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1. Clinical Policy: Critical Issues in the Evaluation and Management of Adult Out-of-Hospital or Emergency Department Patients Presenting With Severe Agitation: Approved by the ACEP Board of Directors, October 6, 2023

Author

Thiessen, Molly E.W., Godwin, Steven A., Hatten, Benjamin W., Whittle, Jessica A., Haukoos, Jason S., Diercks, Deborah B., Wolf, Stephen J., Anderson, John D., Byyny, Richard, Carpenter, Christopher R., Friedman, Benjamin, Gemme, Seth R., Gerardo, Charles J., Hahn, Sigrid A., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Moran, Maggie, Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Slivinski, Andrea, Smith, Michael D., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Westafer, Lauren M., Yu, Yanling, Cantrill, Stephen V., Finnell, John T., Schulz, Travis, and Vandertulip, Kaeli

Published
2024
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3. Clinical Policy: Critical Issues in the Management of Adult Patients Presenting to the Emergency Department With Acute Ischemic Stroke

Author

Lo, Bruce M., Carpenter, Christopher R., Ducey, Stephen, Gottlieb, Michael, Kaji, Amy, Diercks, Deborah B., Wolf, Stephen J., Anderson, John D., Byyny, Richard, Friedman, Benjamin, Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Haukoos, Jason S., Kwok, Heemun, Mace, Sharon E., Moran, Maggie, Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Slivinski, Andrea, Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Trent, Stacy, Valente, Jonathan H., Wall, Stephen P., Westafer, Lauren M., Yu, Yanling, Cantrill, Stephen V., Finnell, John T., Schulz, Travis, and Vandertulip, Kaeli

Published
2023
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4. Clinical Policy: Critical Issues in the Evaluation and Management of Emergency Department Patients With Suspected Appendicitis: Approved by ACEP Board of Directors February 1, 2023

Author

Diercks, Deborah B., Adkins, Eric J., Harrison, Nicholas, Sokolove, Peter E., Kwok, Heemun, Wolf, Stephen J., Anderson, John D., Byyny, Richard, Carpenter, Christopher R., Friedman, Benjamin, Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Haukoos, Jason S., Kaji, Amy, Lo, Bruce M., Mace, Sharon E., Moran, Maggie, Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Slivinski, Andrea, Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Trent, Stacy, Valente, Jonathan H., Wall, Stephen P., Westafer, Lauren M., Yu, Yanling, Cantrill, Stephen V., Finnell, John T., Schulz, Travis, and Vandertulip, Kaeli

Published
2023
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5. Clinical Policy: Critical Issues in the Management of Adult Patients Presenting to the Emergency Department With Mild Traumatic Brain Injury: Approved by ACEP Board of Directors, February 1, 2023 Clinical Policy Endorsed by the Emergency Nurses Association (April 5, 2023)

Author

Valente, Jonathan H., Anderson, John D., Paolo, William F., Sarmiento, Kelly, Tomaszewski, Christian A., Haukoos, Jason S., Diercks, Deborah B., Byyny, Richard, Carpenter, Christopher R., Friedman, Benjamin, Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Moran, Maggie, Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Slivinski, Andrea, Smith, Michael D., Thiessen, Molly E.W., Trent, Stacy, Wall, Stephen P., Westafer, Lauren M., Yu, Yanling, Cantrill, Stephen V., Finnell, John T., Schulz, Travis, and Vandertulip, Kaeli

Published
2023
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6. Access to Critical Health Information for Children During Emergencies: Emergency Information Forms and Beyond

Author

Dietrich, Ann M., Chairperson, Alade, Kiyetta H., Amato, Christopher S., Atanelov, Zaza, Auerbach, Marc, Barata, Isabel A., Benjamin, Lee S., Berg, Kathleen T., Brown, Kathleen, Chang, Cindy, Chow, Jessica, Chumpitazi, Corrie E., Claudius, Ilene A., Easter, Joshua, Foster, Ashley, Fox, Sean M., Gausche-Hill, Marianne, Gerardi, Michael J., Goodloe, Jeffrey M., Heniff, Melanie, Homme, James (Jim) L., Ishimine, Paul T., John, Susan D., Joseph, Madeline M., Lam, Samuel Hiu-Fung, Lawson, Simone L., Lee, Moon O., Li, Joyce, Lin, Sophia D., Martini, Dyllon Ivy, Mellick, Larry Bruce, Mendez, Donna, Petrack, Emory M., Rice, Lauren, Rose, Emily A., Ruttan, Timothy, Saidinejad, Mohsen, Santillanes, Genevieve, Simpson, Joelle N., Sivasankar, Shyam M., Slubowski, Daniel, Sorrentino, Annalise, Stoner, Michael J., Sulton, Carmen D., Valente, Jonathan H., Vora, Samreen, Wall, Jessica J., Wallin, Dina, Walls, Theresa A., Waseem, Muhammad, Woolridge, Dale P., Callahan, James M., Baldwin, Steve, Bodnar, Chelsea, Fuchs, Susan, Krug, Steven, Lightfoot, Cynthiana, Raskas, Mordechai, and Weinberg, Stuart

Published
2023
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7. Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Heart Failure Syndromes: Approved by ACEP Board of Directors, June 23, 2022

Author

Silvers, Scott M., Gemme, Seth R., Hickey, Sean, Mattu, Amal, Haukoos, Jason S., Diercks, Deborah B., Wolf, Stephen J., Byyny, Richard, Carpenter, Christopher R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Slivinski, Andrea, Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Valente, Jonathan H., Villars, Melissa, Wall, Stephen P., Yu, Yanling, Cantrill, Stephen V., Finnell, John T., Schulz, Travis, and Vandertulip, Kaeli

Published
2022
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8. Pediatric Readiness in the Emergency Department

Author

Remick, Katherine, Gausche-Hill, Marianne, Joseph, Madeline M, Brown, Kathleen, Snow, Sally K, Wright, Joseph L, AMERICAN ACADEMY OF PEDIATRICS, Committee on Pediatric Emergency Medicine, Wright, Joseph, Adirim, Terry, Agus, Michael SD, Callahan, James, Gross, Toni, Lane, Natalie, Lee, Lois, Mazor, Suzan, Mahajan, Prashant, Timm, Nathan, PHYSICIANS, Pediatric Emergency Medicine Committee AMERICAN COLLEGE OF EMERGENCY, Alade, Kiyetta, Amato, Christopher, Avarello, Jahn T, Baldwin, Steven, Barata, Isabel A, Benjamin, Lee S, Berg, Kathleen, Bullard-Berent, Jeffrey, Dietrich, Ann Marie, Friesen, Phillip, Gerardi, Michael, Heins, Alan, Holtzman, Doug K, Homme, Jeffrey, Horeczko, Timothy, Ishimine, Paul, Lam, Samuel, Long, Katharine, Mayz, Kurtis, Mehta, Sanjay, Mellick, Larry, Ojo, Aderonke, Paul, Audrey Z, Pauze, Denis R, Pearson, Nadia M, Perina, Debra, Petrack, Emory, Rayburn, David, Rose, Emily, Russell, W Scott, Ruttan, Timothy, Saidinejad, Mohsen, Sanders, Brian, Simpson, Joelle, Solari, Patrick, Stoner, Michael, Valente, Jonathan H, Wall, Jessica, Wallin, Dina, Waseem, Muhammad, Whiteman, Paula J, Woolridge, Dale, ASSOCIATION, Pediatric Committee EMERGENCY NURSES, Young, Tiffany, Foresman-Capuzzi, Joyce, Johnson, Rose, Martin, Heather, Milici, Justin, Brandt, Cam, Nelson, Nicholas, Department, Pediatric Readiness in the Emergency, STATEMENT, POLICY, and Children, Organizational Principles to Guide and Define the Child Health Care System and or Improve the Health of All

