EAST Practice Management Guidelines Purpose
The Eastern Association for the Surgery of Trauma (EAST) is a multi-disciplinary professional society committed to improving the care of injured patients. The Guidelines Section of EAST develops and disseminates evidence-based information to increase the scientific knowledge needed to enhance patient and clinical decision-making, improve health care quality, and promote efficiency in the organization of public and private systems of health care delivery. Unless specifically stated otherwise, the opinions expressed and statements made in this publication reflect the authors' personal observations and do not imply endorsement by nor official policy of the Eastern Association for the Surgery of Trauma.
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Using GRADE in Practice Management Guidelines
In 2012 EAST began using GRADE in the development of Practice Management Guidelines. Click here for additional information on GRADE.
The informational offerings presented on this site are intended primarily for health professionals and the following audiences:
- Physicians, nurses, and other health care professionals and provider organizations
- Health plans, health systems, health care organizations, hospitals, and integrated health care delivery systems
- Medical specialty and professional societies
- Federal, State, and local government health care policymakers and specialists
Other audiences including patients
If you are a patient and are accessing this site, you should understand that the information presented is intended and designed for the use of the expert audiences identified above. You should seek assistance from a health care professional in interpreting these materials and applying them in individual cases.
Definition and Selection of Evidence-based Guidelines and Related Materials
This site contains evidence-based clinical practice guidelines as defined by the Institute of Medicine: "Clinical practice guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances."1 These guidelines are not fixed protocols that must be followed, but are intended for health care professionals and providers to consider. While they identify and describe generally recommended courses of intervention, they are not presented as a substitute for the advice of a physician or other knowledgeable health care professional or provider. Individual patients may require different treatments from those specified in a given guideline. Guidelines are not entirely inclusive or exclusive of all methods of reasonable care that can obtain/produce the same results. While guidelines can be written that take into account variations in clinical settings, resources, or common patient characteristics, they cannot address the unique needs of each patient nor the combination of resources available to a particular community or health care professional or provider. Deviations from clinical practice guidelines may be justified by individual circumstances. Thus, guidelines must be applied based on individual patient needs using professional judgment.
Any reference in the EAST guidelines to a specific commercial product, process, or service by trade name, trademark, or manufacturer, does not constitute or imply an endorsement, recommendation, or any favoritism by EAST. The views and opinions of authors in the documents on this site do not necessarily state or reflect those of EAST and shall not be used for advertising or product endorsement purposes.
With respect to the information available from this site, EAST does not assume any legal liability or responsibility for the accuracy, completeness, clinical efficacy or value of any such information or any apparatus, product, or process described or referenced.
1Institute of Medicine. Clinical practice guidelines: directions for a new program. MJ Field and KN Lohr (eds) Washington, DC: National Academy Press. 1990: pg 39.