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Clinical Scenario A 35 year old woman with no past medical history presents to the ED with pleuritic chest pain and shortness of breath. She is tachypenic but has a normal heart rate and oxygen saturation. She denies leg pain or swelling, or h/o DVT/PE.. She uses oral contraceptives. Her EKG is normal. Cardiac, lung, and extremity exam are unremarkable. You are considering using the Wells' Criteria and/or PERC Rule. Where do you start? Summary Use Wells' first if you're unsur

Clinical Scenario A 55 year old woman with a history of hypertension and diabetes presents with chest pain for two hours. She describes it as a dull, burning and pressure-like pain in the middle of her chest that does not radiate. She denies any associated symptoms. She is well-appearing with a normal cardiac, pulmonary, abdominal, extremity, and neurologic exam. Her EKG is normal sinus rhythm without ischemic changes. After receiving Aspirin, Pepcid and Maalox, she states, “

Clinical Scenario A 45 year old man presents with neck pain after being rear-ended at 30 MPH. He was a restrained driver, airbags deployed, and he walked at the scene. He denies head injury, focal weakness, or paresthesias, and reports having one beer an hour ago. Exam: GCS 15, mild midline tenderness at C6–C7, full strength, non-focal neurological exam including normal speech and decision-making capacity, no other injuries. He asks, “Do I really need a CT Scan?” Summary CCR