Observation Medicine

Observation Medicine Section - Sample Protocols

ACEP's Section of Observation Medicine members have submitted protocols used in their institutions. This material is presented as part of the observation section's protocol clearinghouse and does not represent College policy. Protocols are individualized/customized for the specific hospital where they are being used. Members should take this into consideration prior to implementation. Placement of these policies on the website does not imply endorsement by ACEP.

Duke University Medical Center
Protocols submitted: Allergic Reaction, Altered Level of Consciousness (+ Substance Screening), Asthma, Blunt Chest Trauma, Cellulitis, CHF Exacerbation, COPD Exacerbation, Vomiting and Dehydration, Fluid & Electrolyte Imbalance in ESRD, GI Bleed, Headache (with CNS Shunt), Hematuria, Hyperglycemia, Hypoglycemia, IV Antibiotics for Open Injuries, Minor Penetrating Wound, Syncope, Toxicologic Ingestion/Exposure

Houston Northwest Medical Center
710 FM 1960 W
Houston, TX 77090-3420
Submitted by: George M. Davis, MD, FACEP

Protocols submitted: Allergy, Asthma, Chest Pain / r/o MI, Congestive Heart Failure, Dehydration, Drug Overdose, Flank Pain, Intractable Pain, Minor Head Injury, Snakebite, Venous Thrombolytic Disease (includes admission criteria, admit form, progress note and discharge for each indication)

William Beaumont Hospital
Protocols submitted: Abdominal Trauma – Blunt, Atrial Fibrillation – New Onset, Allergic Reaction, Abdominal Pain – r/o Appendicitis, Asthma, Back Pain, Cellulitis, Chest Pain Observation, Congestive Heart Failure, Dehydration, Uncomplicated DVT, Exacerbation of COPD, Headache, Head Injury, Hypertensive Urgency, Hyperemesis Gravidarum, Hypoglycemia, Hyperglycemia, Blood and Blood Product Transfusion, Spontaneous Pneumothorax, Pyelonephritis, Renal Colic, Rib Fractures, r/o Myocardial Contusion, Seizures, Social Admissions, Syncope, Upper GI Bleed, Vertigo

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