thoracic aortic dissection
MICE CUB:
Morphine
ICU
CXR
ECG
Crossmatch 10u
Urgent cardio-thoracic advice
Beta blockers (labetalol/esmolol)
PE
Well’s CAMEL TAC:
Well’s score/PERC/d-dimer/CTPA
CXR
ABG, U&E, FBC, clotting
Morphine
ECG
LMWH/fondaparinux
Thrombolysis OR vasopressors (are they haemodynaically stable??)
Anticoagulant LT (DOAC or Warfarni)
Consider cause
Pulmonary oedema
ENDOWS FC
ECG
Nitrates
Diamorphine
O2 (high flow)
Weigh daily
Sit upright
Furosemide
Cardiac monitor
High risk NSTEMI/unstable angina
BIT F.C.
Beta blocker
IV nitrate if indicated
Ticagrelor
Fondaparinux/LMWH
Cardiology review