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ACEP Clinical Policy Statements

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19 papers 100 to 500 followers ACEP Clinical Policy Statements
By Aaron Guinn Canadian emergency medicine physician - clinical diagnosis, sepsis and tox
https://www.readbyqxmd.com/read/27568419/clinical-policy-critical-issues-in-the-evaluation-of-adult-patients-with-suspected-transient-ischemic-attack-in-the-emergency-department
#1
REVIEW
Bruce M Lo, Christopher R Carpenter, Benjamin W Hatten, Brian J Wright, Michael D Brown
No abstract text is available yet for this article.
September 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27343675/emergency-ultrasound-imaging-criteria-compendium
#2
EDITORIAL
(no author information available yet)
No abstract text is available yet for this article.
July 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/26304253/clinical-policy-use-of-intravenous-tissue-plasminogen-activator-for-the-management-of-acute-ischemic-stroke-in-the-emergency-department
#3
Michael D Brown, John H Burton, Devorah J Nazarian, Susan B Promes
No abstract text is available yet for this article.
September 2015: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/26398182/ems-management-of-patients-with-potential-spinal-injury
#4
EDITORIAL
(no author information available yet)
No abstract text is available yet for this article.
October 2015: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/16387222/clinical-policy-critical-issues-in-the-diagnosis-and-management-of-the-adult-psychiatric-patient-in-the-emergency-department
#5
Thomas W Lukens, Stephen J Wolf, Jonathan A Edlow, Samina Shahabuddin, Michael H Allen, Glenn W Currier, Andy S Jagoda
No abstract text is available yet for this article.
January 2006: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/25529153/clinical-policy-critical-issues-in-the-evaluation-and-management-of-adult-patients-with-suspected-acute-nontraumatic-thoracic-aortic-dissection
#6
Deborah B Diercks, Susan B Promes, Jeremiah D Schuur, Kaushal Shah, Jonathan H Valente, Stephen V Cantrill
No abstract text is available yet for this article.
January 2015: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/18359378/clinical-policy-critical-issues-in-the-sedation-of-pediatric-patients-in-the-emergency-department
#7
REVIEW
Sharon E Mace, Lance A Brown, Lisa Francis, Steven A Godwin, Sigrid A Hahn, Patricia Kunz Howard, Robert M Kennedy, David P Mooney, Alfred D Sacchetti, Robert L Wears, Randall M Clark
No abstract text is available yet for this article.
April 2008: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/20116016/clinical-policy-critical-issues-in-the-evaluation-and-management-of-emergency-department-patients-with-suspected-appendicitis
#8
John M Howell, Orin L Eddy, Thomas W Lukens, Molly E W Thiessen, Scott D Weingart, Wyatt W Decker
This clinical policy from the American College of Emergency Physicians is an update of a 2000 clinical policy on the evaluation and management of patients presenting with nontraumatic acute abdominal pain.1 A writing subcommittee reviewed the literature to derive evidence-based recommendations to help clinicians answer the following critical questions: (1)Can clinical findings be used to guide decision making in the risk stratification of patients with possible appendicitis? (2) In adult patients with suspected acute appendicitis who are undergoing a computed tomography scan, what is the role of contrast? (3) In children with suspected acute appendicitis who undergo diagnostic imaging, what are the roles of computed tomography and ultrasound in diagnosing acute appendicitis?Evidence was graded and recommendations were given based on the strength of the available data in the medical literature...
January 2010: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/24655460/withholding-or-termination-of-resuscitation-in-pediatric-out-of-hospital-traumatic-cardiopulmonary-arrest
#9
REVIEW
Mary E Fallat
This multiorganizational literature review was undertaken to provide an evidence base for determining whether or not recommendations for out-of-hospital termination of resuscitation could be made for children who are victims of traumatic cardiopulmonary arrest. Although there is increasing acceptance of out-of-hospital termination of resuscitation for adult traumatic cardiopulmonary arrest when there is no expectation of a good outcome, children are routinely excluded from state termination-of-resuscitation protocols...
