In the immediate aftermath of Watergate, two AGs one Republican (Ed Levi) and one Democrat (Griffin Bell)—attempted to address the abuses that had occurred through their rule-making powers to institute protocols for communications between DOJ and the White House.
Spurred by alarming research, the National Football League has introduced new rules on managing concussions and tried to eliminate particularly dangerous tackles, and colleges and high schools have instituted protocols to try to protect student athletes, like taking players out of games after worrisome impacts.
Clinicians should work to institute protocols for mild hypothermia treatment for such patients as a part of their critical care treatment.
We began instituting SCIP protocols in July 2007.
Observational studies show reduced mortality after instituting EGDT protocols in post-CA patients as part of a multifactorial quality improvement strategy including TH and routine coronary angiography [ 18, 39, 40].
The reasons are a lack of demonstrated effect in large multicentre studies, the need for postoperative intensive care resources, the necessity of instituting complex protocols, as well as the need for monitoring techniques that are not routinely used in these specific patient groups.
They included hiring more border-patrol agents, erecting more fencing along the border, and instituting a protocol known as E-Verify to force employers to hire only legal workers.
In one study, instituting a protocol for bedside ultrasound by EPs in evaluating patients with first trimester bleeding decreased the delay to diagnosis of ectopic pregnancy from 43% to 29% and decreased the rate of missed ruptured ectopic pregnancy from 50%to9%[22]22].
Finally, Gajic and coworkers have demonstrated an 18% absolute reduction in the development of acute lung injury in association with instituting a protocol limiting high tidal volume ventilation and inappropriate transfusions [ 26].
The Medical Director will ensure medical standards and quality of care, while working with other DVMs to institute medical protocols.