Subjects
Child, Emergency Medical Services, Emergency Service, Hospital, Emergency Treatment, Evidence-Based Emergency Medicine, Humans, Organizational Policy, Pediatrics, Practice Guidelines as Topic, Quality Improvement, Quality Indicators, Health Care, United States, AMERICAN ACADEMY OF PEDIATRICS, Committee on Pediatric Emergency Medicine, Section on Surgery, AMERICAN COLLEGE OF EMERGENCY PHYSICIANS, Pediatric Emergency Medicine Committee, EMERGENCY NURSES ASSOCIATION, Pediatric Committee, Pediatric Readiness in the Emergency Department, POLICY STATEMENT, Organizational Principles to Guide and Define the Child Health Care System and/or Improve the Health of All Children, Clinical Sciences, Emergency & Critical Care Medicine
Published
2018

9. Pediatric Medication Safety in the Emergency Department

Author

Benjamin, Lee, Frush, Karen, Shaw, Kathy, Shook, Joan E, Snow, Sally K, ACADEMY OF PEDIATRICS, Committee on Pediatric Emergency Medicine AMERICAN, Wright, Joseph, Adirim, Terry, Agus, Michael SD, Callahan, James, Gross, Toni, Lane, Natalie, Lee, Lois, Mazor, Suzan, Mahajan, Prashant, Timm, Nathan, PHYSICIANS, Pediatric Emergency Medicine Committee AMERICAN COLLEGE OF EMERGENCY, Joseph, Madeline, Alade, Kiyetta, Amato, Christopher, Avarello, Jahn T, Baldwin, Steven, Barata, Isabel A, Benjamin, Lee S, Berg, Kathleen, Brown, Kathleen, Bullard-Berent, Jeffrey, Dietrich, Ann M, Friesen, Phillip, Gerardi, Michael, Heins, Alan, Holtzman, Doug K, Homme, Jeffrey, Horeczko, Timothy, Ishimine, Paul, Lam, Samuel, Long, Katharine, Mayz, Kurtis, Mehta, Sanjay, Mellick, Larry, Ojo, Aderonke, Paul, Audrey Z, Pauze, Denis R, Pearson, Nadia M, Perina, Debra, Petrack, Emory, Rayburn, David, Rose, Emily, Russell, W Scott, Ruttan, Timothy, Saidinejad, Mohsen, Sanders, Brian, Simpson, Joelle, Solari, Patrick, Stoner, Michael, Valente, Jonathan H, Wall, Jessica, Wallin, Dina, Waseem, Muhammad, Whiteman, Paula J, Woolridge, Dale, ASSOCIATION, Pediatric Emergency Medicine Committee EMERGENCY NURSES, Young, Tiffany, Foresman-Capuzzi, Joyce, Johnson, Rose, Martin, Heather, Milici, Justin, Brandt, Cam, Nelson, Nicholas, Statement, Policy, and Children, Organizational Principles to Guide and Define the Child Health Care System and Improve the Health of All

Subjects
Child, Emergency Service, Hospital, Humans, Medication Errors, Patient Safety, Risk Factors, AMERICAN ACADEMY OF PEDIATRICS, Committee on Pediatric Emergency Medicine, AMERICAN COLLEGE OF EMERGENCY PHYSICIANS, Pediatric Emergency Medicine Committee, EMERGENCY NURSES ASSOCIATION, Pediatric Emergency Medicine Committee, Policy Statement, Organizational Principles to Guide and Define the Child Health Care System and Improve the Health of All Children, Clinical Sciences, Emergency & Critical Care Medicine
Published
2018

10. Clinical Policy: Critical Issues in the Evaluation of Adult Patients Presenting to the Emergency Department With Acute Blunt Trauma

Author

Gerardo, Charles J., Blanda, Michelle, Garg, Nidhi, Shah, Kaushal H., Byyny, Richard, Wolf, Stephen J., Diercks, Deborah B., Wolf, Stephen J., Diercks, Deborah B., Anderson, John, Byyny, Richard, Carpenter, Christopher R., Finnell, John T., Friedman, Benjamin W., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Haukoos, Jason S., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Moran, Maggie, Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Slivinski, Andrea, Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Trent, Stacy A., Valente, Jonathan H., Wall, Stephen P., Westafer, Lauren M., Yu, Yanling, Cantrill, Stephen V., Schulz, Travis, and Vandertulip, Kaeli

Published
2024
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11. Clinical Policy: Critical Issues in the Management of Adult Patients Presenting to the Emergency Department With Community-Acquired Pneumonia

Author

Wolf, Stephen J., Byyny, Richard, Carpenter, Christopher R., Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Haukoos, Jason S., Hickey, Sean M., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Nazarian, Devorah J., Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Winger, Justin, Cantrill, Stephen V., Hirshon, Jon M., Mims, Mandie, Schulz, Travis, Fee, Christopher, Maughan, Brandon, and Perkins, John C., Jr.

Published
2021
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12. Clinical Policy: Critical Issues Related to Opioids in Adult Patients Presenting to the Emergency Department

Author

Wolf, Stephen J., Byyny, Richard, Carpenter, Christopher R., Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Haukoos, Jason S., Hickey, Sean M., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Nazarian, Devorah J., Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Winger, Justin, Cantrill, Stephen V., Hirshon, Jon Mark, Mims, Mandie, Schulz, Travis, Dubin, Jeffrey S., Ketcham, Eric M., and Runde, Daniel P.

Published
2020
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13. ACR Appropriateness Criteria® Pneumonia in the Immunocompetent Child

Author

Chan, Sherwin S., Kotecha, Manish K., Rigsby, Cynthia K., Iyer, Ramesh S., Alazraki, Adina L., Anupindi, Sudha A., Bardo, Dianna M.E., Brown, Brandon P., Chandra, Tushar, Dorfman, Scott R., Garber, Matthew D., Moore, Michael M., Nguyen, Jie C., Shet, Narendra S., Siegel, Alan, Valente, Jonathan H., and Karmazyn, Boaz

Published
2020
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14. Executive Summary: Evaluation and Management of Children With Acute Mental Health or Behavioral Problems. Part II: Recognition of Clinically Challenging Mental Health Related Conditions Presenting With Medical or Uncertain Symptoms

