Choosing wisely ACEP - Revision history

Mholtz at 00:38, 5 September 2017

2017-09-05T00:38:57Z

← Revisión anterior		Revisión del 00:38 5 sep 2017
Línea 4:		Línea 4:
	==Recommendations==		==Recommendations==
	===2013===		===2013===
	#Avoid computed tomography (CT) scans of the head in emergency department patients with [[Head trauma (main)\|minor head injury]] who are at low risk based on validated decision rules. (See [[Head CT (Clinical Decision Rules)]]		*Avoid computed tomography (CT) scans of the head in emergency department patients with [[Head trauma (main)\|minor head injury]] who are at low risk based on validated decision rules. (See [[Head CT (Clinical Decision Rules)]]
	#Avoid placing indwelling urinary catheters in the emergency department for either urine output monitoring in stable patients who can void, or for patient or staff convenience.		*Avoid placing indwelling urinary catheters in the emergency department for either urine output monitoring in stable patients who can void, or for patient or staff convenience.
	#Don't delay engaging available [[Palliative medicine\|palliative and hospice care services]] in the emergency department for patients likely to benefit.		*Don't delay engaging available [[Palliative medicine\|palliative and hospice care services]] in the emergency department for patients likely to benefit.
	#Avoid antibiotics and wound cultures in emergency department patients with [[Skin and Soft Tissue Infections\|uncomplicated skin and soft tissue abscesses]] after successful [[Incision and Drainage\|incision and drainage]] and with adequate medical follow-up.		*Avoid antibiotics and wound cultures in emergency department patients with [[Skin and Soft Tissue Infections\|uncomplicated skin and soft tissue abscesses]] after successful [[Incision and Drainage\|incision and drainage]] and with adequate medical follow-up.
	#Avoid instituting intravenous (IV) fluids before doing a trial of oral rehydration therapy in uncomplicated emergency department cases of mild to moderate [[Dehydration\|dehydration]] in children.		*Avoid instituting intravenous (IV) fluids before doing a trial of oral rehydration therapy in uncomplicated emergency department cases of mild to moderate [[Dehydration\|dehydration]] in children.
	===2014===		===2014===
	#Avoid CT of the head in asymptomatic adult patients in the emergency department with [[Syncope\|syncope]], insignificant trauma and a normal neurological evaluation.		*Avoid CT of the head in asymptomatic adult patients in the emergency department with [[Syncope\|syncope]], insignificant trauma and a normal neurological evaluation.
	#Avoid CT pulmonary angiography in emergency department patients with a low-pretest probability of [[Pulmonary embolism\|pulmonary embolism]] and either a negative Pulmonary Embolism Rule-Out Criteria ([[PERC Rule\|PERC]]) or a negative [[D-dimer]].		*Avoid CT pulmonary angiography in emergency department patients with a low-pretest probability of [[Pulmonary embolism\|pulmonary embolism]] and either a negative Pulmonary Embolism Rule-Out Criteria ([[PERC Rule\|PERC]]) or a negative [[D-dimer]].
	#Avoid lumbar spine imaging in the emergency department for adults with non-traumatic [[Back Pain\|back pain]] unless the patient has severe or progressive neurologic deficits or is suspected of having a serious underlying condition (such as vertebral infection, [[Cauda equina syndrome\|cauda equina syndrome]], or cancer with bony metastasis). (See [[Back pain (red flags)]])		*Avoid lumbar spine imaging in the emergency department for adults with non-traumatic [[Back Pain\|back pain]] unless the patient has severe or progressive neurologic deficits or is suspected of having a serious underlying condition (such as vertebral infection, [[Cauda equina syndrome\|cauda equina syndrome]], or cancer with bony metastasis). (See [[Back pain (red flags)]])
	#Avoid prescribing antibiotics in the emergency department for uncomplicated [[Sinusitis\|sinusitis]].		*Avoid prescribing antibiotics in the emergency department for uncomplicated [[Sinusitis\|sinusitis]].
	#Avoid ordering CT of the abdomen and pelvis in young otherwise healthy emergency department (ED) patients (age <50) with known histories of [[Nephrolithiasis\|kidney stones, or ureterolithiasis, presenting with symptoms consistent with uncomplicated renal colic]].		*Avoid ordering CT of the abdomen and pelvis in young otherwise healthy emergency department (ED) patients (age <50) with known histories of [[Nephrolithiasis\|kidney stones, or ureterolithiasis, presenting with symptoms consistent with uncomplicated renal colic]].

