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The document outlines the emergency medicine protocol for managing patients with acute dyspnea, detailing triage processes, initial order sets, and investigations required. It includes specific criteria for identifying respiratory distress, hypoxemia, and necessary interventions such as oxygen provision and nebulization. Additionally, it emphasizes the importance of documenting clinical notes and signatures from healthcare professionals involved in the patient's care.

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Deogratis Tangara
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17 views4 pages

Sob 0.5

The document outlines the emergency medicine protocol for managing patients with acute dyspnea, detailing triage processes, initial order sets, and investigations required. It includes specific criteria for identifying respiratory distress, hypoxemia, and necessary interventions such as oxygen provision and nebulization. Additionally, it emphasizes the importance of documenting clinical notes and signatures from healthcare professionals involved in the patient's care.

Uploaded by

Deogratis Tangara
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Patient details Allergies

Patient details Allergies

Department of Emergency Medicine

Date & Time of first contact / arrival


SOB Pathway Time of Onset

ER Ambulance OP Ward ICU 1 2 3 4 5 Phase


Inclusion Criteria
Acute Dyspnea Patient complains of Difficult in breathing
Visible increase in effort in breathing
<SP02
Triage
process

Identified as Resustication
the Triage Yes process
category 1 General Order Set
INITIAL ORDER SET INITIAL ORDER SET
No Other activites
INVESTIGATIONS DRUGS

Severe Complete Clinical ECG – 5 MIN


Connected to monitor
Respiratory No history and ABG – 10MINS
Oxygen Get IV Access line
Distress RR>22 examination CXR – 15 MINS
2D ECHO – 20 MINS
Yes NO
Additional Order Set
SPO2 <94 INITIAL ORDER SET INITIAL ORDER SET
Other activites
Arrive at Differential INVESTIGATIONS DRUGS
diagnosis for
Yes
CBC Nebulisation Monitor RR
RPII IV fluids SPO2
Hypoxemia
Function

Identification
No of involved
specialty
Provide Oxygen

Cross
consultation
Schedule an
ABG

Exit
pathway
PA02<60

Yes
Add Capture differential
IS HD Generate
Nebulisation Diagnosis for Request for cross
compromise Yes Generic order
and IVF into Metabolic disorder / consultation
d set
the order set Shock s
No

Chest pain
New Changes in
ECG present
Yes pathway

No
Exit
pathway
5 Min 10Min 15 Min 20Min

PAO2 PCO2 PH HCO3

CLINICAL NOTES - ( If there is any deviation from order set - justification for the same to be captured)

Provisional Diagnosis at ER

ER PHYSICIAN SIGNATURE NURSE SIGNATURE


TIME OF EXIT FROM PATHWAY
NAME NAME
ADMITTED TIME
Differential Diagnosis arrived at ER
TIME TIME
TIME OF EXIT FROM ER
DATE DATE
LAMA

DEATH
DMO SIGNATURE CONSULTANT SIGNATURE
DESTINATION
NAME NAME

TIME TIME

DATE DATE

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