April 2014: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/24655445/clinical-policy-critical-issues-in-the-evaluation-and-management-of-adult-patients-presenting-to-the-emergency-department-with-seizures
#10
J Stephen Huff, Edward R Melnick, Christian A Tomaszewski, Molly E W Thiessen, Andy S Jagoda, Francis M Fesmire
This clinical policy from the American College of Emergency Physicians is the revision of a 2004 policy on critical issues in the evaluation and management of adult patients with seizures in the emergency department. A writing subcommittee reviewed the literature to derive evidence-based recommendations to help clinicians answer the following critical questions: (1) In patients with a first generalized convulsive seizure who have returned to their baseline clinical status, should antiepileptic therapy be initiated in the emergency department to prevent additional seizures? (2) In patients with a first unprovoked seizure who have returned to their baseline clinical status in the emergency department, should the patient be admitted to the hospital to prevent adverse events? (3) In patients with a known seizure disorder in which resuming their antiepileptic medication in the emergency department is deemed appropriate, does the route of administration impact recurrence of seizures? (4) In emergency department patients with generalized convulsive status epilepticus who continue to have seizures despite receiving optimal dosing of a benzodiazepine, which agent or agents should be administered next to terminate seizures? A literature search was performed, the evidence was graded, and recommendations were given based on the strength of the available data in the medical literature...
April 2014: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/19853781/clinical-policy-critical-issues-in-the-management-of-adult-patients-presenting-to-the-emergency-department-with-community-acquired-pneumonia
#11
REVIEW
Devorah J Nazarian, Orin L Eddy, Thomas W Lukens, Scott D Weingart, Wyatt W Decker
This clinical policy from the American College of Emergency Physicians focuses on critical issues concerning the management of adult patients presenting to the emergency department (ED)with community-acquired pneumonia. It is an update of the 2001 clinical policy for the management and risk stratification of adult patients presenting to the ED with community-acquired pneumonia. A subcommittee reviewed the current literature to derive evidence-based recommendations to help answer the following questions: (1) Are routine blood cultures indicated in patients admitted with community-acquired pneumonia? (2) In adult patients with community-acquired pneumonia without severe sepsis, is there a benefit in mortality or morbidity from the administration of antibiotics within aspecific time course? The evidence was graded and recommendations were given based on the strength of evidence...
November 2009: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/21453818/clinical-policy-critical-issues-in-the-evaluation-of-adult-patients-presenting-to-the-emergency-department-with-acute-blunt-abdominal-trauma
#12
Deborah B Diercks, Abhishek Mehrotra, Devorah J Nazarian, Susan B Promes, Wyatt W Decker, Francis M Fesmire
This clinical policy from the American College of Emergency Physicians is an update of the 2004 clinical policy on the critical issues in the evaluation of adult patients presenting to the emergency department with acute blunt abdominal trauma. A writing subcommittee reviewed the literature as part of the process to develop evidence-based recommendations to address 4 key critical questions: (1) In a hemodynamically unstable patient with blunt abdominal trauma, is ultrasound the diagnostic modality of choice? (2) Does oral contrast improve the diagnostic performance of computed tomography (CT) in blunt abdominal trauma? (3) In a clinically stable patient with isolated blunt abdominal trauma, is it safe to discharge the patient after a negative abdominal CT scan result? (4) In patients with isolated blunt abdominal trauma, are there clinical predictors that allow the clinician to identify patients at low risk for adverse events who do not need an abdominal CT? Evidence was graded and recommendations were based on the available data in the medical literature related to the specific clinical question...
April 2011: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/18358340/clinical-policy-critical-issues-in-the-management-of-adult-patients-presenting-to-the-emergency-department-with-acute-carbon-monoxide-poisoning
#13
Stephen J Wolf, Eric J Lavonas, Edward P Sloan, Andy S Jagoda
This clinical policy focuses on critical issues concerning the management of adult patients presenting to the emergency department (ED) with acute symptomatic carbon monoxide (CO) poisoning. The subcommittee reviewed the medical literature relevant to the questions posed. The critical questions are: Should hyperbaric oxygen (HBO(2)) therapy be used for the treatment of patients with acute CO poisoning; and Can clinical or laboratory criteria identify CO-poisoned patients who are most or least likely to benefit from this therapy? Recommendations are provided on the basis of the strength of evidence of the literature...
April 2008: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/22921048/clinical-policy-critical-issues-in-the-initial-evaluation-and-management-of-patients-presenting-to-the-emergency-department-in-early-pregnancy
#14
Sigrid A Hahn, Eric J Lavonas, Sharon E Mace, Anthony M Napoli, Francis M Fesmire
This clinical policy from the American College of Emergency Physicians is the revision of the 2003 Clinical Policy: Critical Issues in the Initial Evaluation and Management of Patients Presenting to the Emergency Department in Early Pregnancy.(1) A writing subcommittee reviewed the literature to derive evidence-based recommendations to help clinicians answer the following critical questions: (1) Should the emergency physician obtain a pelvic ultrasound in a clinically stable pregnant patient who presents to the emergency department (ED) with abdominal pain and/or vaginal bleeding and a beta human chorionic gonadotropin (β-hCG) level below a discriminatory threshold? (2) In patients who have an indeterminate transvaginal ultrasound, what is the diagnostic utility of β-hCG for predicting possible ectopic pregnancy? (3) In patients receiving methotrexate for confirmed or suspected ectopic pregnancy, what are the implications for ED management? Evidence was graded and recommendations were developed based on the strength of the available data in the medical literature...
