Protocol Library

T > 38 + adult ED arrival

new dyspnea + SpO₂ < 95

chest pain + ED triage

abdominal pain + ED triage

thunderclap | new severe headache

flank pain + dysuria

syncope + adult

CHF exacerbation + ED arrival

AMS + adult

recurrent hypoglycemia

BG > 250 + no DKA/HHS

back pain + adult

monoarticular swelling

red eye + ED triage

continuous vertigo + adult

UTI symptoms

pyelonephritis dx

cellulitis dx

jaundice + transaminitis

withdrawal symptoms

Na < 130 + adult

BP > 180/120 + ED

unilateral leg swelling

fall + age > 65

Hb < 8 + adult

qSOFA ≥ 2 + lactate > 2

infection + organ dysfunction

MAP < 65 despite fluids

norepinephrine > 0.25 mcg/kg/min

sepsis dx confirmed

hypotension + urticaria

SBP < 90 + cold extremities

shock + active bleeding

P/F < 300 + bilateral infiltrates

P/F < 150

pH < 7.35 + pCO₂ > 45

PEF < 33% + silent chest

PE + hemodynamic instability

ST elevation + symptoms < 12h

rising troponin + GRACE > 140

SOB + crackles + low SpO₂

tearing chest/back pain + asymmetric pulses

new AF + HR > 110

vented > 24h + improving

anticipated/failed intubation

no pulse + no breathing

ROSC + comatose

BG > 250 + ketones + pH < 7.3

BG > 600 + osm > 320

BG < 54 + symptoms

fever + AF + tremor + hyperthyroid

hypothermia + AMS + hypothyroid

shock refractory to fluids/pressors

K > 6.0 + ECG changes

Ca > 14 + AMS

stroke + onset < 4.5h

LVO + onset < 24h

CT bleed + neuro deficit

thunderclap HA + CT/LP positive

seizure > 5 min

fever + meningism + AMS

trauma + paraplegia

GCS 3 + no brainstem reflexes

Cr ↑ ≥ 0.3 in 48h

AKI + AEIOU criteria

CK > 5000 + dark urine

pH < 7.2 + HCO₃ < 15

Na < 120 + symptoms

Na > 155

K/PO₄/uric acid ↑ post-chemo

INR > 1.5 + encephalopathy

hematemesis + cirrhosis

BISAP ≥ 3 OR organ failure

ascites + PMN > 250

cirrhosis + AMS

hematemesis + melena

severe pain + lactate ↑

ABC ≥ 2 OR shock + bleed

INR > 5 + bleeding

DOAC + life-threatening bleed

MAHA + thrombocytopenia

ISTH score ≥ 5

thrombocytopenia + heparin exposure

vented > 48h + new infiltrate

catheter + fever

central line + fever

ATS major criteria met

rapidly spreading + LRINEC ≥ 6

WBC > 15 + Cr ↑ + CDI+

fever + new murmur + Duke criteria

ANC < 500 + T > 38.3

culture sensitivities back

SpO₂ < 94 OR P/F < 300

Charcot triad + organ failure

smear+ + organ dysfunction

NS1+ + hematocrit rise

fever + jaundice + AKI

fever + eschar + hill region

bite + 20WBCT positive

severe falciparum + GCS < 11

Indian red scorpion + autonomic storm

core T > 40 + AMS

category III bite

trismus + risus sardonicus

prolonged fever + abdominal signs

severe dehydration + diarrhea

vivax+ + organ dysfunction

BP ≥ 160/110 + pregnancy

EBL > 1000 ml post-delivery

sudden hypoxia + collapse intrapartum

HF in late pregnancy / postpartum

qSOFA ≥ 2 + pregnant

DKA + pregnant (lower BG threshold)

trauma activation

GCS ≤ 8 + intracranial injury

unstable pelvis + shock

shock + tracheal shift

Beck's triad + penetrating chest

TBSA > 20% + adult

burn + closed space + soot

prolonged compression + extrication

acetaminophen ingestion

muscarinic features + exposure

AlP ingestion + phosphine breath

QRS > 100 + ingestion

bradycardia + hypotension

tinnitus + mixed acid-base

high osmolar gap + AGMA

respiratory depression + miosis

intubated patient

central line in situ

all ICU patients daily

ICU admission

vented OR coagulopathy

BG > 180 mg/dL

futility + family consensus

EoL decision documented

prognosis change

imminent brain death

vasopressors / RRT planned

shock OR frequent ABG

moderate-large pneumothorax

meningitis / SAH workup

shock OR cardiac arrest