EXPLODING BACTERIAMed Decision Speed Tools

Shortness of Breath

10 tools · free, no login

COPD Exacerbation: Does the Patient Need ABX?Decides whether an acute COPD exacerbation needs antibiotics — and whether they must cover Pseudomonas — using severity and the Anthonisen criteria.CURB-65Estimates the mortality of community-acquired pneumonia (CAP) and suggests inpatient vs. outpatient treatment. PSI is favored over CURB-65 by ATS/IDSA, but PSI is cumbersome to use — so many prefer CURB-65.DRIP — Drug Resistance in PneumoniaAttempts to predict the risk of drug-resistant organisms (DRPs) in community-acquired pneumonia (CAP).IDSA/ATS ICU Criteria for CAPHelps determine the need for the ICU in patients with community-acquired pneumonia (CAP), as outlined by the American Thoracic Society (ATS) / IDSA. Meeting ≥3 minor criteria suggests ICU-level care.PERC Rule for PEStops the PE workup before it starts — but only in a patient you have ALREADY judged low-risk.Pneumonia Severity Index (PSI)Helps determine risk of mortality from Community-Acquired Pneumonia (CAP) and guides home vs. admit; PSI is favored over CURB-65 by ATS/IDSA but is cumbersome to use, resulting in many preferring CURB-65.Revised Geneva Score for PEPretest probability for PE with no gestalt criterion — every item is objective, which is exactly its advantage and its cost.sPESI (Simplified Pulmonary Embolism Severity Index)The PE is already confirmed — this asks whether the patient can go home on anticoagulation.Wells Score for PEThe most-used PE pretest probability score — and the gate every other PE tool is built on top of.YEARS Algorithm for Pulmonary EmbolismRules out pulmonary embolism using 3 clinical items to set the D-dimer threshold — no Wells score required, and fewer CTPAs.

Other complaints

Chest Pain Abdominal Pain Headache Altered Mental Status Fever & Infection Sepsis Head Injury Neck & Back Injury Extremity Injury Stroke & Neuro Deficit Leg Swelling Sore Throat GI Bleed Exposure & Prophylaxis Anticoagulation