Pill in Pocket Afib Strategy
FYI, some cardiology patients may attend the ER with a letter from cardiology with instructions for cardioversion with PO meds. Please see the attached letter for details.
📄 Pill-in-Pocket — Letter to ED
SMGH Cardiodiagnostics
Has shorter wait times than CPS, offers cardiology consults, and less paperwork as the referral is in Cerner. Please consider using it for special testing rather than out-of-hospital referrals.
SMGH Social Work
SMGH will have an ER social worker starting in March. Schedule is TBD but wanted everyone to know the service is now available for your patients.
CT Heads Refresher
- CTA Circle of Willis = CT Circle of Willis (does not include non-contrast CT head or neck studies)
- CTA head and neck = CT COW + CT angio of carotids (does not include non-contrast CT head)
- CTA Neck / COW / head ± contrast = non-contrast CT head + CT angio head and neck
- Code Stroke CTA EVT study — includes #3 plus perfusion studies, and is only indicated if the patient is being imaged as part of a stroke protocol
SSPC Referrals
When making referrals to the Secondary Stroke Prevention Clinic, ensure your patients have had appropriate imaging — in most cases this should include a CTA of the head and neck. Some of you are still using carotid US, which is not adequate.
Peds Asthma Clinic
Reminder that Peds operates an Asthma clinic as part of their RAP clinic pathway. Please use it for all your peds asthma presentations or suspected asthma cases.