Author

Chun, Thomas H, Mace, Sharon E, Katz, Emily R, Shook, Joan E, Conners, Gregory P, Conway, Edward E, Dudley, Nanette C, Fuchs, Susan M, Lane, Natalie E, Macias, Charles G, Moore, Brian R, Wright, Joseph L, Benjamin, Lee S, Barata, Isabel A, Alade, Kiyetta, Arms, Joseph, Avarello, Jahn T, Baldwin, Steven, Brown, Kathleen, Cantor, Richard M, Cohen, Ariel, Dietrich, Ann Marie, Eakin, Paul J, Gausche-Hill, Marianne, Gerardi, Michael, Graham, Charles J, Holtzman, Doug K, Hom, Jeffrey, Ishimine, Paul, Jinivizian, Hasmig, Joseph, Madeline, Mehta, Sanjay, Ojo, Aderonke, Paul, Audrey Z, Pauze, Denis R, Pearson, Nadia M, Rosen, Brett, Russell, W Scott, Saidinejad, Mohsen, Sloas, Harold A, Schwartz, Gerald R, Swenson, Orel, Valente, Jonathan H, Waseem, Muhammad, Whiteman, Paula J, and Woolridge, Dale

Subjects
Mental health, Good Health and Well Being, Child, Child Behavior Disorders, Female, Humans, Male, Mental Disorders, Mental Health, Problem Behavior, Uncertainty, AMERICAN ACADEMY OF PEDIATRICS, COMMITTEE ON PEDIATRIC EMERGENCY MEDICINE, AMERICAN COLLEGE OF EMERGENCY PHYSICIANS, PEDIATRIC EMERGENCY MEDICINE COMMITTEE, Medical and Health Sciences, Psychology and Cognitive Sciences, Pediatrics
Abstract

The number of children and adolescents seen in emergency departments (EDs) and primary care settings for mental health problems has skyrocketed in recent years, with up to 23% of patients in both settings having diagnosable mental health conditions. 1 -4 Even when a mental health problem is not the focus of an ED or primary care visit, mental health conditions, both known and occult, may challenge the treating clinician and complicate the patient's care.4 Although the American Academy of Pediatrics (AAP) has published a policy statement on mental health competencies and a Mental Health Toolkit for pediatric primary care providers, no such guidelines or resources exist for clinicians who care for pediatric mental health emergencies. 5, 6 Many ED and primary care physicians report paucity of training and lack of confidence in caring for pediatric psychiatry patients. The 2 clinical reports support the 2006 joint policy statement of the AAP and the American College of Emergency Physicians on pediatric mental health emergencies, 7 with the goal of addressing the knowledge gaps in this area. Although written primarily from the perspective of ED clinicians, it is intended for all clinicians who care for children and adolescents with acute mental health and behavioral problems. They are organized around the common clinical challenges pediatric caregivers face, both when a child or adolescent presents with a psychiatric chief complaint or emergency (part I) and when a mental health condition may be an unclear or complicating factor in a non-mental health ED presentation (part II). Part I of the clinical reports includes discussions of Medical Clearance of Pediatric Psychiatric Patients, Suicide and Suicidal Ideation, Restraint of the Agitated Patient Including Verbal, Chemical, and Physical Restraint, and Coordination of Care With the Medical Home, and it can be accessed online at www.pediatrics.org/cgi/doi/10.1542/peds. 2016-1570. This executive summary is an overview of part II of the clinical reports. Full text of the following topics can be accessed online at www.pediatrics.org/cgi/doi/10.1542/peds. 2016-1573.

Published
2016

15. Executive Summary: Evaluation and Management of Children and Adolescents With Acute Mental Health or Behavioral Problems. Part I: Common Clinical Challenges of Patients With Mental Health and/or Behavioral Emergencies

Author

Chun, Thomas H, Mace, Sharon E, Katz, Emily R, Shook, Joan E, Conners, Gregory P, Conway, Edward E, Dudley, Nanette C, Fuchs, Susan M, Lane, Natalie E, Macias, Charles G, Moore, Brian R, Wright, Joseph L, Benjamin, Lee S, Barata, Isabel A, Alade, Kiyetta, Arms, Joseph, Avarello, Jahn T, Baldwin, Steven, Brown, Kathleen, Cantor, Richard M, Cohen, Ariel, Dietrich, Ann Marie, Eakin, Paul J, Gausche-Hill, Marianne, Gerardi, Michael, Graham, Charles J, Holtzman, Doug K, Hom, Jeffrey, Ishimine, Paul, Jinivizian, Hasmig, Joseph, Madeline, Mehta, Sanjay, Ojo, Aderonke, Paul, Audrey Z, Pauze, Denis R, Pearson, Nadia M, Rosen, Brett, Russell, W Scott, Saidinejad, Mohsen, Sloas, Harold A, Schwartz, Gerald R, Swenson, Orel, Valente, Jonathan H, Waseem, Muhammad, Whiteman, Paula J, and Woolridge, Dale

Subjects
Mental health, Good Health and Well Being, Adolescent, Child, Emergencies, Female, Humans, Male, Mental Disorders, Mental Health, Mental Health Services, Problem Behavior, AMERICAN ACADEMY OF PEDIATRICS, COMMITTEE ON PEDIATRIC EMERGENCY MEDICINE, AMERICAN COLLEGE OF EMERGENCY PHYSICIANS, PEDIATRIC EMERGENCY MEDICINE COMMITTEE, Medical and Health Sciences, Psychology and Cognitive Sciences, Pediatrics
Abstract

The number of children and adolescents seen in emergency departments (EDs) and primary care settings for mental health problems has skyrocketed in recent years, with up to 23% of patients in both settings having diagnosable mental health conditions. 1 -4 Even when a mental health problem is not the focus of an ED or primary care visit, mental health conditions, both known and occult, may challenge the treating clinician and complicate the patient's care.4 Although the American Academy of Pediatrics has published a policy statement on mental health competencies and a Mental Health Toolkit for pediatric primary care providers, no such guidelines or resources exist for clinicians who care for pediatric mental health emergencies. 5, 6 Many ED and primary care physicians report a paucity of training and lack of confidence in caring for pediatric psychiatry patients. The 2 clinical reports (www.pediatrics.org/cgi/doi/10.1542/peds. 2016-1570 and www.pediatrics.org/cgi/doi/10.1542/peds. 2016-1573) support the 2006 joint policy statement of the American Academy of Pediatrics and the American College of Emergency Physicians on pediatric mental health emergencies, 7 with the goal of addressing the knowledge gaps in this area. Although written primarily from the perspective of ED clinicians, they are intended for all clinicians who care for children and adolescents with acute mental health and behavioral problems. The clinical reports are organized around the common clinical challenges pediatric caregivers face, both when a child or adolescent presents with a psychiatric chief complaint or emergency (part I) and also when a mental health condition may be an unclear or complicating factor in a non-mental health clinical presentation (part II). Part II of the clinical reports (www.pediatrics.org/cgi/doi/10.1542/peds. 2016-1573) includes discussions of somatic symptom and related disorders, adverse effects of psychiatric medications including neuroleptic malignant syndrome and serotonin syndrome, caring for children with special needs such as autism and developmental disorders, and mental health screening. This executive summary is an overview of part I of the clinical reports. The full text of the below topics can be accessed online at (www.pediatrics.org/cgi/doi/10.1542/peds. 2016-1570). Key considerations are shown in the following sections.

