Labs or history consistent with clinically significant APAP Ingestion, OR supratherapeutic APAP concentration (>20mcg/mL), OR unexplained LFT elevation with suspicion of APAP use at unknown time In • Unexplained LFT elevation with detectable APAP concentration
Patient with CT confirmed appendicitis and meets criteria for non-operative management per EGS team.
Patient with history of asthma who requires more than 2 hours of ED care to improve their symptoms (wheezing, respiratory rate, oxygen level).
Patient with back pain with persistent significant pain/unable to ambulate after adequate pain control attempt in the emergency department with or without MRI ordered OR back pain with deficit or concerning history requiring MRI.
Post bariatric surgery patient presenting to the ED with nausea, vomiting, abdominal pain, poor po intake, or bleeding.
Patient with signs and symptoms consistent with cellulitis and/or with associated drained abscess and no clinical concern for deep space infection.
Patient with a HEART score of 6 or less with resolved chest pain, completed NORMAL HsTrop Algorithm, and need for a stress test for further evaluation of chest pain if concern for cardiac cause.
Patient with history of CHF (by prior documented echo) AND likely to be discharged within 24 hours.
Patient with history of COPD who requires more than 2 hours of ED care to improve their symptoms (wheezing, respiratory rate, oxygen level).
Patient with dehydration secondary to poor oral intake, vomiting, and or diarrhea.
Patient with suspected need for cholecystectomy based on ED POCUS and ED Attending review
Patient with signs and symptoms consistent with acute foot cellulitis and/or with associated drained abscess in whom concern for ischemic pathology has been ruled out.
Patient with presumed upper GI bleed (BRB or coffee-ground emesis, melena, maroon/red stools).
Patient with esophageal or gastric foreign body amenable to endoscopic removal.
Patient on therapeutic anticoagulation who sustained a closed head injury (not due to syncopal injury) with initial CTH imaging completed, GCS 15, and no focal neurologic deficits who requires further 12 hour observation and/or repeat CTH.
Patient with history of ESRD requiring 1 run (determined by Renal Service) of hemodialysis due to electrolyte abnormalities, acidosis, uremia, or fluid overload
Patient with a blood glucose of 300-600 mg/dL with a treatable, reversible cause.
Patient with CTH findings of punctate hyperdensity, small subarachnoid hemorrhage or subdural hemorrhage without mass effect/shift who need serial neurologic exams or repeat CTH.
Patient with history of opioid use disorder current IN withdraw or at risk.
Patieht with moderate to severe alcohol use disorder interested in medication to help with cravings to help reduce or elimnate use.
Patient with short acting (fentanyl, heroin) opioid overdose who received Naloxone in the emergency department or prior to arrival with EMS or bystander.
Patient with occult PTX seen only on CT but NOT on initial CXR with no hemodynamic instability, other injury necessitating admission, or hypoxia.
Patient with upper abdominal pain, elevated lipase, imaging concerning for acute pancreatitis, or clinical concern for pancreatitis requiring further emergency department observation and treatment.
Patient who requires assessment by physical therapy and pain management for disposition planning or for additional assistive devices with an anticipated LOS less than 18 hours.
Patient with findings consistent with community acquired pneumonia with or without hypoxia (3L max)
Patients with diagnosed PE and identified as low risk as determined by the Denver Health Algorithm who need short stay management, observation, and DOAC initiation.
Patient with lab, physical, and history evidence of pyelonephritis requiring extended observation due to concerning vital signs or inability to tolerate oral antibiotics
Patient requiring a SANE evaluation who has been medically cleared or does not need medical clearance.
Patient with transient loss of consciousness and postural tone with spontaneous complete recovery.
Patient with concern for a TIA or minor stroke who has a completed CT evaluation who does not require TPA and who has a neurology consult started.
Patient involved in a trauma who is intoxicated and requires more than 4 hours of observation.
Patient with lab confirmed viral pna requiring hospitalization due to need for oxygen therapy (less than 4L) OR other clinical concern.