Clinical Practice

Since 2008, the committee has drafted over 40 clinical practice statements and clinical practice guidelines. Many of these statements have been submitted for peer review & publication in the Journal of Emergency Medicine (JEM).

The general guidelines for the preparation of clinical practice statements was updated April 2014. Join the committee as they develop clinical policy statements on current issues that impact emergency medicine physicians.

• Addressing Social Risks and Needs in the Emergency Department

  February 21, 2024

  Contrary to popular beliefs, health outcomes are driven only to a small degree by healthcare, and driven far more by what are called the “social determinants of health” (SDOH). Emergency physicians (EPs) are perfectly situated to provide both local and national leadership to recognize and address such social factors. There are many ways in which […]

• Should Ketamine be Used to Treat Prehospital Agitation?

  February 21, 2024

  Ketamine is a medication that can be utilized in the emergency department and prehospital setting for the sedation of the severely agitated patient. After an incident involving the misuse of prehospital ketamine received attention in the lay press, the safety and appropriateness of the prehospital use ketamine was brought into question. This clinical practice statement […]

• Can Application of Artificial Intelligence Improve ED Triage Performance?

  April 21, 2023

  Emergency Department (ED) overcrowding and resulting delayed patient care is a rapidly growing worldwide problem leading to increased mortality and morbidity. (39,40,41) ED triage presents the first opportunity to promptly identify high-risk patients and efficiently allocate ED resources. Current ED triage systems have suboptimal ability to differentiate critically ill patients due to subtle signs or […]

• Do Steroids Improve Clinically Relevant Outcomes in Patients with Septic Shock?

  February 1, 2023

  Sepsis is a dysregulated host response to infection that may progress to septic shock, a state of global hypoperfusion that often requires fluid resuscitation and vasopressors to support adequate oxygen delivery. Septic shock results in both macro- and microcirculatory failure, which ultimately progresses to multi-organ dysfunction and potentially death.(1,2) Depending on the patient population, mortality […]

• ECMO in ED for Out of Hospital Cardiac Arrest

  April 23, 2022

  Statement reviewed and approved by AAEM Board of Directors. (4/23/2022) Executive SummaryEmergency departments (ED) and emergency medical services (EMS) are motivated to increase survival following sudden out of hospital cardiac arrest (OHCA).1 Extracorporeal cardiopulmonary resuscitation (ECPR) has been promoted as an option but substantial uncertainty exists regarding how to select patients.2 Recently, a single-center randomized […]

These general guidelines for the preparation of AAEM Clinical Practice Statements should be used when submitting to the committee for review.

1. Submit the paper in initial format as written by the author(s) to Dr. Gary Vilke, our JEM “expediter.” He can send it to the appropriate editor for expedited review. (no sharing of authorship with this route and it is presumably not as involved as getting it published as an outsider sending it to JEM for publication)
2. Submit the paper to Dr. Gary Vilke for him and his fellows to “polish” before submitting to JEM. If substantial changes are required (i.e. in general, more than grammar and spelling changes), Dr. Vilke and his fellows will receive co-author credit.
3. Submit for publication in the AAEM white pages in JEM. The paper is not peer reviewed and does not count toward peer-reviewed authorship. The paper is not searchable on PubMed and other related sites. The turnaround time for publication of a CPC statement is much faster than for a peer-reviewed paper.

If you are interested in joining our committee, apply today!

Appointments are confirmed on a quarterly basis (January, April, July, October).