Published
2016

16. Point-of-Care Ultrasonography by Pediatric Emergency Medicine Physicians

Author

Marin, Jennifer R, Lewiss, Resa E, Shook, Joan E, Ackerman, Alice D, Chun, Thomas H, Conners, Gregory P, Dudley, Nanette C, Fuchs, Susan M, Gorelick, Marc H, Lane, Natalie E, Moore, Brian R, Wright, Joseph L, Benjamin, Lee S, Alade, Kiyetta, Arms, Joseph, Avarello, Jahn T, Baldwin, Steven, Barata, Isabel A, Brown, Kathleen, Cantor, Richard M, Cohen, Ariel, Dietrich, Ann Marie, Eakin, Paul J, Gausche-Hill, Marianne, Gerardi, Michael, Graham, Charles J, Holtzman, Doug K, Hom, Jeffrey, Ishimine, Paul, Jinivizian, Hasmig, Joseph, Madeline, Mehta, Sanjay, Ojo, Aderonke, Paul, Audrey Z, Pauze, Denis R, Pearson, Nadia M, Rosen, Brett, Russell, W Scott, Saidinejad, Mohsen, Schwartz, Gerald R, Sloas, Harold A, Swenson, Orel, Valente, Jonathan H, Waseem, Muhammad, Whiteman, Paula J, Woolridge, Dale, Bird, Steven B, Blomkalns, Andra L, Clem, Kathleen J, Courtney, D Mark, Diercks, Deborah B, Hockberger, Robert S, Holmes, James F, Hudak, Lauren, Jones, Alan E, Kaji, Amy H, Martin, Ian BK, Noble, Vicki, Storti, Enrico, Tsung, Jim, and Volpicelli, Giovanni

Subjects
Emergency Care, Clinical Research, Pediatric, Health Services, Generic health relevance, Good Health and Well Being, Child, Cooperative Behavior, Credentialing, Curriculum, Education, Medical, Continuing, Emergency Medicine, Emergency Service, Hospital, Evidence-Based Medicine, Humans, Interdisciplinary Communication, Pediatrics, Point-of-Care Systems, Ultrasonography, United States, American Academy of Pediatrics, Committee on Pediatric Emergency Medicine, Society for Academic Emergency Medicine, Academy of Emergency Ultrasound, American College of Emergency Physicians, Pediatric Emergency Medicine Committee, World Interactive Network Focused on Critical Ultrasound, Medical and Health Sciences, Psychology and Cognitive Sciences
Abstract

Emergency physicians have used point-of-care ultrasonography since the 1990 s. Pediatric emergency medicine physicians have more recently adopted this technology. Point-of-care ultrasonography is used for various scenarios, particularly the evaluation of soft tissue infections or blunt abdominal trauma and procedural guidance. To date, there are no published statements from national organizations specifically for pediatric emergency physicians describing the incorporation of point-of-care ultrasonography into their practice. This document outlines how pediatric emergency departments may establish a formal point-of-care ultrasonography program. This task includes appointing leaders with expertise in point-of-care ultrasonography, effectively training and credentialing physicians in the department, and providing ongoing quality assurance reviews.

Published
2015

17. Point-of-Care Ultrasonography by Pediatric Emergency Medicine Physicians

Author

Abo, Alyssa M, Doniger, Stephanie J, Fischer, Jason W, Kessler, David O, Levy, Jason A, Noble, Vicki E, Sivitz, Adam B, Tsung, James W, Vieira, Rebecca L, Shook, Joan E, Ackerman, Alice D, Chun, Thomas H, Conners, Gregory P, Dudley, Nanette C, Fuchs, Susan M, Gorelick, Marc H, Lane, Natalie E, Moore, Brian R, Wright, Joseph L, Benjamin, Lee S, Barata, Isabel A, Alade, Kiyetta, Arms, Joseph, Avarello, Jahn T, Baldwin, Steven, Brown, Kathleen, Cantor, Richard M, Cohen, Ariel, Dietrich, Ann Marie, Eakin, Paul J, Gausche-Hill, Marianne, Gerardi, Michael, Graham, Charles J, Holtzman, Doug K, Hom, Jeffrey, Ishimine, Paul, Jinivizian, Hasmig, Joseph, Madeline, Mehta, Sanjay, Ojo, Aderonke, Paul, Audrey Z, Pauze, Denis R, Pearson, Nadia M, Rosen, Brett, Russell, W Scott, Saidinejad, Mohsen, Sloas, Harold A, Schwartz, Gerald R, Swenson, Orel, Valente, Jonathan H, Waseem, Muhammad, Whiteman, Paula J, Woolridge, Dale, Hockberger, Robert S, Diercks, Deborah B, Jones, Alan E, Blomkalns, Andra L, Courtney, D Mark, Clem, Kathleen J, Kaji, Amy H, Holmes, James F, Martin, Ian BK, Bird, Steven B, Hudak, Lauren, Noble, Vicki, Storti, Enrico, Tsung, Jim, and Volpicelli, Giovanni

Subjects
Emergency Care, Clinical Research, Health and social care services research, 8.1 Organisation and delivery of services, Generic health relevance, Medical and Health Sciences, Psychology and Cognitive Sciences, Pediatrics
Abstract

Point-of-care ultrasonography is increasingly being used to facilitate accurate abstract and timely diagnoses and to guide procedures. It is important for pediatric emergency medicine (PEM) physicians caring for patients in the emergency department to receive adequate and continued point-of-care ultrasonography training for those indications used in their practice setting. Emergency departments should have credentialing and quality assurance programs. PEM fellowships should provide appropriate training to physician trainees. Hospitals should provide privileges to physicians who demonstrate competency in point-of-care ultrasonography. Ongoing research will provide the necessary measures to define the optimal training and competency assessment standards. Requirements for credentialing and hospital privileges will vary and will be specific to individual departments and hospitals. As more physicians are trained and more research is completed, there should be one national standard for credentialing and privileging in point-of-care ultrasonography for PEM physicians.

Published
2015

18. Best Practices for Improving Flow and Care of Pediatric Patients in the Emergency Department

Author

Barata, Isabel, Brown, Kathleen M, Fitzmaurice, Laura, Griffin, Elizabeth Stone, Snow, Sally K, Shook, Joan E, Ackerman, Alice D, Chun, Thomas H, Conners, Gregory P, Dudley, Nanette C, Fuchs, Susan M, Gorelick, Marc H, Lane, Natalie E, Moore, Brian R, Wright, Joseph L, Benjamin, Lee S, Alade, Kiyetta, Arms, Joseph, Avarello, Jahn T, Baldwin, Steven, Cantor, Richard M, Cohen, Ariel, Dietrich, Ann Marie, Eakin, Paul J, Gausche-Hill, Marianne, Gerardi, Michael, Graham, Charles J, Holtzman, Doug K, Hom, Jeffrey, Ishimine, Paul, Jinivizian, Hasmig, Joseph, Madeline, Mehta, Sanjay, Ojo, Aderonke, Paul, Audrey Z, Pauze, Denis R, Pearson, Nadia M, Rosen, Brett, Russell, W Scott, Saidinejad, Mohsen, Sloas, Harold A, Schwartz, Gerald R, Swenson, Orel, Valente, Jonathan H, Waseem, Muhammad, Whiteman, Paula J, Woolridge, Dale, Vicioso, Michael, Herrin, Shari A, Nagle, Jason T, Cadwell, Sue M, Goodman, Robin L, Johnson, Mindi L, and Frankenberger, Warren D

Subjects
Child, Critical Pathways, Emergency Service, Hospital, Emergency Treatment, Humans, Pediatrics, Quality of Health Care, American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Emergency Physicians Pediatric Emergency Medicine Committee, Emergency Nurses Association Pediatric Committee, Medical and Health Sciences, Psychology and Cognitive Sciences
Abstract

This report provides a summary of best practices for improving flow, reducing waiting times, and improving the quality of care of pediatric patients in the emergency department.

