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Guideline Hub · 57 documents · updated 2026-09-06
Guidelines I use in the ED: AMI/ACS, the universal definition of MI, ischemic stroke, ACLS/PALS, trauma, sepsis, POCUS and the difficult airway. Documents with a PDF open in the in-site Reader; the rest link to the original. Newest first, and the latest document in each group is flagged.
The in-site Reader's buttons are in Chinese; the documents themselves are mostly in English. Those marked "In Chinese" are Taiwanese society guidelines written in Chinese.
AMI / ACS
STEMI, NSTE-ACS, chest pain evaluation, revascularization
ACC/AHA
US 2007 – 2025 · 9 documents- 2025Latest2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes
Replaces the 2013 STEMI and 2014 NSTE-ACS guidelines; STEMI and NSTEMI are now in one document.
- 20222022 ACC Expert Consensus Decision Pathway on the Evaluation and Disposition of Acute Chest Pain in the Emergency Department
Expert consensus on managing and dispositioning acute chest pain in the ED.
- 2021
- 2021
- 2014
- 2013
- 2011
- 2007
- 2007
ESC
Europe 2012 – 2023 · 6 documents- 2023Latest2023 ESC Guidelines for the Management of Acute Coronary Syndromes
The European all-in-one ACS guideline; STEMI and NSTE-ACS combined.
- 2022
- 2020
- 2017
- 2015
- 2012
TSOC
Taiwan 2018 – 2020 · 2 documents- 2020
- 20182018 TSOC / TSEM / TSCI Guidelines for the Management of Non ST-Segment Elevation Acute Coronary Syndrome
Joint version from three societies: cardiology, emergency medicine and cardiovascular intervention.
Definition of MI
How the Universal Definition of MI has evolved
Universal Definition of MI
ESC / ACC / AHA / WHF 2007 – 2026 · 3 documents- 2026LatestNEW2026 Fifth Universal Definition of Myocardial Infarction
Fifth edition: Types 1–5 become three categories (primary / secondary / procedure-related), with sex-specific troponin thresholds. See my post on the fifth UDMI.
- 20182018 Fourth Universal Definition of Myocardial Infarction
The last edition with the Type 1–5 classification.
- 2007
Ischemic Stroke
IVT, EVT, antiplatelets, prehospital and ED care
Taiwan Stroke Society
Taiwan 2019 – 2026 · 8 documents- 2026LatestNEWIn Chinese2026 Consensus on Intravenous Thrombolysis With Tenecteplase in Acute Ischemic Stroke (unofficial English title)
Taiwanese consensus on single-bolus IV TNK, based on the 2026 AHA/ASA guideline, FDA approval and the TFDA label.
- 2026NEWIn Chinese2026 Practical Recommendations in Acute Ischemic Stroke Management (PRISM)
Taiwan Stroke Society practice consensus, a 13-page concise version. Year to be confirmed: the PDF's DOI says 2026;8(1), the society's website lists it under 2025.
- 2025NEWIn Chinese2025 Taiwan Stroke Society Guideline for the Intravenous Thrombolysis in Acute Ischemic Stroke
Published 2025;7(1):1-57. Standard treatment within 4.5 hours, extended time windows, minor stroke, patients on DOACs, and TNK as an alternative.
- 2023
- 2022In Chinese2022 Dual Antiplatelet Therapy in the Management of Acute Minor Ischemic Stroke and High-Risk Transient Ischemic Attack: An Expert Consensus Statement from Taiwan Stroke Society and Taiwan Society of Emergency Medicine
Consensus on DAPT for minor stroke / high-risk TIA.
- 2022
- 2020In Chinese2020 Guideline for Prehospital Stroke Management, Emergency Evaluation and Treatment of Patients with Acute Ischemic Stroke
Joint version from the Taiwan Stroke Society and the Taiwan Society of Emergency Medicine.
- 2019
AHA/ASA
US 2026 · 1 document- 2026Latest2026 Guideline for the Early Management of Patients With Acute Ischemic Stroke
Replaces the 2018 guideline and its 2019 update. IVT now includes tenecteplase; EVT indications extend to basilar artery occlusion and large ischemic cores.
