (IV/IM — Anaesthesia/ICU) · Strong Opioid Analgesic
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.