CAD
Cardiac Catheterization
not in ED
MI
Stemi (EKG)
NonStemi (Troponin level)
CHF
CXR or BNP
A-Fib
EKG
PE
CT Chest w/ IV contrast
VQ scan
D-Dimer (detects potential for blood clot but does not diagnose PE)
PNA
CXR
PTX
CXR
COPD
CXR & Hx or smoking
RAD
Clinically
Ischemic CVA
Clinically (potentially normal head CT)
Brain Bleed
CT head or LP
TIA
Clinically
Meningitis
LP
Spinal Injury
CT (Cervical, Thoracic, Lumbar)
Cz
Clinically
Bell’s Palsy
Clinically
Headaches
Clinically
AMS
Case Dependent
Vertigo
Clinically
APPY
CT A/P with PO contrast
SBO
AAS or CT A/P with PO contrast
Cholecystitis
US Abd
GI bleed
Heme Positive stool
or Guaiac positive during a rectal exam
Diverticulitis
CT PO contrast