Emergency Medicine

Decision rules for trauma, imaging and acute presentations.

Emergency Medicine · Decision rule

Canadian C-Spine

Does an alert, stable trauma patient need cervical spine imaging?

Strong evidence Index visit Emergency Medicine · Decision rule

Canadian CT Head

Does an adult with minor head injury need a CT head?

Strong evidence Index visit Cardiology · Risk score

GRACE (in-hospital)

What is the risk of death during hospitalisation for acute coronary syndrome?

Strong evidence Index hospitalisation Neurology · Risk score

GCS

What is the patient's level of consciousness?

Strong evidence Point in time Cardiology · Risk score

HEART Score

What is the short-term risk of a major adverse cardiac event in an adult with chest pain in the ED?

Strong evidence 6 weeks Emergency Medicine · Decision rule

NEXUS

Can cervical spine imaging be safely avoided after blunt trauma?

Strong evidence Index visit Neurology · Risk score

NIHSS

How severe is the neurological deficit in acute stroke?

Strong evidence Point in time Emergency Medicine · Decision rule

PERC

Can PE be excluded without D-dimer testing in a low-risk patient?

Strong evidence Current episode (45-day follow-up in studies) Emergency Medicine · Risk score

PESI

What is the 30-day mortality risk of a patient with confirmed acute PE?

Strong evidence 30 days Emergency Medicine · Risk score

sPESI

Is a patient with acute PE at low risk of 30-day mortality?

Strong evidence 30 days Cardiology · Risk score

TIMI (UA/NSTEMI)

What is the 14-day risk of death or ischaemic events in confirmed UA/NSTEMI?

Strong evidence 14 days Emergency Medicine · Risk score

Wells PE

What is the pretest probability of pulmonary embolism?

Strong evidence Current episode Infection & Sepsis · Risk score

qSOFA

Is a patient with suspected infection at higher risk of a poor outcome?

Moderate evidence Hospital stay