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We conducted a systematic review to inform recommendations, with expert consensus used in the absence of high\u2010quality evidence, and a Delphi study was used to ratify recommendations. We highlight the importance of multidisciplinary team management and make recommendations in key areas including: monitoring; recognition; post\u2010thyroid surgery emergency box; management of suspected haematoma following thyroid surgery; cognitive aids; post\u2010haematoma evacuation care; day\u2010case thyroid surgery; training; consent and pre\u2010operative communication; postoperative communication; and institutional policies. The guidelines support a multidisciplinary approach to the management of suspected haematoma following thyroid surgery through oxygenation and evaluation; haematoma evacuation; and tracheal intubation. They have been produced with materials to support implementation. 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