EMERGENCY DEPARTMENT PROTOCOL COMMONS
Version 0.9 - Consultation Edition
Prepared for professional review and local adaptation
Publication date: 25 June 2026
Editor: Dr Bichara Sahely
Website: https://bsahely.com/emergency-department-protocol-commons/

IMPORTANT CLINICAL AND GOVERNANCE NOTICE

These documents are model emergency-department protocols provided for professional education, peer review and local adaptation. They are not substitutes for clinical judgment, current national or professional guidance, specialist advice, approved medication formularies, local law or institutional governance.

Before clinical implementation, each protocol must be reviewed and adapted to the receiving institution's staffing, competencies, medicines, equipment, diagnostic capacity, referral pathways, legislation and resource constraints. It must then undergo formal local approval, staff education, implementation planning and audit.

Where local policy, law or current authoritative guidance differs, the locally applicable requirement takes precedence.

PACKAGE USE

The PDF package contains stable consultation copies for reading, sharing and peer review.
The DOCX package contains editable copies intended for responsible local adaptation.

Local adaptations should identify the adapting institution and jurisdiction, local version, approval date, review date and substantive changes from the Commons edition.

The documents remain consultation drafts. Their inclusion in this package does not constitute institutional approval for clinical use.

LICENSING

Except where otherwise indicated, the Emergency Department Protocol Commons is shared under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International Licence (CC BY-NC-SA 4.0). Third-party standards, algorithms, figures and copyrighted materials retain their original ownership and licensing conditions.

SUGGESTED ATTRIBUTION

Sahely B. Emergency Department Protocol Commons: A 59-Protocol Framework for Local Adaptation in Caribbean, Small-Island and Resource-Variable Health Systems. Consultation Edition, Version 0.9. Bsahely.com; 2026.

FEEDBACK

Please submit comments through the Commons webpage, identifying the protocol number, section, proposed amendment, rationale and supporting evidence or local experience.
