Template:Harbor CHF disposition: Difference between revisions

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===CHF Disposition===
===CHF===
* If estimated <2 midnight stay, place in [[Harbor:CORE|CORE]] (any patients with anasarca - abdominal or scrotal edema - should be admitted)
* If estimated <2 midnight stay, place in [[Harbor:CORE|CORE]]  
** Any patients with anasarca (including abdominal or scrotal edema) should be admitted
* If estimated >2 midnight stay:
* If estimated >2 midnight stay:
** Admit to '''medicine''' service (telemetry) if '''all''' of the following are met:
** Admit to '''IM/FM''' (tele/PCU) 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 needs ICU care
 
5/29/19 - Dr. Daar (IM Chair), Dr. Thomas (Cardiology Division Chief), Dr. Lewis (EM Chair)

Revision as of 05:35, 22 April 2020

CHF

  • If estimated <2 midnight stay, place in CORE
    • Any patients with anasarca (including abdominal or scrotal edema) should be admitted
  • If estimated >2 midnight stay:
    • Admit to IM/FM (tele/PCU) 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 needs ICU care