Emergency MedicineUrology
Renal Colic — ED Workflow
NICE NG118 — analgesia, low-dose CT-KUB, expectant management vs urgent intervention for obstruction/sepsis.
Source: NICE NG118 (2019); BAUS 2018
Used in: Sepsis
Step 1 of ~8
info
Recognise & Investigate
Colicky loin-to-groin pain, microscopic/macroscopic haematuria, restless. Differentials: AAA (>50y, risk factors — exclude with USS/CT), pyelonephritis, ureteric stricture, ectopic pregnancy.
• Urine dip (haematuria in 85%), pregnancy test in women of childbearing age.
• FBC, U&E, calcium, CRP, urate.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Diclofenac · NSAID — Renal / Ureteric Colic
- Anethol with Borneol, Camphene, Cineole, Fenchone and Pinene · Terpene Mixture (Urolithiasis / Renal Colic)
- Dopamine (ICU — Vasopressor/Inotrope) · Catecholamine (Dose-Dependent Vasopressor/Inotrope)
- Insulin (IV Infusion — ICU Glucose Control) · Insulin — ICU Glucose Management
- Sodium Chloride 3% (Hypertonic Saline) · Hypertonic Electrolyte Solution — ICP/Hyponatraemia Management
- Hydroxocobalamin (High-Dose — Cyanide Antidote) · Cyanide Antidote (Vitamin B12 Precursor at High Dose)
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
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