			==External Linkes==
			*[http://choosingwisely.org/societies/american-college-of-emergency-physicians/ Choosing wisely Campaign]

	==References==		==References==
	*[http:/~~/choosingwisely.org/societies/american-college-of-emergency-physicians/ Choosing wisely Campaign]~~		<references/>

	[[Category:EBQ]]		[[Category:EBQ]]

Neil.m.young at 01:04, 1 September 2015

2015-09-01T01:04:46Z

← Revisión anterior		Revisión del 01:04 1 sep 2015
Línea 11:		Línea 11:
	===2014===		===2014===
	#Avoid CT of the head in asymptomatic adult patients in the emergency department with [[Syncope\|syncope]], insignificant trauma and a normal neurological evaluation.		#Avoid CT of the head in asymptomatic adult patients in the emergency department with [[Syncope\|syncope]], insignificant trauma and a normal neurological evaluation.
	#Avoid CT pulmonary angiography in emergency department patients with a low-pretest probability of [[Pulmonary embolism\|pulmonary embolism]] and either a negative Pulmonary Embolism Rule-Out Criteria ([[PERC Rule\|PERC]]) or a negative D-dimer.		#Avoid CT pulmonary angiography in emergency department patients with a low-pretest probability of [[Pulmonary embolism\|pulmonary embolism]] and either a negative Pulmonary Embolism Rule-Out Criteria ([[PERC Rule\|PERC]]) or a negative [[D-dimer]].
	#Avoid lumbar spine imaging in the emergency department for adults with non-traumatic [[Back Pain\|back pain]] unless the patient has severe or progressive neurologic deficits or is suspected of having a serious underlying condition (such as vertebral infection, [[Cauda equina syndrome\|cauda equina syndrome]], or cancer with bony metastasis). (See [[Back pain (red flags)]])		#Avoid lumbar spine imaging in the emergency department for adults with non-traumatic [[Back Pain\|back pain]] unless the patient has severe or progressive neurologic deficits or is suspected of having a serious underlying condition (such as vertebral infection, [[Cauda equina syndrome\|cauda equina syndrome]], or cancer with bony metastasis). (See [[Back pain (red flags)]])
	#Avoid prescribing antibiotics in the emergency department for uncomplicated [[Sinusitis\|sinusitis]].		#Avoid prescribing antibiotics in the emergency department for uncomplicated [[Sinusitis\|sinusitis]].

Neil.m.young: hyperlinks

2015-09-01T01:03:53Z

hyperlinks

Neil.m.young: 2013/2014 to ready for 2015

2015-09-01T00:50:12Z

2013/2014 to ready for 2015

← Revisión anterior		Revisión del 00:50 1 sep 2015
Línea 3:		Línea 3:
	*First produced in 2013, updated 2014		*First produced in 2013, updated 2014
	==Recommendations==		==Recommendations==
			===2013===
	#Avoid computed tomography (CT) scans of the head in emergency department patients with minor head injury who are at low risk based on validated decision rules. (See [[Head CT (Clinical Decision Rules)]]		#Avoid computed tomography (CT) scans of the head in emergency department patients with minor head injury who are at low risk based on validated decision rules. (See [[Head CT (Clinical Decision Rules)]]
	#Avoid placing indwelling urinary catheters in the emergency department for either urine output monitoring in stable patients who can void, or for patient or staff convenience.		#Avoid placing indwelling urinary catheters in the emergency department for either urine output monitoring in stable patients who can void, or for patient or staff convenience.
Línea 8:		Línea 9:
	#Avoid antibiotics and wound cultures in emergency department patients with uncomplicated skin and soft tissue abscesses after successful [[Incision and Drainage\|incision and drainage]] and with adequate medical follow-up.		#Avoid antibiotics and wound cultures in emergency department patients with uncomplicated skin and soft tissue abscesses after successful [[Incision and Drainage\|incision and drainage]] and with adequate medical follow-up.
	#Avoid instituting intravenous (IV) fluids before doing a trial of oral rehydration therapy in uncomplicated emergency department cases of mild to moderate [[Dehydration\|dehydration]] in children.		#Avoid instituting intravenous (IV) fluids before doing a trial of oral rehydration therapy in uncomplicated emergency department cases of mild to moderate [[Dehydration\|dehydration]] in children.
			===2014===
	#Avoid CT of the head in asymptomatic adult patients in the emergency department with [[Syncope\|syncope]], insignificant trauma and a normal neurological evaluation.		#Avoid CT of the head in asymptomatic adult patients in the emergency department with [[Syncope\|syncope]], insignificant trauma and a normal neurological evaluation.
	#Avoid CT pulmonary angiography in emergency department patients with a low-pretest probability of [[Pulmonary embolism\|pulmonary embolism]] and either a negative Pulmonary Embolism Rule-Out Criteria ([[PERC Rule\|PERC]]) or a negative D-dimer.		#Avoid CT pulmonary angiography in emergency department patients with a low-pretest probability of [[Pulmonary embolism\|pulmonary embolism]] and either a negative Pulmonary Embolism Rule-Out Criteria ([[PERC Rule\|PERC]]) or a negative D-dimer.
Línea 13:		Línea 15:
	#Avoid prescribing antibiotics in the emergency department for uncomplicated [[Sinusitis\|sinusitis]].		#Avoid prescribing antibiotics in the emergency department for uncomplicated [[Sinusitis\|sinusitis]].
	#Avoid ordering CT of the abdomen and pelvis in young otherwise healthy emergency department (ED) patients (age <50) with known histories of kidney stones, or ureterolithiasis, presenting with symptoms consistent with uncomplicated renal colic.		#Avoid ordering CT of the abdomen and pelvis in young otherwise healthy emergency department (ED) patients (age <50) with known histories of kidney stones, or ureterolithiasis, presenting with symptoms consistent with uncomplicated renal colic.

