Action
- Place on continuous monitoring (Class II)
- Obtain (Class II)
- ECG
- IV access
- Toponin
- D-dimer
- Chest x-ray
- +/- point-of-care ultrasound
Decision
Results?
Positive ECG, abnormal cardiac examination, cardiomegaly on chest x-ray, elevated troponin, clinical worsening, and/or concern for cardiac cause
- Order stat echocardiogram
- Obtain cardiology consult
Positive D-dimer, infiltrate concerning for pulmonary embolism on chest x-ray, oxygen saturation <90%, and/or concern for pulmonary embolism
- Consider chest computed tomography
