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emergency medicine

Notes: cost-effective emergency medicine care [1] - do not order CT of the cervical spine for patients who do not meet NEXUS criteria or Canadian C-spine rule - do not order CT imaging to diagnose pulmonary embolism without risk stratefication & plasma D-dimer - do not measure MRI of lumbar spine for patients with low back pain without 'red-flags' - do not order MRI neuroimaging for mild head injury for patients who do not meet New Orleans Criteria or Canadian CT Head Rule - do not order coagulation studies for patients without hemorrhage or suspected coagulopathy most emergency departments in New York City are prepared to take initial precautions for suspected serious respiratory infectious diseases [2] little or no evidence that the presence of a family member is detrimental to the patient or the health care team (see 1st NGC guideline)

Related

disaster (catastrophe)

Specific

gastric lavage hemoperfusion PROactive study (PROspective pioglitAzone Clinical Trial In macroVascular Events) Syncope Evaluation in the Emergency Department Study (SEEDS)

General

medical specialty

References

  1. Schuur JD et al. A top-five list for emergency medicine: A pilot project to improve the value of emergency care. JAMA Intern Med 2014 Feb 17 PMID: 24534899 http://archinte.jamanetwork.com/article.aspx?articleid=1830019
  2. Foote MM, Styles TS, Quinn CL. Assessment of Hospital Emergency Department Response to Potentially Infectious Diseases Using Unannounced Mystery Patient Drills - New York City, 2016. MMWR Morb Mortal Wkly Rep 2017;66:945-949 https://www.cdc.gov/mmwr/volumes/66/wr/mm6636a2.htm