ACLS / Resuscitation
Adult resuscitation algorithms and drugs
AHA
US 2020 – 2025 · 5 documents- 2025LatestNEW⚡ Opens instantlyIn Chinese2025 AHA Adult Advanced Life Support (Part 9 extract)
Just Part 9 of the full 489-page set — 40 pages. Open this one for adult ALS in the ED.
- 20252025 AHA Guidelines for CPR and Emergency Cardiovascular Care
Circulation 2025;152(suppl 2), the full set, including Adult ALS (Part 9).
- 2023NEW2023 AHA Focused Update on Adult Advanced Cardiovascular Life Support
Circulation 2024 (online 2023-12). The adult ALS focused update between 2020 and 2025: drugs, temperature control, coronary angiography, ECPR, seizures.
- 2023NEW2023 AHA Focused Update on the Management of Patients With Cardiac Arrest or Life-Threatening Toxicity Due to Poisoning
Circulation 2023;148:e149–e184. Managing poisoning-related cardiac arrest and life-threatening toxicity.
- 2020NEW2020 AHA Guidelines for CPR and ECC: Part 1 Executive Summary
Circulation 2020;142(suppl 2):S337–S357. The baseline before the 2025 guidelines; executive summary only.
ERC
Europe 2025 · 2 documents- 2025LatestNEW⚡ Opens instantlyIn Chinese2025 ERC Adult Advanced Life Support (chapter extract)
The Adult ALS chapter from the full 541-page ERC set — 63 pages.
- 20252025 European Resuscitation Council Guidelines
Resuscitation 2025;215(suppl 1), the full set, including Adult ALS.
ILCOR
International consensus 2023 · 1 document- 2023LatestNEW2023 International Consensus on CPR and ECC Science With Treatment Recommendations (CoSTR 2023 Summary)
Circulation 2023;148:e187–e280. Summary of the scientific consensus from each ILCOR task force — the shared upstream source for the AHA and ERC guidelines.
PALS / Pediatric Resuscitation
Pediatric BLS and ALS: AHA/AAP and ERC versions
AHA / AAP
US 2025 · 2 documents- 2025LatestNEW⚡ Opens instantlyIn Chinese2025 AHA/AAP Part 8: Pediatric Advanced Life Support (extract)
Part 8 extracted from the full 2025 AHA CPR/ECC set, 59 pages.
- 2025NEW⚡ Opens instantlyIn Chinese2025 AHA/AAP Part 6: Pediatric Basic Life Support (extract)
Part 6, pediatric BLS, 24 pages.
ERC
Europe 2025 · 1 document- 2025LatestNEW⚡ Opens instantlyIn Chinese2025 European Resuscitation Council Guidelines: Paediatric Life Support (chapter extract)
Resuscitation 2025;215(suppl 1):110767, 67 pages. Covers pediatric BLS/ALS and post-resuscitation care.
Trauma / ATLS
Initial trauma care and massive bleeding
ATLS (ACS Committee on Trauma)
US 2025 · 1 document- 2025LatestNEW2025 ATLS 11th Edition (Advanced Trauma Life Support)
The course manual is copyrighted, so there is no PDF here; this links to the official ACS page. The 11th edition moves to xABCDE (control exsanguinating hemorrhage first), balanced transfusion and restricted crystalloids.
European Task Force for Advanced Bleeding Care in Trauma
Europe 2023 · 1 document- 2023LatestNEW2023 The European guideline on management of major bleeding and coagulopathy following trauma: sixth edition
Critical Care 2023;27:80. Sixth edition of the European guideline on major bleeding and coagulopathy after trauma.
Sepsis
Surviving Sepsis Campaign, definitions and diagnostic criteria
Surviving Sepsis Campaign (SCCM / ESICM)
International 2020 – 2026 · 3 documents- 2026LatestNEW2026 Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock
Published simultaneously in Intensive Care Med 2026;52:863–936 and Crit Care Med 2026;54(4):725–812. Replaces the 2021 guidelines.
