Clinical Pathways

OUDEM's Clinical Pathways developed from the desire to set down treatment pathways for common, important conditions found in the ED.  Experienced clinicians created each pathway, and each pathway was then reviewed for medical accuracy, ease of use, and clinical applicability in practice environments. The creators of these documents based them as much as possible on existing evidence and peer-reviewed guidelines. Clinicians following one of these clinical pathways can be assured that, for properly selected patients, the pathway leads to nationally accepted treatment that follows the standard of care in Emergency Medicine.

I think that this section of our website is an invaluable resource for our medical students, residents, and Attendings. What this section is not, is a replacement for clinical judgment. Individual variations in the clinical presentation of each unique patient render these pathways best used as an ED care guideline. The experience and professional opinion of each EM physician must be the final word in any patient encounter. It is my hope that these pathways can enter the "toolbox" of all OUDEM clinicians and students.

Joshua Gentges, DO
Director of Evidence-Based Practice


Accidental Hypothermia - Assessment
Accidental Hypothermia - Treatment
Accidental Hypothermia - Considerations
Acetaminophen Overdose 
Adult C-Spine Imaging

Bite Injuries
Chest Pain Admission - NSTEMI vs ACS
Community-Acquired Pneumonia
Contrast for CT Scan in Abdominal Pain
Coronary  CT Angiography
Crotalid Envenomation
Heat-Related Illness
Hyperkalemia Treatment
Ketamine Procedural Sedation
Lipid Rescue Therapy
Neutropenic Fever
Massive Transfusion
Mechanical Ventilation (Lung-Protective)
Mechanical Ventilation (Obstructive)
Pediatric Acute Otits Media
Pediatric C-Spine Imaging
Pediatric Fever Without Source
Pediatric Head Injury Evaluation
Pediatric Seizure
Post-Exposure Antiviral


Post-Exposure Antiviral Prophylaxis
     OU Needle Stick Protocol
Pulmonary Embolism Evaluation
Pulmonary Embolism Treatment
Sepsis Screening
      HMC Sepsis Order Set (incl abx recs)
Severe Alcohol Withdrawal Treatment
Severe Sepsis Treatment
Sexual Assault Examination
STD Treatment
Supratheraputic INR Due to Warfarin
Syncope Evaluation
Therapeutic Hypothermia
Therapeutic Hypothermia Order Set

2011 Hillcrest Antibiogram
HMC Medical Admission Pathway
HMC Psychiatric Evaluation Pathway
HMC Psychiatric Patient Policy

Photography Consent Form
Signout Template
Signout Worksheet