Emergency Guidelines


Our emergency guidelines are intended to be used as templates for new and existing patients living with IMD.

The "child" guidelines are intended for children and adolescents up to end of puberty being managed on paediatric wards. The “adult” guidelines are intended for adult hospitals and wards. Hospitals should use the version of the guidelines they are most familiar with but the “adult” guidelines are suitable for all patients weighing over 40kg.

These guidelines are applicable to most patients but there will be occasions when alternative management is appropriate in consultation with a tertiary metabolic centre


Guidelines Team

Dr Saikat SantraConsultant in Clinical IMD
Birmingham Women’s and Children’s NHS Foundation Trust
Dr Andrew MorrisConsultant Clinical Paediatrician in Inherited Metabolic Medicine and Honorary Senior Lecturer, University of Manchester
Dr Anupam ChakrapaniConsultant in Metabolic Medicine
Great Ormond Street Hospital NHS Foundation Trust
Dr Eve Miller-HodgesConsultant in Inherited Metabolic Diseases and Renal Medicine
Scottish Inherited Metabolic Disorders Service
Dr Radha RamachandranConsultant in adult Inherited Metabolic Diseases
Guy's and St Thomas' NHS Foundation Trust
Dr Marjorie DixonClinical Lead for Metabolic Dietetics
Great Ormond Street Hospital NHS Foundation Trust
Dr Sarah HulleyMetabolic Consultant, Sheffield Children's Hospital
Faiza AdreesAdult Inherited Metabolic Diseases Pharmacist
Salford Royal Foundation Trust
Kirsty DarlingClinical Nurse Specialist

Use our central contact us form to get in touch with the guidelines team.


DISCLAIMER - Terms and Conditions of Use

There is very little evidence base for the management of inborn errors so these guidelines have been written taking account of what is regarded as the current best practice in the United Kingdom. They have been scrutinised carefully but there may still be errors. Furthermore new evidence at any time can invalidate these recommendations. No liability whatsoever can be taken as a result of using this information and no advice can be given regarding their use in countries outside the United Kingdom.