Healthline.com
1. Panax ginseng...this herb is known to have anti-inflammatory action...
2. Rhodiola rosea...shown to improve energy and reduce fatigue...
3. L-arginine...it helps make nitric oxide...
4. DHEA...
5. Acupuncture...
6. Yohimbe...
Learn More...Top10homeremedies.com
1. Garlic...
2. Almonds...
3. Onion...
4. Carrots...
5. Pomegranate Juice...
6. Pelvic Floor Exercises...
7. Korean Red Ginseng...
8. L-arginine...
Learn More...Everydayhealth.com
1. Exercise Is an Active Erectile Dysfunction Treatment...
2. One Erectile Dysfunction Remedy Is a Healthy Diet...
3. Sleep Is a Natural Erectile Dysfunction Treatment...
4. Quit Smoking to Stop Erectile Dysfunction...
5. Limit Alcohol to Improve ED...
6. Monitor Your Meds to End Erectile Dysfunction...
Learn More...Webmd.com
1. Acupunture...needle therapy is said to boost blood flow...
2. Arginine...boosts circulation to the penis...
3. Ginko biloba...boost blood flow...
4. Horny goat weed...boosts energy...
5. Pomegranate...help arteries expand and remain supple...
6. Rhodiola rosea...boost endurance and sexual function...
7. Yohimbe...
8. DHEA...
Learn More...Trueremedies.com
1. Rational Living Habits...
2. Physical Activity...
3. Water...
4. Oysters...
5. L-Arginine...
6. Figs...
7. Blueberry...
8. Banana...
Learn More...What are the guidelines for standardized protocols?
Standardized protocols should be based on the best available evidence. ACEP acknowledges that for some standardized protocols, sufficient evidence may not exist to either support or refute their use; in such cases consensus-based protocols are appropriate. Standardized protocols should identify the pre-approving physician or medical staff body.
What is the treatment framework for erectile dysfunction?
Treatment Framework. The Panel advocates the use of a treatment framework that is not predicated on men progressing through ED treatments in order of invasiveness or reversibility (See Appendix A: Erectile Dysfunction Algorithm in the menu on the left).
What are the different types of protocols used in the ER?
There are basically two types of protocols used in the Emergency Department: protocols meant to speed patient care and protocols meant to standardize patient care.
What is the AUA guideline for erectile dysfunction (ED)?
Burnett AL, Nehra A, Breau RH et al: Erectile dysfunction: AUA guideline. J Urol 2018; 200: 633. The purpose of this guideline is to provide a clinical strategy for the diagnosis and treatment of erectile dysfunction (ED).
What are standardized protocols?
Standardized protocols are a set of pre-approved orders that include a specifically defined patient population and clinical scenario(s) in which these orders may be carried out by nursing staff without any additional physician, NP, or PA input, approval, or order, either written or verbal.
What is treatment protocol?
the formal procedures used in a system of psychotherapy. In some systems, such as experiential psychotherapy, few explicit “rules” apply, whereas in others, such as behavior therapy, strict adherence to a treatment protocol is often used to guide the work of the therapist.
What is protocol in Emergency Department?
Protocols are chief complaint driven and are designed for patient care. Protocols contain orders for the appropriate care of the patient. Procedures are step by step instructions in how to carry out a specific action in the care of a patient (e.g. IO needle insertion).
How do you perform triage ED?
Emergency Department Patients Will First See a Triage Nurse This will typically include the following: Ask you several questions about your illness or injury, including your most troubling symptoms and when they started. Take your vital signs such as temperature, blood pressure, pulse rate, and respiratory rate.
What is the standard treatment guideline?
Standard treatment guidelines (STGs), which are also called clinical guidelines or practice guidelines, are defined as 'systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances' (Field and Lohr 1990).
What do protocols define?
A protocol is a set of rules and guidelines for communicating data. Rules are defined for each step and process during communication between two or more computers. Networks have to follow these rules to successfully transmit data.
How do you treat an emergency patient?
