Medical Emergencies in Eating Disorders (MEED)- new guidelines published by the Royal College of Psychiatrists, UK, May 2022.
Guidance on Recognising and Managing Medical Emergencies in Eating Disorders (Replacing MARSIPAN and Junior MARSIPAN). This guidance, based on the advice and recommendations of an Expert Working Group provides a comprehensive overview of the latest evidence associated with eating disorders, including highlighting the importance and role of healthcare professionals from right across the spectrum recognising their responsibilities in this area.
This document is a supplement to the guidance, which is designed to support all clinicians likely to encounter patients with severe eating disorders, as well as other professions and groups. It contains reference guide summaries written for 14 different interest groups, as listed on the contents page, who are considered to be the target audience of the guidance. Each quick reference guide is two to three pages long, and covers the following areas of care with signposting to key parts of the guidance:
- Risk assessment: Signposted to Chapter 2 of the guidance (including Table 1: Risk assessment framework for assessing impending risk to life) and Appendix 3, Eating disorder risk checklist for emergencies
- Location of care: Signposted to Chapter 3
- Safe refeeding: Signposted to Chapters 4 and 5
- Behavioural manifestations of eating disorders: Signposted to Chapter 6
- Parents, relatives and carers: Signposted to Chapter 7
- Compulsory admission and treatment: Signposted to Chapter 8
- Diabetes mellitus type 1: Signposted to Chapter 9 and Annexe 3: Type 1 diabetes and eating disorders (T1DE).
The Royal College of Psychiatrists’ Medical Emergencies in Eating Disorders: Guidance on Recognition and Management has been endorsed by the Council of the Academy of Medical Royal Colleges, which represents all the Medical Royal Colleges and Faculties in the UK.