Guidelines for the Emergency Management of Injuries (including needlestick and sharps injuries, sexual exposure and human bites) where there is a risk of transmission of bloodborne viruses and other infectious diseases

About EMI Guidelines

These guidelines are intended for use in emergency medical settings where a patient first presents with an injury (including needlestick or other sharps injury, sexual exposure, human bite, exposure of broken skin or of mucous membranes) where there is a risk of transmission of infection, in particular bloodborne viruses (BBV).

These guidelines are relevant to injuries occurring to members of the public in a community setting and also to injuries sustained occupationally (such as to healthcare workers (HCW) or members of the Garda).

The terms “recipient” and “source” will be used throughout these guidelines:
Recipient: the person who sustains the injury.
Source: The source of the potentially infected material, eg the person on whom the sharp was used, the person who bites, or the source of the blood or body fluid.

The BBVs considered in these guidelines are hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV).

Feedback and suggestions

We welcome feedback from users on ways in which we can improve the guidelines and the toolkit. Please email with your suggestions.

Full EMI Guidelines

Overview of EMI Guidelines


Slide sets and articles

June 2014.
Revised HIV PEP for adults:

Truvada (as previously) – plus Isentress (Raltegravir) instead of Kaletra.

See revised Appendix 7 and Appendix 32.