How To Handle A Medical Emergency EffectivelyStay Calm And Composed. Medical emergency is an alarming situation and can make people anxious. ... Call Medical Emergency Services At Once. Help takes time to arrive. ... Always Carry A First Aid Kit. ... Give CPR To The Patient.
What defines emergency care?
'Emergency Care' means inpatient and outpatient hospital services necessary to prevent the death or serious impairment of the health of the recipient.
What should you do in a medical emergency?
WHAT TO DO IF SOMEONE NEEDS HELP: Stay calm, and call your local emergency number (such as 911). Start CPR (cardiopulmonary resuscitation) or rescue breathing, if necessary and if you know the proper technique. Place a semiconscious or unconscious person in the recovery position until the ambulance arrives.
What are the 3 categories of triage?
TriageImmediate category. These casualties require immediate life-saving treatment.Urgent category. These casualties require significant intervention as soon as possible.Delayed category. These patients will require medical intervention, but not with any urgency.Expectant category.
What are the 3 categories of triage meaning?
Category I: Used for viable victims with potentially life-threatening conditions. Category II: Used for victims with non-life-threatening injuries, but who urgently require treatment. Category III: Used for victims with minor injuries that do not require ambulance transport.
What are the three levels of triage?
Three-level triage system was used in the first period named spot check with three levels including emergent, urgent, and not urgent.
What are treatment protocols EMT?
EMS protocols are the recognized operating procedures that all emergency medical service professionals, such as paramedics and emergency medical technicians (EMTs) must follow for patient assessment, treatment, transportation and delivery to definitive care.
What is protocol in pharmacy?
The term statewide protocol refers to a framework that specifies the conditions under which pharmacists are authorized to prescribe a specified medication or category of medications when providing a clinical service.
What is an example of a treatment?
Treatment is the manner in which something or a disease is cared for or dealt with. An example of treatment is when someone is cared for very well. An example of treatment is when you are given antibiotics for your illness. The act, manner, or method of handling or dealing with someone or something.
What is a protocol order?
Protocol Order means the Order Granting Motion for a Protocol Regarding Preservation, Production, Access, Abandonment and Destruction of Documents, Electronically Stored Information, Information Technology Equipment Containing Confidential Information and Related Property of the Debtors' Estates Pursuant to 11 U.S.C.
What is the prevalence of ED?
Depending on the severity and duration of diabetes, the prevalence of ED ranges from 20% to 85%.32,38,39With a projected increase in the number of patients with diabetes to 29 million by 2050, a corresponding increase in those with ED is also expected.
What is the ultimate goal of ED management?
The ultimate goal of ED management is to restore physiologically intact and natural erectile function. Durable and clinically significant improvement in erectile function is a less optimal but still desirable goal if total recovery is not an option.
What are the AEs of PDE5I?
Most AEs associated with the administration of PDE5i are mild to moderate. The most frequently reported AEs were dyspepsia, headache, flushing, back pain, nasal congestion, myalgia, visual disturbance, and dizziness (data for avanafil are limited; see Appendix B for detailed tables).
What are the factors that affect ED?
General medical history factors to consider when a man presents with ED are age, comorbid medical and psychological conditions, prior surgeries, medications, family history of vascular disease, and substance use.
Is a scrotal exam required for ED?
Digital rectal examination (DRE) is not required for evaluation of ED; however, BPH is a common comorbid condition in men with ED and may merit evaluation and treatment.
Does weight loss improve ED?
Overall, these data suggest that dietary changes, weight loss, and physical activity increases improve overall health, ameliorate comorbidities associated with ED, and result in small improvements in erectile function overall and may lead to clinically significant improvements in a subset of men.
How to manage pain in the ED?
These include treating pain aggressively, prescribing appropriate medications, treating chronic pain differently than acute pain, preventing pain before it begins, etc. Changing the way pain is treated will help pave the way for complying with new JCAHO pain guidelines and standards. Goals should be set on practicing excellent pain management including choice of medications/therapies, assessment, documentation, education of staff and patients, etc. By practicing excellent pain management, this will bring heath care practitioners toward the other goal of complying with JCAHO standards.
What percentage of ED patients have pain?
