Emergency Medicine Clinical Resources

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  • Administrative and Operational Guidelines
  • Clinical Decision Unit
  • Clinical Guidelines and Pathways
  • Community Resources (PCPs, treatment programs, social medicine)
  • Pediatric Clinical Guidelines
  • POC Ultrasound
  • Education and Supervision
Clinical Guidelines and Pathways

Allergy, Immunology

Behavioral Health

Buprenorphine Algorithm 7.30.2019

Cardiovascular

High sensitivity troponin protocol algorithm NPH
High sensitivity troponin protocol algorithm RIH-TMH
Pulmonary Embolism (Low-Risk) Pathway

Critical Care, Pulmonary

BiPap in Prime Care Area – RIH
Pulmonary Embolism (PE) Diagnostic Guideline Algorithm 10 26 21
Pulmonary Embolism Risk Stratification Algorithm (PERT/PESI) 04.2017
Targeted Temperature Management Guideline 2020

Dermatology

Endocrine

ENT, Face, Dental

Forensics, Sexual Assault

How to obtain and use the Sexual Assault kitcart – RIH
Adult, Pediatric, and Adolescent Sexual Assault Management Guidelines April 2022
RI Victims of Sexual Assault Compensation Fund Application Oct 2023
Permissible Disclosure to Law Enforcement Officials (LEO)

Gastroenterology, GI

Gastroenterology Practice Groups, July 2018 – RIH (needs update)

Gynecology/OB

Hematology, Oncology

Desmopressin Intranasal (Stimate) Facts Sheet
Emergency care for patients with hemophilia
Hemophilia A Patient Protocol
Hemophilia factor administration
von Willebrand Disease – Emergency Care for patients with VWD

Infectious Disease & Bites

Blood or Body Fluid Exposure

Blood and Body Fluid (BBF) Adult Exposure Checklist
Blood and Body Fluid (BBF) Adult ordering flow chart
Blood and Body Fluid (BBF) Adult Tests Treatment Chart
Blood and Body Fluid (BBF) Newport Ordering flow chart
Blood and Body Fluid (BBF) Newport Pediatric indica
Blood and Body Fluid (BBF) Newport Tests Treatment
Blood and Body Fluid (BBF) Pediatric dosing flow chart
Blood and Body Fluid (BBF) Pediatric indicated algo

Covid-19

Molnupiravir Tip Sheet
Paxlovid Tip Sheet

Other

Animal Bites form RIDOH
DOH reportable list
Ebola Algorithm, updated August 2019 – RIH, HCH
Isolation Precaution Poster – RIH
Meningitis Prophylaxis for Exposures, Jan 2017
Monkeypox RIDOH Testing Bulletin 9/1/2022

Rabies

Rabies follow-up tip sheet RIH/TMH/HCH March 2024
Rabies follow-up tip sheet NPH 2024
Rabies vaccine follow-up schedule (July 2022)

Sepsis

ED Code Sepsis Workflow (RIH/TMH) October 2023
IVF Bolus Exception Workflow and Tipsheet 2/23/24
Sepsis SEP-1 3- and 6-Hour Bundle Criteria and Requirements March 2024

Neurology, Neurosurgery

2021 Lifespan Stroke Education for ED FINAL
Brown EM Blunt Head Injury Guideline Jan 2024
Code Stroke Workflow, updated Oct 2019 – RIH
ELVO Hyperacute Workflow MRI – RIH
NIHSS Tip Sheet LifeChart stroke documentation tools, March 2019
Papilledema Pathway RIH Feb 2024
Risks & Benefits of tPA
TIA Pathway (Outpatient Risk Stratification)

Ophthalmology

Ortho, Plastics

2019 Orthopaedic Referral Guidelines

Pharmacology

Amicar Facts Sheet
Ketamine ED Guideline 2019 finalized
Lifespan ED Opioid and Naloxone Guidelines Final 050216

Radiology

Toxicology and Environmental

Trauma

Burn & Explosive Injury Report to Fire Department
Trauma Activation Criteria (adult) 2021

Urology, Nephrology

Urologic Conditions appropriate for Outpatient Referral without Urology Consult – RIH

Community Resources (PCPs, treatment programs, social medicine)
Pediatric Clinical Guidelines

Medical

Status Epilepticus

GTube Dislodgement

Surgical

MCDU

Clinical Resources

 

These clinical pathways are intended to be a guide for practitioners and may need to be adapted for each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of each patient and their family, and/or the availability of various resources at the health care institution where the patient is located. Accordingly, these clinical pathways are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among Brown EM, its physicians and the individual patients in question. Brown EM does not represent or warrant that the clinical pathways are in every respect accurate or complete, or that one or more of them apply to a particular patient or medical condition. Brown EM is not responsible for any errors or omissions in the clinical pathways, or for any outcomes a patient might experience where a clinician consulted one or more such pathways in connection with providing care for that patient.