Clinical Protocols

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Suspected Pulmonary Embolism: Evidence-Based Diagnostic Testing - Point-of-Care Guides

A Practical Guide to Anaphylaxis - Article

ABSTRACT: Anaphylaxis is a life-threatening reaction with respiratory, cardiovascular, cutaneous, or gastrointestinal manifestations resulting from exposure to an offending agent, usually a food, insect sting, medication, or physical factor. It causes approximately 1,500 deaths in the United States annually. Occasionally, anaphylaxis can be confused with septic or other forms of shock, asthma, airway foreign body, panic attack, or other entities. Urinary and serum histamine levels and plasma tryptase levels drawn after onset of symptoms may assist in diagnosis. Prompt treatment of anaphylaxis is critical, with subcutaneous or intramuscular epinephrine and intravenous fluids remaining the mainstay of management. Adjunctive measures include airway protection, antihistamines, steroids, and beta agonists. Patients taking beta blockers may require additional measures. Patients should be observed for delayed or protracted anaphylaxis and instructed on how to initiate urgent treatment for future episodes.

Telephone Triage of Patients with Influenza - Editorials

30 Standardized Hospital Admission Orders - Improving Patient Care

Rethinking Refills - Improving Patient Care

Sharing Maternity Care - Feature

Providing Consistent Care With Standardized Admission Orders - Feature

Outpatient vs. Inpatient Treatment of Community-Acquired Pneumonia - Feature

New Standards to Reduce Morbidity and Mortality in Hospitalized Patients with Diabetes - Editorials

Immediate Action Protocol: A Tool to Help Your Practice Assess Suicidal Patients - Feature

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