ED decision rules · bedside workflow

Calculate on this page; scores auto-fill the progress note.

Guideline ED clinical decision rules (see tool pages for exact version notes)Reviewed 2026-09-05
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Licensed clinicians only — about this Scene · ED decision rules · bedside workflow
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Do not share identifiable patient information (PHI). Discuss principles and workflow only — not a substitute for clinical judgement.

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Bedside steps

  1. CCHR

    Whether CT is needed after minor head injury (GCS 13–15).

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  2. NEXUS

    Determine whether cervical-spine imaging can be safely deferred after trauma.

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  3. 渥太华踝

    踝部损伤是否需要踝关节 X 线的决策规则。

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  4. Ottawa SAHAlternate branch

    Used to help exclude subarachnoid hemorrhage in headache patients (a high-sensitivity screen).

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  5. PECARNAlternate branch

    Decision rule for head CT in minor head trauma (GCS 14–15) in children ≤ 18 y, with separate < 2 y and ≥ 2 y pathways.

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Progress note preview
[ED decision rules · bedside workflow]
CCHR：not calculated
NEXUS：not calculated
渥太华踝：not calculated
Ottawa SAH：not calculated
PECARN：not calculated
Guideline：ED clinical decision rules (see tool pages for exact version notes)
Reviewed：2026-09-05
For licensed clinicians only. Local calculation; does not replace clinical judgment or individualized shared decision-making. Integrate guideline version, patient preference, and bleed–thrombosis trade-offs.
＋元医生Bedside quick-calcED decision rules · bedside workflowCalculate on this page; scores auto-fill the progress note.Guidelines: See version notes on this scene’s tool pages · See version notes on this scene’s tool pagesBedside steps1CCHR2NEXUS3渥太华踝4Ottawa SAH5PECARNScan to calculate locallywww.yuandoctor.com/r/ed_rules元医生 · 床旁工具

Save the PNG and share — /r/ed_rules opens the same workflow (local calc, nothing uploaded).

For licensed clinicians only. Local calculation; does not replace clinical judgment or individualized shared decision-making. Integrate guideline version, patient preference, and bleed–thrombosis trade-offs.

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