Published
2015

19. Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Headache

Author

Wolf, Stephen J., Byyny, Richard, Carpenter, Christopher R., Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Harrison, Nicholas E., Hatten, Benjamin W., Haukoos, Jason S., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Nazarian, Devorah J., Proehl, Jean, Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Cantrill, Stephen V., Hirshon, Jon M., Schulz, Travis, Whitson, Rhonda R., Cherkas, David S., and Panagos, Peter D.

Published
2019
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20. Pediatric Readiness in the Emergency Department

Author

Wright, Joseph, Adirim, Terry, Agus, Michael S.D., Callahan, James, Gross, Toni, Lane, Natalie, Lee, Lois, Mazor, Suzan, Mahajan, Prashant, Timm, Nathan, Joseph, Madeline M., Alade, Kiyetta, Amato, Christopher, Avarello, Jahn T., Baldwin, Steven, Barata, Isabel A., Benjamin, Lee S., Berg, Kathleen, Brown, Kathleen, Bullard-Berent, Jeffrey, Dietrich, Ann Marie, Friesen, Phillip, Gerardi, Michael, Heins, Alan, Holtzman, Doug K., Homme, Jeffrey, Horeczko, Timothy, Ishimine, Paul, Lam, Samuel, Long, Katharine, Mayz, Kurtis, Mehta, Sanjay, Mellick, Larry, Ojo, Aderonke, Paul, Audrey Z., Pauze, Denis R., Pearson, Nadia M., Perina, Debra, Petrack, Emory, Rayburn, David, Rose, Emily, Russell, W. Scott, Ruttan, Timothy, Saidinejad, Mohsen, Sanders, Brian, Simpson, Joelle, Solari, Patrick, Stoner, Michael, Valente, Jonathan H., Wall, Jessica, Wallin, Dina, Waseem, Muhammad, Whiteman, Paula J., Woolridge, Dale, Young, Tiffany, Foresman-Capuzzi, Joyce, Johnson, Rose, Martin, Heather, Milici, Justin, Brandt, Cam, Nelson, Nicholas, Remick, Katherine, Gausche-Hill, Marianne, Snow, Sally K., and Wright, Joseph L.

Published
2019
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21. Clinical Policy: Critical Issues in the Management of Adult Patients Presenting to the Emergency Department With Seizures

Author

Smith, Michael D., Sampson, Christopher S., Wall, Stephen P., Diercks, Deborah B., Diercks, Deborah B., Anderson, John D., Byyny, Richard, Carpenter, Christopher R., Friedman, Benjamin W., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Haukoos, Jason S., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Mattu, Amal, Moran, Maggie, Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Slivinski, Andrea, Smith, Michael D., Thiessen, Molly E.W., Thompson, John T., Tomaszewski, Christian A., Trent, Stacy A., Valente, Jonathan H., Westafer, Lauren M., Wall, Stephen P., Yu, Yanling, Finnell, John T., Schulz, Travis, and Vandertulip, Kaeli

Published
2024
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22. Death of a Child in the Emergency Department

Author

O’Malley, Patricia J, Barata, Isabel A, Snow, Sally K, Shook, Joan E, Ackerman, Alice D, Chun, Thomas H, Conners, Gregory P, Dudley, Nanette C, Fuchs, Susan M, Gorelick, Marc H, Lane, Natalie E, Moore, Brian R, Wright, Joseph L, Benjamin, Lee S, Alade, Kiyetta, Arms, Joseph, Avarello, Jahn T, Baldwin, Steven, Brown, Kathleen, Cantor, Richard M, Cohen, Ariel, Dietrich, Ann Marie, Eakin, Paul J, Gausche-Hill, Marianne, Gerardi, Michael, Graham, Charles J, Holtzman, Doug K, Hom, Jeffrey, Ishimine, Paul, Jinivizian, Hasmig, Joseph, Madeline, Mehta, Sanjay, Ojo, Aderonke, Paul, Audrey Z, Pauze, Denis R, Pearson, Nadia M, Rosen, Brett, Russell, W Scott, Saidinejad, Mohsen, Sloas, Harold A, Schwartz, Gerald R, Swenson, Orel, Valente, Jonathan H, Waseem, Muhammad, Whiteman, Paula J, Woolridge, Dale, Vicioso, Michael, Nagle, Jason T, Renaker, Anne M, Tomoyasu, Flora, Cadwell, Sue, Herrin, Shari, and Brecher, Deena

Subjects
Emergency Care, Pediatric, Clinical Research, Health Services, Child, Death, Emergencies, Emergency Service, Hospital, Humans, emergency department, death, child, pediatrician, nurse, American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Emergency Physicians Pediatric Emergency Medicine Committee, Emergency Nurses Association Pediatric Committee, Medical and Health Sciences, Psychology and Cognitive Sciences, Pediatrics
Abstract

The American Academy of Pediatrics, American College of Emergency Physicians, and Emergency Nurses Association have collaborated to identify practices and principles to guide the care of children, families, and staff in the challenging and uncommon event of the death of a child in the emergency department in this policy statement and in an accompanying technical report.

Published
2014

23. Death of a Child in the Emergency Department

Author

Medicine, American Academy of Pediatrics Committee on Pediatric Emergency, American Academy of Pediatrics, Committee on Pediatric Emergency Medicine, Shook, Joan E, Ackerman, Alice D, Chun, Thomas H, Conners, Gregory P, Dudley, Nanette C, Fuchs, Susan M, Gorelick, Marc H, Lane, Natalie E, Moore, Brian R, Wright, Joseph L, Committee, American College of Emergency Physicians Pediatric Emergency Medicine, American College of Emergency Physicians, Pediatric Emergency Medicine Committee, Benjamin, Lee S, Barata, Isabel A, Alade, Kiyetta, Arms, Joseph, Avarello, Jahn T, Baldwin, Steven, Brown, Kathleen, Cantor, Richard M, Cohen, Ariel, Dietrich, Ann Marie, Eakin, Paul J, Gausche-Hill, Marianne, Gerardi, Michael, Graham, Charles J, Holtzman, Doug K, Hom, Jeffrey, Ishimine, Paul, Jinivizian, Hasmig, Joseph, Madeline, Mehta, Sanjay, Ojo, Aderonke, Paul, Audrey Z, Pauze, Denis R, Pearson, Nadia M, Rosen, Brett, Russell, W Scott, Saidinejad, Mohsen, Sloas, Harold A, Schwartz, Gerald R, Swenson, Orel, Valente, Jonathan H, Waseem, Muhammad, Whiteman, Paula J, Woolridge, Dale, Committee, Emergency Nurses Association Pediatric, Emergency Nurses Association, Pediatric Committee, Snow, Sally K, Vicioso, Michael, Herrin, Shari A, Nagle, Jason T, Cadwell, Sue M, Goodman, Robin L, Johnson, Mindi L, Frankenberger, Warren D, Renaker, Anne M, and Tomoyasu, Flora S

Subjects
Health Services and Systems, Nursing, Health Sciences, Clinical Research, Pediatric, Health Services, Emergency Care, Child, Death, Emergencies, Emergency Medicine, Emergency Service, Hospital, Humans, Organizational Policy, Pediatrics, Professional-Family Relations, Emergency department, Pediatrician, Nurse, American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Emergency Physicians Pediatric Emergency Medicine Committee, Emergency Nurses Association Pediatric Committee, Clinical Sciences, Clinical sciences
Abstract

The American Academy of Pediatrics, American College of Emergency Physicians, and Emergency Nurses Association have collaborated to identify practices and principles to guide the care of children, families, and staff in the challenging and uncommon event of the death of a child in the emergency department in this policy statement and in an accompanying technical report.

