ACEP Clinical Policies

Nontraumatic Thoracic Aortic Dissection (2014) Seizures (2014) Procedural Sedation (2013) Asymptomatic Hypertension (2013) tPA for Acute Ischemic Stroke (2015) Prescribing Opioids (2012) Neuroimaging and decision making in TBI (2008) Syncope (2007) Favorite

Antibiotics for Abscesses

TMP-SMX vs Placebo for Uncomplicated Skin Abscess Talan DA et al.. “Trimethoprim–Sulfamethoxazole versus Placebo for Uncomplicated Skin Abscess”. NEJM. 2016. 374(9):823-832. PubMed Full text PDF Clinical Question In settings with MRSA, does Trimethoprim-sulfamethoxazole treatment after Incision and drainage of an abscess result in a greater cure rate? Conclusion Trimethoprim–sulfamethoxazole treatment resulted in a higher cure rate among patients with a drained cutaneous abscess than placebo for abscess that … Read more

Pediatric Drip Doses

Drug Standard Concentration Mac Concentration (C-line) Max Concentration (PIV) Usual Dosage Range Usual Starting Dose Usual Titration Increments Dobutamine 2.4 mg/ml 6mg/ml Not recommended 5-20 mcg/kg/min 5-10 mcg/kg/min 5 mcg/kg/min Epinephrine 0.12 mg/ml 1mg/ml Not recommended 0.01-2 mcg/kg/min 0.1mcg/kg/min 0.1 mcg/kg/min Esmolol 20 mg/ml 20 mg/ml 20 mg/ml 50-500 mcg/kg/min 50 mcg/kg/min 50 mcg/kg/min Fentanyl … Read more

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