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The content in this section is gathered together from elsewhere in the portal for ease of use for the out of hours clinician. From here you will be linked to the other sections in the portal. 

Out of Hours formulary

See Out of Hours operational handbook for administration processes on the NHS Highland intranet.

Resuscitation Council (UK):

Access for guidance on:

  • Adult Advanced Life Support
  • Adult Basic Life Support and AED  includes Choking: adults
  • Paediatric Advanced Life Support
  • Paediatric Basic Life Support includes Choking: children
  • Anaphylaxis

Alcohol and drugs

Alcohol screening and withdrawal: Glasgow assessment and management of alcohol

Management of children (under 16 years) under the influence of alcohol/drugs (Offline PDF version here)

Bite wounds

Bite wounds (Offline PDF version here)


Acute coronary syndrome 

Stable Angina Management

Stroke guidelines for:

  • Acute Treatment of Ischaemic Stroke
  • Referral of TIAs to Raigmore/Belford/Caithness General
  • Where Should a Patient with Suspected Stroke or TIA be Treated?

 Resus Council (UK) for:

  • Tachycardia in Adults
  • Automated defibrilation
  • Bradycardia in Adults

Suspected ischaemic chest pain


See Death section


Musculoskeletal and joint disease

Obstetrics and Gynaecology


Resusitation Council UK for links to:

  • ALS:  Paediatric Advanced Life Support
  • BLS: Paediatric Basic Life Support algorithm
  • Choking: children

Paediatric Guidelines (Raigmore): (Requires password access to the intranet)

NICE: Children, Traffic Light System for identifying risk of serious Illness

NICE (CG160): Fever in Under 5s: Assessment and initial Management

Diabetes: Immediate management of suspected type 1 Diabetes

NICE (CG84): Diarrhoea and Vomiting in Children: assessment and management

Intranasal diamorphine administration in Children WITH atomiser (Offline PDF version here)

Intranasal diamorphine administration in Children WITHOUT atomiser (Offline PDF version here)

Limping Children: management and assessment (Offline PDF version here)

Urinary Tract Infection in Children (currently under review)

Management of children (under 16 years) under the influence of alcohol/drugs (Offline PDF version here)

Croup Management

Bronchiolitis: NICE Guideline (NG9) Bronchiolitis in children: diagnosis and management

PEWS 0-11 Months (NEWS)
PEWS 12-23 Months
PEWS 2-4 Years
PEWS 5-11 Year
PEWS 12 Year and over

For Highland's Children: Child Protection Concern Form

Palliative care

Syringe pump manual: McKinley T 34

Palliative care 

Out of Hours resources

Resusitation Council (UK):

Access for guidance on:



Dermatology Patient Pathways http://www.dermatology.nhs.scot/dermatology-pathways/
DOH Immunisation against infectious disease (The Green Book) https://www.gov.uk/government/collections/immunisation-against-infectious-disease-the-green-book
For Highland's Children http://www.forhighlandschildren.org/
Highland alcohol and drugs partnership http://www.highland-adp.org.uk/
NICE Clinical Knowledge Summaries http://cks.nice.org.uk/
Patient.co.uk http://www.patient.co.uk/
Toxbase http://www.toxbase.org/
UpToDate https://www.uptodate.com/home

Last reviewed: 06 February 2019

Next review: 28 February 2023

Author(s): OOH Clinical Lead

Approved By: TAM subgroup of ADTC

Reviewer Name(s): Clinical Director

Document Id: TAM310