Published
2014

24. Clinical Policy: Critical Issues in the Evaluation and Management of Emergency Department Patients With Suspected Non–ST-Elevation Acute Coronary Syndromes

Author

Brown, Michael D., Wolf, Stephen J., Byyny, Richard, Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Harrison, Nicholas E., Hatten, Benjamin W., Haukoos, Jason S., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Nazarian, Devorah J., Proehl, Jean A., Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Cantrill, Stephen V., Hirshon, Jon Mark, Schulz, Travis, Whitson, Rhonda R., Nestler, David, and Sudhir, Amita

Published
2018
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26. The Management of Children and Youth With Pediatric Mental and Behavioral Health Emergencies

Author

Saidinejad, Mohsen, primary, Duffy, Susan, additional, Wallin, Dina, additional, Hoffmann, Jennifer A., additional, Joseph, Madeline, additional, Schieferle Uhlenbrock, Jennifer, additional, Brown, Kathleen, additional, Waseem, Muhammad, additional, Snow, Sally K., additional, Andrew, Madeline, additional, Kuo, Alice A., additional, Sulton, Carmen, additional, Chun, Thomas, additional, Lee, Lois K., additional, Conners, Gregory P., additional, Callahan, James, additional, Gross, Toni, additional, Lee, Lois, additional, Mack, Elizabeth, additional, Marin, Jennifer, additional, Mazor, Suzan, additional, Paul, Ronald, additional, Timm, Nathan, additional, Dietrich, Ann M., additional, Alade, Kiyetta H., additional, Amato, Christopher S., additional, Atanelov, Zaza, additional, Auerbach, Marc, additional, Barata, Isabel A., additional, Benjamin, Lee S., additional, Berg, Kathleen T., additional, Chang, Cindy, additional, Chow, Jessica, additional, Chumpitazi, Corrie E., additional, Claudius, Ilene A., additional, Easter, Joshua, additional, Foster, Ashley, additional, Fox, Sean M., additional, Gausche-Hill, Marianne, additional, Gerardi, Michael J., additional, Goodloe, Jeffrey M., additional, Heniff, Melanie, additional, Homme, James (Jim) L., additional, Ishimine, Paul T., additional, John, Susan D., additional, Joseph, Madeline M., additional, Lam, Samuel Hiu-Fung, additional, Lawson, Simone L., additional, Lee, Moon O., additional, Li, Joyce, additional, Lin, Sophia D., additional, Martini, Dyllon Ivy, additional, Mellick, Larry Bruce, additional, Mendez, Donna, additional, Petrack, Emory M., additional, Rice, Lauren, additional, Rose, Emily A., additional, Ruttan, Timothy, additional, Saidinejad, Mohsen, additional, Santillanes, Genevieve, additional, Simpson, Joelle N., additional, Sivasankar, Shyam M., additional, Slubowski, Daniel, additional, Sorrentino, Annalise, additional, Stoner, Michael J., additional, Sulton, Carmen D., additional, Valente, Jonathan H., additional, Vora, Samreen, additional, Wall, Jessica J., additional, Walls, Theresa A., additional, Woolridge, Dale P., additional, Brandt, Cam, additional, Kult, Krisi M., additional, Milici, Justin J., additional, Nelson, Nicholas A., additional, Redlo, Michele A., additional, Curtis Cooper, Maureen R., additional, Redlo, Michele, additional, Kult, Krisi, additional, Logee, Katherine, additional, Bryant, Dixie Elizabeth, additional, Cooper, Maureen Curtis, additional, and Cline, Kristen, additional

Published
2023
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27. Clinical Policy: Emergency Department Management of Patients Needing Reperfusion Therapy for Acute ST-Segment Elevation Myocardial Infarction

Author

Brown, Michael D., Byyny, Richard, Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Haukoos, Jason S., Ingalsbe, Graham S., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Nazarian, Devorah J., Proehl, Jean A., Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Wolf, Stephen J., Cantrill, Stephen V., Hirshon, Jon Mark, Whitson, Rhonda R., Schulz, Travis, Glauser, Jonathan M., and Torbati, Sam S.

Published
2017
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28. Clinical Policy: Critical Issues in the Diagnosis and Management of the Adult Psychiatric Patient in the Emergency Department

Author

Brown, Michael D., Byyny, Richard, Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Haukoos, Jason S., Ingalsbe, Graham S., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Nazarian, Devorah J., Proehl, Jean A., Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Wolf, Stephen J., Cantrill, Stephen V., O'Connor, Robert E., Hirshon, Jon Mark, Whitson, Rhonda R., Broder, Joshua S., Wilson, Michael P., and Zun, Leslie S.

Published
2017
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29. Clinical Policy: Critical Issues in the Initial Evaluation and Management of Patients Presenting to the Emergency Department in Early Pregnancy

Author

Brown, Michael D., Byyny, Richard, Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Haukoos, Jason S., Ingalsbe, Graham S., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Nazarian, Devorah J., Proehl, Jean A., Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Wolf, Stephen J., Cantrill, Stephen V., O’Connor, Robert E., and Whitson, Rhonda R.

Published
2017
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30. Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Carbon Monoxide Poisoning

Author

Brown, Michael D., Byyny, Richard, Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Haukoos, Jason S., Ingalsbe, Graham S., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Nazarian, Devorah J., Proehl, Jean A., Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Wolf, Stephen J., Cantrill, Stephen V., O’Connor, Robert E., Mitchell, Mary Anne, Whitson, Rhonda R., Maloney, Gerald E., and Shy, Bradley D.

Published
2017
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31. A Pilot Study Testing the Novel Use of a Snake Bite Compression Device for Field Hemostasis and Wound Repair in an Animal Model.

