Coagulation studies prior to bronchoscopy

In this article and its corresponding editorial, there are 5 questions that can take the place of ordering coagulation studies prior to every bronchoscopy. These five clinical risk factors are as follows history of anticoagulant therapy history or physical evidence of liver disease, eg, hepatitis, cirrhosis, hepatomegaly, ascites, or jaundice history, family history, or physical evidence of bleeding tendencies, […]

New Lung Cancer Referrals

In the past, lung cancer referrals may have been delayed if done ONLY through RPO. It is now requested that you a) Place a consult request for an appointment  via the RPO.   AND b) Refer via Epic There is a pool in EPIC named “JFCI Thoracic Oncology Clinic”.  Forward your note and the referral […]

Stroke admissions to the Garden ICU

In order to create consistency for patients admitted to the Garden ICU  at West Bloomfield with a stroke, the Stroke Committee has created guidelines for these admissions. These guidelines are designed to be followed directly; if there is a deviation, this should be discussed with neurology (stroke team) or neurosurgery and the reason for deviation […]

Centesis using wall suction

For your future reference I have uploaded a powerpoint presentation illustrating how to use wall suction for paracentesis or thoracentesis, when vacutainers are not available.  As you may recall, this topic was discussed at a staff meeting some time ago.  It came up recently for me so I thought it would be useful to share with you. […]

DEM/MICU Interdepartmental Guidelines for Emergent GastroEsophageal Balloon Tamponade (GEBT)

Purpose: The goal of this guideline is to ensure the safety of patients and to provide the best care with the most expert staff available to perform emergent  GEBT placement with a Minnesota or  Sengstaken–Blakemore tube. MICU staff should be aware of the limited time the DEM staff have to assist with clinical services outside […]