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Table 2 Alert Criteria That Triggers Alert #3 in Support-ED

From: Design and implementation of a clinical decision support tool for primary palliative Care for Emergency Medicine (PRIM-ER)

Historical Data Elements

 Mandatory surprise question: “Would you be surprised if this patient died within the previous 6 months?” (No) [30, 31]

 Previous palliative care consult

 Previous order for “Do Not Resuscitate”

 Last hospital disposition to a long-term acute care facility or nursing facility

 Previous scanned document of Consent to Withhold or Withdraw Life Sustaining Treatments

 Eastern Cooperative Oncology Group (ECOG) Score 3 or 4

Current Encounter Data Elements

 Initiation of cardiac arrest documentation

 Active order for mechanical ventilation

 Active order for non-invasive ventilation

 GFR < 15 ml/min/m2

 Albumin < 2 g/dL

 Bicarbonate < 10 mEq/L

 pCO2 < 70 mmHg

  1. GFR Glomerular filtration rate.
  2. pCO2 Partial pressure of Carbon Dioxide.