Template:Harbor CHF disposition: Difference between revisions

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===CHF Disposition===
===CHF Disposition===
** If estimated <2 midnight stay, place in [[Harbor:CORE|CORE]]
* If estimated <2 midnight stay, place in [[Harbor:CORE|CORE]]
** If estimated >2 midnight stay:
* If estimated >2 midnight stay:
*** Admit to '''medicine''' service (telemetry) if '''all''' of the following are met:
** Admit to '''medicine''' service (telemetry) if '''all''' of the following are met:
**** Low suspicion for ACS (as determined by ED attending)
*** Low suspicion for ACS (as determined by ED attending)
**** HR < 110
*** HR < 110
**** BP > 110
*** BP > 110
**** Creatinine <2.0 (unless ESRD on HD)
*** Creatinine <2.0 (unless ESRD on HD)
**** No BiPAP required at any time in the ED
*** No BiPAP required at any time in the ED
*** Admit to '''C-team''' if the above criteria are not met or the patient is going to the ICU
** Admit to '''C-team''' if the above criteria are not met or the patient is going to the ICU


5/29/19 - Dr. Daar (IM Chair), Dr. Thomas (Cardiology Division Chief), Dr. Lewis (EM Chair)
5/29/19 - Dr. Daar (IM Chair), Dr. Thomas (Cardiology Division Chief), Dr. Lewis (EM Chair)

Revision as of 21:32, 1 July 2019

CHF Disposition

  • If estimated <2 midnight stay, place in CORE
  • If estimated >2 midnight stay:
    • Admit to medicine service (telemetry) if all of the following are met:
      • Low suspicion for ACS (as determined by ED attending)
      • HR < 110
      • BP > 110
      • Creatinine <2.0 (unless ESRD on HD)
      • No BiPAP required at any time in the ED
    • Admit to C-team if the above criteria are not met or the patient is going to the ICU

5/29/19 - Dr. Daar (IM Chair), Dr. Thomas (Cardiology Division Chief), Dr. Lewis (EM Chair)