Inclusion: Age ≥ 18 Symptomatic elevated BP Lack signs of symptoms of acute target organ injury. Exclusion: Acute hypertensive emergencies (acute stroke, cardiac ischemia, pulmonary edema, encephalopathy, CHF) Pregnant ESRD Emergent conditions that are likely to cause elevated BP not directly related to acute target organ injury Acute presentation of serious medical conditions associated with …
Inclusion: Patients of all age with emergent/urgent condition that require pain +/or anxiety management to accomplish interventional or diagnostic procedure High-risk patients (cardiopulmonary d/o, multiple/head trauma, CNS depressant) w understanding that these patients are at increased risk of complications from procedural sedation and analgesia. Exclusion: Inhalational anesthetics Analgesia for pain control without sedatives Sedation solely …
Inclusion: Adult ≥ 18 with generalized convulsive seizures Exclusion: Pediatrics Complex partial seizures Acute head trauma Multi-system trauma Brain mass or tumor Immunocompromised patients Eclampsia. Level A: Administer additional antiepileptic medication in refractory status epilepticus who have failed treatment with BZDs Level B: Administer IV phenytoin, fosphenytoin, or valproate in refractory status epilepticus who have failed BZD …
Inclusion: Adult ≥ 18 with suspected acute nontraumatic thoracic aortic dissection Exclusion: Traumatic aortic dissection, pediatric, pregnant Level A: None Level B: CTA to exclude thoracic aortic dissection (accuracy similar to that of TEE and MRA). Do not rely on abnormal bedside TTE result to definitively establish diagnosis Level C: Do not use clinical decision rules alone to …
The Definition of an APP Advanced Practice Providers (APP) include Nurse Practitioners (NP), Physician Assistants (PA), Clinical Nurse Specialists (CNS), Certified Registered Nurse Anesthetists (CRNA), and Certified Nurse Midwives (CNM). These practitioners have Master’s degree level of education. They also have been board certified by their own accreditation boards. Their level of expertise allows them …
