Emergency Department Clinical Guidelines & Protocols
These guidelines are provided by the Maine Medical Center Department of Emergency Medicine. The information is believed, but not guaranteed, to be correct. Guidance reflects our expert opinion and is not necessarily applicable to all institutions. They are a patient care reference and are not intended to replace your clinical judgment. These guidelines can help standardize the evaluation, diagnosis, care and health outcomes of acute patients. The clinician retains the responsibility to select the appropriate guideline and to use the guideline to the extent that it serves the individual patient. Comments or suggestions? Please contact Samantha Wood.
Clinical Guidelines
Allergy/Immunology
Cardiovascular
- High-Sensitivity Cardiac Troponin T Guidelines
- Acute Heart Failure Syndrome
- Risk Stratification for Acute Coronary Syndrome
- STEMI
- Therapeutic Hypothermia
- AICD Interrogation in the ED
- Outpatient Cardiac Monitoring
- Atrial Fibrillation
Care of the Older Adult
- Geriatric Delirium in the Emergency Department
- ED Delirium Prevention and Management Algorithm
- Long Term Care Facility Contact Information
Endocrine
- Diabetic Foot Ulcer
- DKA and HHS
- Emergency Department Hyperglycemia Protocol
- Insulin Preparations Education
- Pediatric Diabetic Ketoacidosis
- Pediatric Fluid Calculator
Environmental/Toxicology
- Acetaminophen Overdose
- Accidental Hypothermia
- Carbon Monoxide Toxicity
- Frostbite Treatment Guidelines
- Sulfonylurea Overdose
Gastroenterology
Gynecology/OB
Hematology/Oncology
- Management of Bleeding on Dabigatran (Pradaxa)
- Clinical Guidelines for Anticoagulation in VTE
- Management of Bleeding on RIVAROXABAN (XARELTO®) or APIXABAN (ELIQUIS®)
- Febrile Pediatric Oncology Patient Clinical Practice Guideline
Infectious Disease
Bloodborne Fluid Exposure
- Bloodborne Fluid Exposure Guideline
- HIV Consent
- Bloodborne Pathogen Exposure Source Risk Assessment
- Clinical Consultation Center for Bloodborne Fluid Exposures
- Cellulitis
- Clostridium Difficile
- Management of Fever and/or Suspected Infection in Pediatric Oncology Patients
- Antibiogram
- Pediatric Bone and Joint Infection
- Diabetic Foot Ulcer
Neurology/Neurosurgery
- Dizziness
- Headache
- Non-Traumatic Myelopathy and Cauda Equina Syndrome
- Non-Traumatic Spine Admission Grid
- 2023 Stroke Packet
- 2022 Telestroke Packet
- Telestroke Monitor Setup
- Transient Ischemic Attack
- Pediatric Stroke
- Adult Status Epilepticus
- Suspected Central Retinal Artery Occlusion
Ophthalmology
Pediatric
Pulmonary
- Asthma Guideline and Evidentiary Table
- COPD
- Pulmonary Embolism: Treatment
- Pulmonary Embolism: Diagnosis
Psychiatric
Renal
Trauma
- Mild Traumatic Brain Injury
- Massive Transfusion
- Minor Head Injury: Evaluation
- Severe Traumatic Brain Injury
- Trauma EMS Triage
- Warfarin Associated ICH/TBI
- Open Fracture Antibiotic: Treatment
Protocols
- Acute Care Surgery
- Admission Criteria Tips
- Allocation of Patients with Cardiovascular Disease
- Antidote Supplies in Maine
- Blood Patch
- Cardiology Admission Grid
- Cohorting CHF & Stroke Patients
- Contrast Conservation Guidelines 5/2022
- Controlled Substances Fact Sheet
- DART Team
- ED Boarders for AIM
- ED Photography
- ED Trigger Patient Protocol
- Emergency Ophthalmology Coverage Policy
- ED Endoscopy Guidelines
- General Surgery Grid
- Guidelines for Ophthalmology Referral to the Maine Eye Center
- Hickman Catheter Repair and Replacement
- Inpatient Telemetry
- Low Dose Ketamine for Pain Control
- Naloxone Kit
- Neuroscience Admission Grid
- Non-Traumatic Spine Triage Grid
- Pediatric Admission Check List
- Physical Therapy and Occupational Therapy Services in the ED
- Push Dose Vasopressors
- Re-engagement Protocol
- Rehydration Protocol for Post Operative Gastric Bypass Patients
- Required Views for Bedside Ultrasound Documentation
- Sexual Assault Record
- Ventricular Assist Device and Heart Transplant Patients
- Acute Care Surgery
- Admission Criteria Tips
- Allocation of Patients with Cardiovascular Disease
- Cardiology Admission Grid
- Cohorting CHF & Stroke Patients
- ED Admission Checklist
- Emergency Ophthalmology Coverage Policy
- General Surgery Grid
- Inpatient Telemetry
- Inpatient vs Observation Cheat Sheet
- Neuroscience Admission Grid
- New Immigrant Primary Care Intake
- Non-Traumatic Spine Triage Grid
- Pediatric Admission Check List
- Pediatric and Adult Hospitalist Admission Grid
- Ventricular Assist Device and Heart Transplant Patients
- Wound Management Grid
- C-A-T® Tourniquet Buddy-Aid Arm Application Tutorial
- C-A-T® Tourniquet Buddy-Aid Leg Application Tutorial
- Central Venous Line Insertion
- Chest Tube Thoracostomy CheckList 3
- Conversion Ratios for Morphine Equivalents
- ED Acute Pain Management Strategy
- GEM Ring Cutting System
- Icare Tonometer
- Intranasal Medication Administration Guidelines 3 2016
- Pediatric Procedural Sedation
- Ultrasound Guided Fascia Iliaca Compartment Block
Intubation
- CDU Advanced Practice Provider Shift Outline
- Asthma
- Cellulitis CDU Protocol
- Chest Pain CDU Protocol
- Congestive Heart Failure
- Deep Venous Thrombosis (DVT) Pathway
Allergy/Immunology
Dehydration
Diabetes
- Calculating 30 day supply for u-100 vials/pens of insulin
- Diabetes Mellitus, New Onset Adult CDU Pathway
- Electrolyte Abnormality New Diabetes CDU Protocol
- Insulin Syringe Sizes
- Ordering Diabetes Supplies - Helpful Hints
- Steps to Calculating amount of insulin to order
General Observation
- General Observation
- Hospice Transition CDU Protocol
- Blood and Blood Product Transfusion CDU Protocol
Head Injury
Kidney Stones
Oral Maxillofacial Surgery
Neurology
Palliative Care
Pneumonia
Pulmonary Embolism
Pyelonephritis
Safe Placement
Transition
- Dental Clinic
- Geriatric Referral
- How to Make EPIC Referrals to Surgical Clinic
- MMP Call Center Referral
- Sports Medicine Follow Up
- Outpatient Cardiac Monitoring
- Pediatric Sports Medicine Follow Up
- MMP Referral Process for Orthopedic Surgeons
- Hand Surgery Coverage and Outpatient Referral Cheat Sheet