Clinical decision rules list

Background

Clinical decision rules are used in the emergency department to improve diagnosis or decrease unneeded clinical testing

Rules

Trauma

Head Trauma

• Head CT in Trauma (Clinical Decision Rules)
• Pediatric head trauma
  • Study: EBQ:PECARN Pediatric Head CT Rule

Blunt neck trauma/Cervical spine clearance

• NEXUS cervical spine rule
  • Study: EBQ:NEXUS cervical trauma rule
• Canadian cervical spine rule
  • Study: EBQ:Canadian C-spine Rule Study

Thoracic trauma

• NEXUS Chest CT Rule
• Pediatric: EBQ:Validation of a prediction rule for the identification of children with intra-abdominal injuries after blunt torso trauma

Ottawa Rules

• Ottawa Knee Rules
• Ottawa Ankle Rules
  • Study: EBQ:Ottawa Ankle Rule Study

CV/Pulm

PE Rules

• Wells Criteria
  • Study: EBQ:Wells PE Rule Out
• PERC rule
  • Study: EBQ:PERC Rule Validation
• Pulmonary Embolism Severity Index
• HESTIA Criteria

Syncope

• San Francisco Syncope Rule

Chest pain/ACS

• ACS - Risk Stratification
  • HEART Score
  • EBQ:A prospective validation of the HEART score for chest pain patients at the emergency department
• Sgarbossa's criteria
  • Study: EBQ:Sgarbossa Criteria Study

Atrial fibrillation (main)

• [[CHA₂DS₂_VASc score]]

Pulmonology

Pneumonia

• CURB-65
• Pneumonia severity index (Port Score)

Abdominal

Appendicitis

• Alvorado score

Neurology

Transient ischemic attack

• ABCD2 score

Endocrine

Thyrotoxicosis

• Burch-Wartofsky point scale

Infectious Disease

Septic arthritis of the hip (peds)

• Kocher criteria

Toxicology

Acetaminophen toxicity

• Kings College criteria for liver transplant referral

Derm

Necrotizing Fasciitis

• LRINEC Score
  • Study: EBQ:LRINEC Score