RCPSYCH Medical Emergencies in Eating Disorders: Guidance on Recognition and Management

About this resource

The aim of this guidance is to make preventable deaths due to eating disorders a thing of the past. It is not a comprehensive textbook on eating disorders; rather, it addresses eating disorder presentations likely to lead the patient to an emergency department or a medical/paediatric ward. The emphasis is on medical management, meaning both physical and psychiatric care. The working group that produced this guidance is the fourth group to address these issues, which succeeds the Management of Really Sick Patients with Anorexia Nervosa (MARSIPAN) and Junior MARSIPAN guidance.

The guideline includes:
• review and synthesise of the evidence on which the guidance is based, including a comparison with international guidance on medical management in eating disorders
• advice on the assessment and management of all eating disorders that can lead patients to present as a clinical emergency
• eating disorders risk assessment tool using the ‘traffic light’ approach that can be applied to all ages
• a series of summary sheets (Annexe 1) written for the different target clinical groups (including physicians, psychiatrists, dietitians, GPs and nurses, as well as people with eating disorders, families and managers). These are intended to be quick reference guides that also signpost to key areas in the main guidance
• updated practice guidance on the physical, nutritional and psychiatric management of patients with severe eating disorders in medical units, including the appropriate use of mental health legislation
• advice for commissioners on required services for this group of very ill patients

Year2022

See also

Issue 36 | Research and Resources 2015 - 2016

NEDC e-Bulletin Issue 36: The National Eating Disorders Collaboration of 2015 December is always a time to reflect and recap on the year’s activities and outcomes as we all prepare for a break and recuperation ahead of the New Year.

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Stepped System of Care - Greek

Η National Eating Disorders Collaboration (NEDC) έχει ενσωματώσει δύο δεκαετίες συναίνεσης τομεακών και βιωμένων εμπειριών και ανάπτυξης υπηρεσιών στο μοντέλο του σταδιακού συστήματος περίθαλψης για τις διατροφικές διαταχές (Εικόνα 1η).

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Issue 64 | Members' Meeting and Peer Work Guide

NEDC e-Bulletin Editor's Note: It is strange to reflect on the 10th anniversary NEDC Members’ Meeting 2020, held only a month ago on February 27-28 in Melbourne, with the knowledge of the drastic changes made to society due to the COVID-19 pandemic.

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Stepped System of Care - Chinese (Traditional)

National Eating Disorders Collaboration (NEDC) 將二十年的各部門及患者親身體驗共識與服務發展整合為階梯式飲食
失調護理系統模型(如圖1所示)。該模型的目的是描述在有效的飲食失調護理系統中應該具備的組成部分。患有或可能患有
飲食失調的人士及其家人/支持者和社區可能需要在疾病(或可能患病)和康復過程中以不同的強度或頻率獲得一系列不同
的服務。這個護理連續過程的進展並非直線單向的,個人可能需要針對其不斷復發的症狀接受治療和支援服務,而這些服務
來自階梯式護理系統的不同級別和不同的服務提供機構。

Read more