Order Sets - PIT

Question 1

What would you order and avoid for chest pain <35yo?

Answer 1

Order:
- ECG (r/o Cardiac causes)
- CXR (r/o Pulmonary/Structural causes)

Avoid:
- PT/PTT/INR (evaluate coagulopathy and rarely assist in evaluating CP)

CP under 35yo is rarely ischemic so we are evaluating for more likely causes such as PE, PTX, myocarditis)

Question 2

What would you order and avoid with chest pain >35yo?

Answer 2

Order:
- **ECG, CXR*
- CBC (eval for infection, anemia)
- BMP (eval electrolytes, renal fx, and metabolic causes)
- Troponin

Avoid:
- PT/PTT/INR

Question 3

What would you order and avoid for suspected pulmonary embolism for a non-pregnant pt?

Answer 3

Order d-dimer if CMT pretest scoreis 0-5
- Age <50
– >500ng/mL
- Age >50
– Age adjusted threshold (reference table in image)

Order CT-PE if CMT pretest score is >5