Template:Harbor Admission Guidelines: Difference between revisions
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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. | 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 | *Aortic Aneurysms | ||
**[[Traumatic aortic transection|Traumatic thoracic aortic injury:]] | **[[Traumatic aortic transection|Traumatic thoracic aortic injury:]] Admit to Trauma Surgery | ||
**[[Nontraumatic thoracic aortic dissection|Non-traumatic thoracic aortic dissections:]] | **[[Nontraumatic thoracic aortic dissection|Non-traumatic thoracic aortic dissections:]] | ||
***Type A, or with complication (hypotension, aortic insufficiency, vascular occlusion, tamponade): Cardiothoracc Surgery | ***Type A, or with complication (hypotension, aortic insufficiency, vascular occlusion, tamponade): Cardiothoracc Surgery | ||
***Type B: Medicine, with CT Surgery consultation | ***Type B: Medicine, with CT Surgery consultation | ||
**[[Abdominal aortic aneurysm]]: Trauma surgery, or vascular surgery if immediately available | **[[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|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 | |||
Revision as of 20:31, 19 January 2016
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
- Admit to medicine with the following exceptions