Author

Lindquist, David G, Valente, Jonathan H, and Hack, Jason B

Subjects
*SNAKEBITES, *TOURNIQUETS, *HEMOSTASIS, *STATISTICAL power analysis, *PILOT projects, *ANIMAL models in research
Abstract

Introduction A commercially available snake bite device was pilot tested for novel use as a method of hemostasis and wound repair at a noncompressible site in a live swine model. The device is light, is plastic, uses a hook-and-loop strap attachment, and is easily deployed. The device could offer a method for the field repair of an actively bleeding laceration at a noncompressible site in an austere environment. Materials and Methods This was an interventional, prospective, controlled study in a large animal model. The study was approved by the Rhode Island Hospital Institutional Review Board (IRB) and the Animal Welfare Committee/Institutional Animal Care and Use Committee and the Lifespan Research Conflict of Interest Committee. Each animal acted as its own control. Blood loss was measured and compared between repairs of standardized incisions with and without the device's application. The lacerations were sutured closed. Two proceduralists alternated tasks of wound repair versus blood collection. Blood loss was measured by using gauze sponges to capture the blood during a 30-second free-bleeding period and during the repair itself. Using a one sample t -test (the expected difference in blood loss between the two incision repair methods = 0 if the null hypothesis were true), we calculated the mean difference in the deltas between the repair methods. Results The mean delta difference was 3.1 g (SE ± 0.97). The t -test demonstrated that there was a significantly greater blood loss during the standard repair method, t (9) = 3.11, P  < 0.01 than during the repair with the device in place (see Fig. 2). A statistical power analysis conducted showed that with a sample size of 10 animals, there was sufficient statistical power to detect this significant effect (β = 0.82, α < 0.05, one-tailed). FIGURE 2. Open in new tab Download slide Blood loss results. 30s = free blood loss for 30 seconds after incision before repair, by group (control versus device). Repair blood loss = blood loss during repair by group (control versus device).The 30-s blood loss showed no statistically significant difference, demonstrating similar baseline bleeding rates between groups.The repair blood loss showed a statistically significant difference between groups; less blood loss with the device's application. Conclusions There was statistically significantly less blood loss during the repairs with the device's application. This feasibility experiment demonstrates that a commercially available snakebite device may be useful for hemostasis during laceration repair at anatomic sites not amenable to application of tourniquets or compressive dressings. Strengths of the study include the prospective controlled design, including the use of each animal as its own control; alternating proceduralists to account for any variability in suturing efficiency; and the statistical significance of the results despite the small number of subjects. One weakness is that the time required for each repair was not measured. The device's portability and reusability suggest applicability in austere medical environments. Future studies could include timing the repairs, using a skin stapler or wound adhesive instead of sutures, applying a hemostatic agent before the repair, and sequentially applying the device to wounds longer than the device. [ABSTRACT FROM AUTHOR]

Published
2024
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33. Clinical Policy: Critical Issues in the Evaluation of Adult Patients With Suspected Transient Ischemic Attack in the Emergency Department

Author

Brown, Michael D., Byyny, Richard, Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Haukoos, Jason S., Ingalsbe, Graham S., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Nazarian, Devorah J., Proehl, Jean A., Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Wolf, Stephen J., Cantrill, Stephen V., O’Connor, Robert E., Whitson, Rhonda R., Mitchell, Mary Anne, Carpenter, Christopher R., and Wright, Brian J.

Published
2016
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34. Clinical Policy for Well-Appearing Infants and Children Younger Than 2 Years of Age Presenting to the Emergency Department With Fever

Author

Brown, Michael D., Brecher, Deena, Byyny, Richard, Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Haukoos, Jason S., Ingalsbe, Graham S., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Nazarian, Devorah J., Proehl, Jean A., Promes, Susan B., Shah, Kaushal, Shih, Richard D., Silvers, Scott M., Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Wolf, Stephen J., Cantrill, Stephen V., O’Connor, Robert E., Whitson, Rhonda R., Mitchell, Mary Anne, Eskin, Barnet, and Bakes, Katherine

Published
2016
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35. Clinical Policy: Use of Intravenous Tissue Plasminogen Activator for the Management of Acute Ischemic Stroke in the Emergency Department

Author

Cantrill, Stephen V., Brown, Michael D., Brecher, Deena, Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Haukoos, Jason S., Kaji, Amy, Lo, Bruce M., Mace, Sharon E., Nazarian, Devorah J., Pierce, Mark C., Promes, Susan B., Shah, Kaushal, Shih, Richard D., Silvers, Scott M., Smith, Michael D., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Wolf, Stephen J., O'Connor, Robert E., Whitson, Rhonda R., and Burton, John H.

Published
2015
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36. Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients With Suspected Acute Nontraumatic Thoracic Aortic Dissection

Author

Cantrill, Stephen V., Brown, Michael D., Burton, John H., Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Haukoos, Jason S., Huff, J. Stephen, Lo, Bruce M., Mace, Sharon E., Moon, Michael D., Nazarian, Devorah J., Promes, Susan B., Shah, Kaushal, Shih, Richard D., Silvers, Scott M., Smith, Michael D., Tomaszewski, Christian A., Valente, Jonathan H., Wolf, Stephen J., O'Connor, Robert E., Whitson, Rhonda R., and Schuur, Jeremiah D.

Published
2015
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37. Correction: Correction to ‘Clinical Policy for Well-Appearing Infants and Children Younger Than 2 Years of Age Presenting to the Emergency Department With Fever’ [Annals of Emergency Medicine 67 (2016) 625-639.e13]

Author

Mace, Sharon E., Gemme, Seth R., Valente, Jonathan H., Eskin, Barnet, Bakes, Katherine, Brecher, Deena, Brown, Michael D., Brown, Michael D., Brecher, Deena, Byyny, Richard, Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Haukoos, Jason S., Ingalsbe, Graham S., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Nazarian, Devorah J., Proehl, Jean A., Promes, Susan B., Shah, Kaushal, Shih, Richard D., Silvers, Scott M., Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Wolf, Stephen J., Cantrill, Stephen V., O’Connor, Robert E., Whitson, Rhonda R., Liaison, Staff, and Mitchell, Mary Anne

Published
2017
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38. Correction: Correction to ‘Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients With Suspected Acute Nontraumatic Thoracic Aortic Dissection’ [Annals of Emergency Medicine 65 (2015) 32-42.e12]

Author

Diercks, Deborah B., Promes, Susan B., Schuur, Jeremiah D., Shah, Kaushal, Valente, Jonathan H., Cantrill, Stephen V., Cantrill, Stephen V., Brown, Michael D., Burton, John H., Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Haukoos, Jason S., Huff, Stephen J., Lo, Bruce M., Mace, Sharon E., Moon, Michael D., Nazarian, Devorah J., Promes, Susan B., Shah, Kaushal, Shih, Richard D., Silvers, Scott M., Smith, Michael D., Tomaszewski, Christian A., Valente, Jonathan H., Wolf, Stephen J., O’Connor, Robert E., and Whitson, Rhonda R.

Published
2017
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39. Death of a Child in the Emergency Department

Author

Shook, Joan E., Ackerman, Alice D., Chun, Thomas H., Conners, Gregory P., Dudley, Nanette C., Fuchs, Susan M., Gorelick, Marc H., Lane, Natalie E., Moore, Brian R., Wright, Joseph L., Benjamin, Lee S., Barata, Isabel A., Alade, Kiyetta, Arms, Joseph, Avarello, Jahn T., Baldwin, Steven, Brown, Kathleen, Cantor, Richard M., Cohen, Ariel, Dietrich, Ann Marie, Eakin, Paul J., Gausche-Hill, Marianne, Gerardi, Michael, Graham, Charles J., Holtzman, Doug K., Hom, Jeffrey, Ishimine, Paul, Jinivizian, Hasmig, Joseph, Madeline, Mehta, Sanjay, Ojo, Aderonke, Paul, Audrey Z., Pauze, Denis R., Pearson, Nadia M., Rosen, Brett, Russell, W. Scott, Saidinejad, Mohsen, Sloas, Harold A., Schwartz, Gerald R., Swenson, Orel, Valente, Jonathan H., Waseem, Muhammad, Whiteman, Paula J., Woolridge, Dale, Snow, Sally K., Vicioso, Michael, Herrin, Shari A., Nagle, Jason T., Cadwell, Sue M., Goodman, Robin L., Johnson, Mindi L., Frankenberger, Warren D., Renaker, Anne M., Tomoyasu, Flora S., and O'Malley, Patricia J.