Pain is the most common presenting symptom in the Emergency Department (ED). More than 60 percent of ED patients have pain as their main symptom or a major part of their symptoms. When a patient in pain enters the ED he or she has two main concerns (not necessarily in this order):
What are the guidelines for pain management?
These guidelines include those from the American Pain Society, the World Health Organization (WHO), and the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). These standards apply to emergency medicine as much as they do to surgery and other specialties. Recently enacted JCAHO standards set forth several basic principles that are consistent with effective pain management. Essentially these guidelines guarantee patients the right to effective pain management. In addition, health care practitioners should ask patients a screening question to identify those patients in pain. For those presenting pain, an assessment of this pain should be performed and documented. Relevant staff should be educated in pain assessment and management and patients should be involved in making decisions about the treatment of their pain.
What are some examples of protocols?
Some examples include the care of patients with chest pain, pediatric fever (in process), sexual assault, child abuse, elder abuse, spouse abuse, AIDS, advanced life support, multiple trauma, pediatric resuscitation, behavioral emergencies, access to care, admission orders, disasters, DNR orders, Emergency Physician qualifications, patient transfers, use of restraints, telephone orders, etc . If you work in an Emergency Department, or if you plan to moonlight (not recommended) and you do not know these protocols- you should! "Patients today are better educated and more aware of how Emergency Departments function; they expect to have their rights honored and their care rendered by prudent and knowledgeable practitioners. When illness strikes, they expect nurses and physicians to follow specific standards and protocols at any given emergency department in which they would seek help." Emergency Medicine Risk Management ACEP, page 350, 1991.
How many protocols are there in the MCG?
The MCG Emergency Department has 13 protocols designed to expedite care. A patient who presents to the ED with any of the below listed complaints, may be a candidate for the protocol. The patient is triaged as per policy. If the complaint meets the criteria for the "standing orders", the EM attending or the senior EM resident may sign the orders for the triage nurse. The triage nurse then implements the orders. Thus, when the patient actually is put into a room, appropriate lab and X-ray may already be under way.
What are the recommendations for tetanus prophylaxis?
Recommendations for tetanus prophylaxis are based on 1) condition of the wound and 2) the patient's immunization history. The table below outlines some of the features of wounds that are prone to develop tetanus. A wound with any one of these features is a tetanus-prone wound.
How long should an emergency physician be held?
The emergency physician must be authorized to make this determination, without requiring approval by an outside entity (eg, police, court) or consultant. This emergency hold should be for a minimum of 12 hours and a maximum of 72 hours to allow psychiatric evaluation and initial treatment to commence. The emergency physician should be held immune from civil liability resulting from any involuntary psychiatric patient hold.
What is the most complex mental health evaluation?
Psychiatric patients seeking emergency mental health evaluation, perhaps more than any other patient group, face one of the most complex, and at times labyrinthine processes for treatment and management in the US health care system. Not only is the system complex and at times incomprehensible, secondary to varying state, insurance, and hospital regulations, but patients are left with an ever shrinking system to meet their needs.
Do EDs perform medical clearance?
Many EDs are required to perform numerous medical clearance tests on psychiatric patients prior to the patient’s evaluation by a psychiatrist or psychiatric liaison provider. Multiple articles discuss the latest recommendations regarding medical clearance of the psychiatric patient.
When to add dextrose D5?
When blood glucose <14mmol/L, add dextrose D5 infusion to prevent hypoglycemia while continuing insulin infusion. If glucose falls < 4mmol/L, do not stop insulin infusion, but decrease by 50% (no less than 0.05U/kg/hr), provide 1 amp of D50 and switch dextrose infusion from D5 to D10.
What is the D10W in NS?
Two bags of half NS, one with and one without 10% dextrose (D10W) are adjusted on the basis of hourly blood glucose monitoring to maintain an IV fluid rate of 250 mL/h. Two retrospective studies of more than 500 patients found that the 2-bag method was associated with earlier correction of acidosis and shorter duration of IV insulin compared with conventional delivery of IV fluids. Use of the he 2-bag method in the ED may reduce the need for hospital admission, and it may be associated with less hypoglycemia compared with conventional treatment.