	==References==		==References==
	*[http://choosingwisely.org/societies/american-college-of-emergency-physicians/ Choosing wisely Campaign]		*[http://choosingwisely.org/societies/american-college-of-emergency-physicians/ Choosing wisely Campaign]

	[[Category:EBQ]]		[[Category:EBQ]]

Ostermayer at 11:44, 17 June 2015

2015-06-17T11:44:46Z

← Revisión anterior		Revisión del 11:44 17 jun 2015
Línea 15:		Línea 15:
	==References==		==References==
	*[http://choosingwisely.org/societies/american-college-of-emergency-physicians/ Choosing wisely Campaign]		*[http://choosingwisely.org/societies/american-college-of-emergency-physicians/ Choosing wisely Campaign]

			[[Category:EBQ]]

Ostermayer: /* References */

2015-06-17T11:37:53Z

References

← Revisión anterior		Revisión del 11:37 17 jun 2015
Línea 14:		Línea 14:
	#Avoid ordering CT of the abdomen and pelvis in young otherwise healthy emergency department (ED) patients (age <50) with known histories of kidney stones, or ureterolithiasis, presenting with symptoms consistent with uncomplicated renal colic.		#Avoid ordering CT of the abdomen and pelvis in young otherwise healthy emergency department (ED) patients (age <50) with known histories of kidney stones, or ureterolithiasis, presenting with symptoms consistent with uncomplicated renal colic.
	==References==		==References==
	~~www.~~choosingwisely.org/societies/american-college-of-emergency-physicians/		*[http://choosingwisely.org/societies/american-college-of-emergency-physicians/ Choosing wisely Campaign]

Josgood: Created page with "==Background== Recommendations by ACEP for standard clinical practice in the ED in the United States First produced in 2013, updated 2014 ==Recommendations== #Avoid computed..."

2015-06-17T00:08:34Z

Created page with "==Background== *Recommendations by ACEP for standard clinical practice in the ED in the United States *First produced in 2013, updated 2014 ==Recommendations== #Avoid computed..."

Página nueva

==Background==
*Recommendations by ACEP for standard clinical practice in the ED in the United States
*First produced in 2013, updated 2014
==Recommendations==
#Avoid computed tomography (CT) scans of the head in emergency department patients with minor head injury who are at low risk based on validated decision rules. (See [[Head CT (Clinical Decision Rules)]]
#Avoid placing indwelling urinary catheters in the emergency department for either urine output monitoring in stable patients who can void, or for patient or staff convenience.
#Don't delay engaging available palliative and hospice care services in the emergency department for patients likely to benefit
#Avoid antibiotics and wound cultures in emergency department patients with uncomplicated skin and soft tissue abscesses after successful [[Incision and Drainage|incision and drainage]] and with adequate medical follow-up.
#Avoid instituting intravenous (IV) fluids before doing a trial of oral rehydration therapy in uncomplicated emergency department cases of mild to moderate [[Dehydration|dehydration]] in children.
#Avoid CT of the head in asymptomatic adult patients in the emergency department with [[Syncope|syncope]], insignificant trauma and a normal neurological evaluation.
#Avoid CT pulmonary angiography in emergency department patients with a low-pretest probability of [[Pulmonary embolism|pulmonary embolism]] and either a negative Pulmonary Embolism Rule-Out Criteria ([[PERC Rule|PERC]]) or a negative D-dimer.
#Avoid lumbar spine imaging in the emergency department for adults with non-traumatic [[Back Pain|back pain]] unless the patient has severe or progressive neurologic deficits or is suspected of having a serious underlying condition (such as vertebral infection, [[Cauda equina syndrome|cauda equina syndrome]], or cancer with bony metastasis).
#Avoid prescribing antibiotics in the emergency department for uncomplicated [[Sinusitis|sinusitis]].
#Avoid ordering CT of the abdomen and pelvis in young otherwise healthy emergency department (ED) patients (age <50) with known histories of kidney stones, or ureterolithiasis, presenting with symptoms consistent with uncomplicated renal colic.
==References==
www.choosingwisely.org/societies/american-college-of-emergency-physicians/

