Template:Harbor Admission Guidelines

Admission Guidelines

The following guidelines for specific medical disorders are intended to expedite care of ED patients. They have been reviewed and agreed upon by all Departments and Divisions that provide consultation to the Adult ED.

• Aortic Aneurysms
  • Traumatic thoracic aortic injury: Admit to Trauma Surgery
  • Non-traumatic thoracic aortic dissections:
    • Type A, or with complication (hypotension, aortic insufficiency, vascular occlusion, tamponade): Cardiothoracc Surgery
    • Type B: Medicine, with CT Surgery consultation
  • Abdominal aortic aneurysm: Trauma surgery, or vascular surgery if immediately available
• Brain Death
  • Admit to the service who would have cared for the primary illness or injury
  • Admitting service should notify organ donation agency
• Burns
  • Transfer to a hospital with a burn unit, if admission is required
  • Trauma surgery to provide consultation and admission if burn unit bed unavailable
• Cellulitis(Non-maxillofacial)
  • Admit to medicine with the following exceptions
    • Upper extremity (hand to the antecubital fossa): Hand call (plastic surgery or ortho)
    • Necrotizing fasciitis or requiring surgery in 24 hours: Trauma Surgery
• Clotted dialysis graft: Admit medicine, with inpatient vascular surgery consultation
• Decubitus Ulcers