Published
2014
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42. Correction: Correction to ‘Clinical Policy: Critical Issues in the Evaluation of Adult Patients With Suspected Transient Ischemic Attack in the Emergency Department’ [Annals of Emergency Medicine 68 (2016) 354-370.e29]

Author

Lo, Bruce M., Carpenter, Christopher R., Hatten, Benjamin W., Wright, Brian J., Brown, Michael D., Brown, Michael D., Byyny, Richard, Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Haukoos, Jason S., Ingalsbe, Graham S., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Nazarian, Devorah J., Proehl, Jean A., Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Wolf, Stephen J., Cantrill, Stephen V., O’Connor, Robert E., Whitson, Rhonda R., and Mitchell, Mary Anne

Published
2017
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43. Correction: Correction to ‘Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Carbon Monoxide Poisoning’ [Annals of Emergency Medicine 69 (2017) 98-107.e6]

Author

Wolf, Stephen J., Maloney, Gerald E., Shih, Richard D., Shy, Bradley D., Brown, Michael D., Brown, Michael D., Byyny, Richard, Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Haukoos, Jason S., Ingalsbe, Graham S., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Nazarian, Devorah J., Proehl, Jean A., Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Wolf, Stephen J., Cantrill, Stephen V., O’Connor, Robert E., Mitchell, Mary Anne, and Whitson, Rhonda R.

Published
2017
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44. Correction: Correction to ‘Clinical Policy: Use of Intravenous Tissue Plasminogen Activator for the Management of Acute Ischemic Stroke in the Emergency Department’ [Annals of Emergency Medicine 66 (2015) 322-333.e31]

Author

Brown, Michael D., Burton, John H., Nazarian, Devorah J., Promes, Susan B., Cantrill, Stephen V., Brown, Michael D., Brecher, Deena, Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Haukoos, Jason S., Kaji, Amy, Lo, Bruce M., Mace, Sharon E., Nazarian, Devorah J., Pierce, Mark C., Promes, Susan B., Shah, Kaushal, Shih, Richard D., Silvers, Scott M., Smith, Michael D., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Wolf, Stephen J., O’Connor, Robert E., and Whitson, Rhonda R.

Published
2017
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45. Correction: Correction to ‘Clinical Policy: Critical Issues in the Initial Evaluation and Management of Patients Presenting to the Emergency Department in Early Pregnancy’ [Annals of Emergency Medicine 69 (2017) 241-250.e20]

Author

Hahn, Sigrid A., Promes, Susan B., Brown, Michael D., Brown, Michael D., Byyny, Richard, Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Haukoos, Jason S., Ingalsbe, Graham S., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Nazarian, Devorah J., Proehl, Jean A., Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Wolf, Stephen J., Cantrill, Stephen V., O’Connor, Robert E., and Whitson, Rhonda R.

Published
2017
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46. Clinical Policy: Emergency Department Management of Patients Needing Reperfusion Therapy for Acute ST-Segment Elevation Myocardial Infarction

Author

Glauser, Jonathan M., Torbati, Sam S., Brown, Michael D., Byyny, Richard, Diercks, Deborah B., Gemme, Seth R., Gerardo, Charles J., Godwin, Steven A., Hahn, Sigrid A., Hatten, Benjamin W., Haukoos, Jason S., Ingalsbe, Graham S., Kaji, Amy, Kwok, Heemun, Lo, Bruce M., Mace, Sharon E., Nazarian, Devorah J., Proehl, Jean A., Promes, Susan B., Shah, Kaushal H., Shih, Richard D., Silvers, Scott M., Smith, Michael D., Thiessen, Molly E.W., Tomaszewski, Christian A., Valente, Jonathan H., Wall, Stephen P., Wolf, Stephen J., Cantrill, Stephen V., Hirshon, Jon Mark, Whitson, Rhonda R., and Schulz, Travis

Published
2017
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49. Death of a Child in the Emergency Department

Author

O’Malley, Patricia, Barata, Isabel, Snow, Sally, Shook, Joan E., Ackerman, Alice D., Chun, Thomas H., Conners, Gregory P., Dudley, Nanette C., Fuchs, Susan M., Gorelick, Marc H., Lane, Natalie E., Moore, Brian R., Wright, Joseph L., Benjamin, Lee S., Barata, Isabel A., Alade, Kiyetta, Arms, Joseph, Avarello, Jahn T., Baldwin, Steven, Brown, Kathleen, Cantor, Richard M., Cohen, Ariel, Dietrich, Ann Marie, Eakin, Paul J., Gausche-Hill, Marianne, Gerardi, Michael, Graham, Charles J., Holtzman, Doug K., Hom, Jeffrey, Ishimine, Paul, Jinivizian, Hasmig, Joseph, Madeline, Mehta, Sanjay, Ojo, Aderonke, Paul, Audrey Z., Pauze, Denis R., Pearson, Nadia M., Rosen, Brett, Russell, Scott W., Saidinejad, Mohsen, Sloas, Harold A., Schwartz, Gerald R., Swenson, Orel, Valente, Jonathan H., Waseem, Muhammad, Whiteman, Paula J., Woolridge, Dale, Snow, Sally K., Vicioso, Michael, Herrin, Shari A., Nagle, Jason T., Cadwell, Sue M., Goodman, Robin L., Johnson, Mindi L., Frankenberger, Warren D., Renaker, Anne M., and Tomoyasu, Flora S.

Published
2014
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50. Death of a Child in the Emergency Department

Author

OʼMalley, Patricia J., Barata, Isabel A., Snow, Sally K., Shook, Joan E., Ackerman, Alice D., Chun, Thomas H., Conners, Gregory P., Dudley, Nanette C., Fuchs, Susan M., Gorelick, Marc H., Lane, Natalie E., Moore, Brian R., Wright, Joseph L., Benjamin, Lee S., Alade, Kiyetta, Arms, Joseph, Avarello, Jahn T., Baldwin, Steven, Brown, Kathleen, Cantor, Richard M., Cohen, Ariel, Dietrich, Ann Marie, Eakin, Paul J., Gausche-Hill, Marianne, Gerardi, Michael, Graham, Charles J., Holtzman, Doug K., Hom, Jeffrey, Ishimine, Paul, Jinivizian, Hasmig, Joseph, Madeline, Mehta, Sanjay, Ojo, Aderonke, Paul, Audrey Z., Pauze, Denis R., Pearson, Nadia M., Rosen, Brett, Russell, Scott W., Saidinejad, Mohsen, Sloas, Harold A., Schwartz, Gerald R., Swenson, Orel, Valente, Jonathan H., Waseem, Muhammad, Whiteman, Paula J., Woolridge, Dale, Snow, Sally K., Vicioso, Michael, Herrin, Shari A., Nagle, Jason T., Cadwell, Sue M., Goodman, Robin L., Johnson, Mindi L., Frankenberger, Warren D., Renaker, Anne M., and Tomoyasu, Flora S.

Published
2014
Full Text
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