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A 34-year-old male presents to the ED about 30 minutes after he slipped on ice while shoveling snow at his house. He currently has a superficial abrasion approximately 6 X 6 cm to his posterior scalp without any laceration present that could be closed with sutures. The abrasion is profusely
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Acute heart failure exacerbation disposition
Not all patients require admission
Consider patient hemodynamics, respiratory status, ECG, labs (Cr, troponin, sodium/electrolytes), ability to ambulate, follow up
Elevated troponin and serum Cr associated with worse outcomes
Don’t use risk tools alone for DC, but Ottawa Heart Failure Risk Scale may assist in admission (ACEP Level B)
