Guided work-ups
One question at a time. The pathway walks with you.
ED admission — first assessmentStartPrimary survey → NEWS2 → sepsis screen (qSOFA) → monitoring and escalation per RCP / Sepsis-3.Chest pain — HEART dispositionStartSTEMI gate → HEART score → discharge, observe, or admit, per the validated MACE bands.AF — anticoagulation decisionStartValvular check → CHA₂DS₂-VASc → HAS-BLED, per the ESC AF guideline thresholds.Suspected DVT work-upStartWells → D-dimer → ultrasound, with the serial-imaging rule for discordant results.Pneumonia — site of careStartCURB-65 with an oxygenation check — home, ward, or higher care, per BTS/NICE.Sore throat — test or treatStartRed flags → Centor/McIsaac → reassure, test, or treat per policy.Suspected PE work-upStartWells → PERC → D-dimer → imaging, per the published two-tier strategy.
More pathways are on the way — tell us which work-up you want next at briandeklerk@gmail.com.
Published pathways for reference — not medical advice. Terms of use