What Changed 2025–26: Every Guideline That Changed UK Emergency Medicine

Keeping up has quietly become a second job. This book does the reading for you.

Every year, dozens of guidelines, standards, safety alerts and position statements land that change what we do in the ED. Most of us catch a few on social media, hear about some at handover, and miss the rest. Then someone asks why you're still actively cooling post-ROSC patients to 33 °C.

What Changed 2025–26 covers every piece of guidance published between September 2025 and August 2026 that changes practice in a UK emergency department. 49 guidelines. 18 curriculum areas. One page each.

Every guideline, the same one-page layout

• Bottom line — the one thing to take onto the shop floor
• What the guideline says — the recommendations that matter in ED, with the numbers
• What's new — what changed from the previous version, or the gap it fills
• Read the guideline — a direct link to the primary source
• How this might change your practice — concrete changes for triage, resus, majors and discharge
• QI or appraisal ideas — audits with a named standard, proforma fixes and teaching you can log

Short on time? Start with "the year in ten changes"

Sepsis rewritten three ways (NG253, NG254, NG255). Fever prevention replacing post-ROSC cooling. Tiered anaphylaxis observation. Procyclidine injection gone. A negative D-dimer no longer ruling out dissection. And five more that are most likely to catch someone out.

What's covered

Resuscitation, allergy, infectious diseases, respiratory, cardiology, endocrinology, pharmacology and poisoning, trauma, haematology, paediatrics, safeguarding, O&G, mental health, oncology, elderly care, maxfax, sexual health and forensic care, and systems and law — from RCUK 2025 and NICE to RCEM, UKHSA, MHRA, NatPSA, FFLM and JRCALC.

Who it's for

Anyone working in a UK emergency department — consultants, registrars, SHOs, ACPs, nurses and paramedics. Preparing for FRCEM or MRCEM? Recently changed guidance is exactly what examiners like to test. Got an appraisal coming? Every page gives you ready-made QI and teaching ideas.

An educational summary, not a substitute for the full guidance or your local policies. Content reflects guidance published up to 31 August 2026.

Instant PDF download. 55 pages. Clickable contents and 60+ links to the primary guidelines.