- 2021NEW2021 Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock
Intensive Care Med 2021;47:1181–1247.
- 2020NEW2020 Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-Associated Organ Dysfunction in Children
Intensive Care Med 2020;46(Suppl 1):S10–S67. Pediatric version.
Definitions and diagnostic criteria
Definition 2016 – 2024 · 2 documents- 2024LatestNEW2024 International Consensus Criteria for Pediatric Sepsis and Septic Shock (Phoenix criteria)
JAMA 2024. The SCCM task force's definition of pediatric sepsis and septic shock. No PDF here; links to the original.
- 2016NEW2016 The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3)
JAMA 2016. The adult sepsis definition, using SOFA to define organ dysfunction. No PDF here; links to the original.
POCUS
Society guidelines for emergency and critical care point-of-care ultrasound
ACEP
US 2023 · 1 document- 2023LatestNEW2023 Ultrasound Guidelines: Emergency, Point-of-Care, and Clinical Ultrasound Guidelines in Medicine
Ann Emerg Med 2023;82(3). The 2023 revision of the ACEP policy statement: core applications, training and credentialing. The PDF needs an ACEP member login, so this links to the original for now.
SCCM
Critical care 2024 · 1 document- 2024LatestNEW2024 SCCM Guidelines on Adult Critical Care Ultrasonography: Focused Update 2024
Crit Care Med 2025;53(2). Five scenarios: cardiac arrest, sepsis, respiratory failure, fluids and cardiogenic shock. No PDF here; links to the original.
AAP / ACEP / SAEM / WINFOCUS
Pediatrics 2015 · 1 document- 2015LatestNEW2015 Point-of-Care Ultrasonography by Pediatric Emergency Medicine Physicians (Policy Statement)
Pediatrics 2015;135(4). No PDF here; links to the original.
Difficult Airway
Difficult intubation, intubating the critically ill, preventing unrecognized oesophageal intubation
ASA
US 2022 · 1 document- 2022LatestNEW2022 ASA Practice Guidelines for Management of the Difficult Airway
Anesthesiology 2022;136:31–81. Replaces the 2013 guideline. Emphasizes a pre-procedure time-out, fewer attempts and video laryngoscopy, and adds ECMO as an option after failure.
DAS (Difficult Airway Society)
UK 2015 – 2025 · 3 documents- 2025LatestNEW2025 DAS Guidelines for Management of Unanticipated Difficult Tracheal Intubation in Adults
Br J Anaesth 2026;136:283–307 (online 2025-11-07). Update of the 2015 guideline; 65 recommendations. Keeps the linear Plan A (intubation) → B (supraglottic device) → C (face mask) → D (emergency front-of-neck access) pathway; oxygenation throughout, waveform capnography to confirm ventilation, and making the first attempt count.
- 2018NEW2018 Guidelines for the Management of Tracheal Intubation in Critically Ill Adults
Br J Anaesth 2018;120:323–352. Joint DAS/ICS/FICM/RCoA guideline written in response to NAP4; the closest match to intubation in the ED and ICU.
- 2015NEW2015 DAS Guidelines for Management of Unanticipated Difficult Intubation in Adults
Br J Anaesth 2015;115:827–848. The original source of Plans A–D; superseded by the 2025 update and kept for comparison.
CAFG (Canadian Airway Focus Group)
Canada 2021 · 2 documents- 2021LatestNEW2021 CAFG Recommendations, Part 1: Difficult Airway Management Encountered in an Unconscious Patient
Can J Anesth 2021;68:1373–1404.
- 2021
PUMA (Project for Universal Management of Airways)
International consensus 2022 · 1 document- 2022LatestNEW2022 Preventing Unrecognised Oesophageal Intubation: A Consensus Guideline
Anaesthesia 2022;77:1395–1415. Sustained exhaled CO2 waveform is the cornerstone for excluding oesophageal intubation.
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