September 2012: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/23010181/clinical-policy-critical-issues-in-the-prescribing-of-opioids-for-adult-patients-in-the-emergency-department
#15
Stephen V Cantrill, Michael D Brown, Russell J Carlisle, Kathleen A Delaney, Daniel P Hays, Lewis S Nelson, Robert E O'Connor, Annmarie Papa, Karl A Sporer, Knox H Todd, Rhonda R Whitson
No abstract text is available yet for this article.
October 2012: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/23331647/clinical-policy-use-of-intravenous-tpa-for-the-management-of-acute-ischemic-stroke-in-the-emergency-department
#16
(no author information available yet)
This policy was developed by a joint writing panel of the American College of Emergency Physicians and the American Academy of Neurology. The panel reviewed the literature to derive evidence-based recommendations to help clinicians answer the following critical questions: (1) Is intravenous tissue plasminogen activator (tPA) safe and effective for acute ischemic stroke patients if given within 3 hours of symptom onset? (2) Is intravenous tPA safe and effective for acute ischemic stroke patients treated between 3 to 4...
February 2013: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/21256625/clinical-practice-guideline-for-emergency-department-ketamine-dissociative-sedation-2011-update
#17
Steven M Green, Mark G Roback, Robert M Kennedy, Baruch Krauss
We update an evidence-based clinical practice guideline for the administration of the dissociative agent ketamine for emergency department procedural sedation and analgesia. Substantial new research warrants revision of the widely disseminated 2004 guideline, particularly with respect to contraindications, age recommendations, potential neurotoxicity, and the role of coadministered anticholinergics and benzodiazepines. We critically discuss indications, contraindications, personnel requirements, monitoring, dosing, coadministered medications, recovery issues, and future research questions for ketamine dissociative sedation...
May 2011: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/24438649/clinical-policy-procedural-sedation-and-analgesia-in-the-emergency-department
#18
REVIEW
Steven A Godwin, John H Burton, Charles J Gerardo, Benjamin W Hatten, Sharon E Mace, Scott M Silvers, Francis M Fesmire
This clinical policy from the American College of Emergency Physicians is the revision of a 2005 clinical policy evaluating critical questions related to procedural sedation in the emergency department.1 A writing subcommittee reviewed the literature to derive evidence-based recommendations to help clinicians answer the following critical questions: (1) In patients undergoing procedural sedation and analgesia in the emergency department,does preprocedural fasting demonstrate a reduction in the risk of emesis or aspiration? (2) In patients undergoing procedural sedation and analgesia in the emergency department, does the routine use of capnography reduce the incidence of adverse respiratory events? (3) In patients undergoing procedural sedation and analgesia in the emergency department, what is the minimum number of personnel necessary to manage complications? (4) Inpatients undergoing procedural sedation and analgesia in the emergency department, can ketamine, propofol, etomidate, dexmedetomidine, alfentanil and remifentanil be safely administered? A literature search was performed, the evidence was graded, and recommendations were given based on the strength of the available data in the medical literature...
February 2014: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/23842053/clinical-policy-critical-issues-in-the-evaluation-and-management-of-adult-patients-in-the-emergency-department-with-asymptomatic-elevated-blood-pressure
#19
REVIEW
Stephen J Wolf, Bruce Lo, Richard D Shih, Michael D Smith, Francis M Fesmire
This clinical policy from the American College of Emergency Physicians is the revision of a 2006 policy on the evaluation and management of adult patients with asymptomatic elevated blood pressure in the emergency department.1 A writing subcommittee reviewed the literature to derive evidence-based recommendations to help clinicians answer the following critical questions: (1) In emergency department patients with asymptomatic elevated blood pressure, does screening for target organ injury reduce rates of adverse outcomes? (2) In patients with asymptomatic markedly elevated blood pressure, does emergency department medical intervention reduce rates of adverse outcomes? A literature search was performed, the evidence was graded, and recommendations were given based on the strength of the available data in the medical literature...
July 2013: Annals of Emergency Medicine
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