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Please note that clinical judgement
supersedes all guidelines

Admission for pregnant patients

- Admit to OBGYN if: primary reason for admission is related to the pregnancy (ex: hyperemesis, vaginal bleeding in late pregnancy, PPROM, mastitis)

- Admit to medicine with OB consult otherwise

Colonoscopy

To arrange for OP colonoscopy, patient must see their PCP or have a CCC visit.
Do not refer these patients directly to GI.

Gallstone disease

- Admit to medicine if: Contraindication to surgery, severe sepsis, or acalculous cholecystitis
- Admit to surgery for all other gallstone pathologies (even if ERCP needed)

ingested foreign body

Consult ENT if: foreign body located above the level of the clavicle

Consult GI if: foreign body located below clavicle, pre-pylorus AND one of the following:
- Button battery, magnets, sharp object, or object > 6cm
- Unable to tolerate PO or complete obstruction
- Object present >24h

Consult TACS if: post-pylorus AND one of the following:
- Button battery, magnets, sharp object, or large object
- Concern for perforation
- Unable to tolerate PO
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Denver Health Adult Emergency Department Application - DISCLAIMER – July 16, 2025

The Denver Health Adult Emergency Department Application ("Application") has been created for the Denver Health and Hospital Authority ("Denver Health") and is intended for informational purposes only. Although Denver Health attempts to keep this information as accurate as possible, Denver Health makes no guarantees or warranties of any kind, express or implied, with respect to the use of this Application.

This Application is not intended to be, nor should it be used as a substitute for, the professional medical advice or analysis required when evaluating and caring for a Denver Health patient or any patient outside of Denver Health. Use of this Application is not intended to, nor does it create, a physician-patient or healthcare provider-patient relationship between Denver Health and the user or the user's patient. Application users assume full responsibility for any actions taken on the basis of the information obtained from use of the Application and agree that Denver Health bears no responsibility for any claim, loss or damage caused by or related to its use.

Since Denver Health has no legal obligation to update the information provided on this Application, Denver Health cannot ensure that all information reflects the most up-to-date information regarding Emergency Medicine. Denver Health may make changes or improvements to this Application at any time without notice or announcement. Application users outside of Denver Health should consult their local facility policies and procedures regarding Emergency Department guidelines for their institutions and practice sites.

If you have any questions about this disclaimer or any other information contained in this Application, you can contact the Emergency Medicine Leadership team.

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