← Revisión anterior		Revisión del 01:03 1 sep 2015
Línea 4:		Línea 4:
	==Recommendations==		==Recommendations==
	===2013===		===2013===
	#Avoid computed tomography (CT) scans of the head in emergency department patients with minor head injury who are at low risk based on validated decision rules. (See [[Head CT (Clinical Decision Rules)]]		#Avoid computed tomography (CT) scans of the head in emergency department patients with [[Head trauma (main)\|minor head injury]] who are at low risk based on validated decision rules. (See [[Head CT (Clinical Decision Rules)]]
	#Avoid placing indwelling urinary catheters in the emergency department for either urine output monitoring in stable patients who can void, or for patient or staff convenience.		#Avoid placing indwelling urinary catheters in the emergency department for either urine output monitoring in stable patients who can void, or for patient or staff convenience.
	#Don't delay engaging available palliative and hospice care services in the emergency department for patients likely to benefit		#Don't delay engaging available [[Palliative medicine\|palliative and hospice care services]] in the emergency department for patients likely to benefit.
	#Avoid antibiotics and wound cultures in emergency department patients with uncomplicated skin and soft tissue abscesses after successful [[Incision and Drainage\|incision and drainage]] and with adequate medical follow-up.		#Avoid antibiotics and wound cultures in emergency department patients with [[Skin and Soft Tissue Infections\|uncomplicated skin and soft tissue abscesses]] after successful [[Incision and Drainage\|incision and drainage]] and with adequate medical follow-up.
	#Avoid instituting intravenous (IV) fluids before doing a trial of oral rehydration therapy in uncomplicated emergency department cases of mild to moderate [[Dehydration\|dehydration]] in children.		#Avoid instituting intravenous (IV) fluids before doing a trial of oral rehydration therapy in uncomplicated emergency department cases of mild to moderate [[Dehydration\|dehydration]] in children.
	===2014===		===2014===
	#Avoid CT of the head in asymptomatic adult patients in the emergency department with [[Syncope\|syncope]], insignificant trauma and a normal neurological evaluation.		#Avoid CT of the head in asymptomatic adult patients in the emergency department with [[Syncope\|syncope]], insignificant trauma and a normal neurological evaluation.
	#Avoid CT pulmonary angiography in emergency department patients with a low-pretest probability of [[Pulmonary embolism\|pulmonary embolism]] and either a negative Pulmonary Embolism Rule-Out Criteria ([[PERC Rule\|PERC]]) or a negative D-dimer.		#Avoid CT pulmonary angiography in emergency department patients with a low-pretest probability of [[Pulmonary embolism\|pulmonary embolism]] and either a negative Pulmonary Embolism Rule-Out Criteria ([[PERC Rule\|PERC]]) or a negative D-dimer.
	#Avoid lumbar spine imaging in the emergency department for adults with non-traumatic [[Back Pain\|back pain]] unless the patient has severe or progressive neurologic deficits or is suspected of having a serious underlying condition (such as vertebral infection, [[Cauda equina syndrome\|cauda equina syndrome]], or cancer with bony metastasis).		#Avoid lumbar spine imaging in the emergency department for adults with non-traumatic [[Back Pain\|back pain]] unless the patient has severe or progressive neurologic deficits or is suspected of having a serious underlying condition (such as vertebral infection, [[Cauda equina syndrome\|cauda equina syndrome]], or cancer with bony metastasis). (See [[Back pain (red flags)]])
	#Avoid prescribing antibiotics in the emergency department for uncomplicated [[Sinusitis\|sinusitis]].		#Avoid prescribing antibiotics in the emergency department for uncomplicated [[Sinusitis\|sinusitis]].
	#Avoid ordering CT of the abdomen and pelvis in young otherwise healthy emergency department (ED) patients (age <50) with known histories of kidney stones, or ureterolithiasis, presenting with symptoms consistent with uncomplicated renal colic.		#Avoid ordering CT of the abdomen and pelvis in young otherwise healthy emergency department (ED) patients (age <50) with known histories of [[Nephrolithiasis\|kidney stones, or ureterolithiasis, presenting with symptoms consistent with uncomplicated renal colic]].

	==References==		==References==