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Additional Conditions Amenable to Observation Care.

Matthew A Wheatley1

  • 1Department of Emergency Medicine, Emory University School of Medicine, 49 Jesse Hill Jr. Drive Southeast, Atlanta, GA 30303, USA.

Emergency Medicine Clinics of North America
|July 17, 2017
PubMed
Summary

Emergency Department observation units (EDOUs) manage patients needing further assessment before admission. This article explores using EDOUs for conditions outside standard protocols, like abnormal uterine bleeding and sickle cell crisis.

Keywords:
Abnormal uterine bleedingAcetaminophen overdoseAlcohol intoxicationAllergic reactionEmergency department observation unitSickle cell vaso-occlusive crisis

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Area of Science:

  • Emergency Medicine
  • Clinical Protocols
  • Hospital Administration

Background:

  • Emergency Department observation units (EDOUs) facilitate extended patient assessment.
  • Standard care in EDOUs often relies on predefined ordersets or protocols.
  • Certain patient presentations may not fit existing EDOUs protocols.

Purpose of the Study:

  • To describe the application of EDOUs for conditions not covered by standard protocols.
  • To provide guidance on managing specific, less common presentations within EDOUs.
  • To highlight the adaptability of EDOUs for diverse patient needs.

Main Methods:

  • Case-based review of specific conditions managed in EDOUs.
  • Discussion of clinical decision-making for patients outside common protocols.
  • Identification of key diagnostic and therapeutic considerations for selected cases.

Main Results:

  • Detailed management strategies for abnormal uterine bleeding in EDOUs.
  • Approach to allergic reactions and alcohol intoxication within observation units.
  • Treatment considerations for acetaminophen overdose and sickle cell vaso-occlusive crisis in EDOUs.

Conclusions:

  • EDOUs can effectively manage a broader range of conditions with tailored approaches.
  • Protocols should be adaptable to accommodate less common but treatable EDOU presentations.
  • Individualized care within EDOUs is crucial when standard protocols are insufficient.