CardiologyCriteria

San Francisco Syncope Rule (SFSR)

Identifies ED syncope patients at high risk for a serious outcome (death, MI, arrhythmia, PE, stroke, subarachnoid hemorrhage, significant hemorrhage, or any condition requiring hospitalization) within 7 days.

Parameters

CHESS Criteria — Any Single Criterion = High Risk

C — Congestive Heart Failure HistoryKnown history of congestive heart failure (any NYHA class).H — Hematocrit < 30%Venous or capillary hematocrit < 30% on ED presentation blood work.E — Abnormal ECGAny new ECG finding vs. baseline: ST changes, LBBB/RBBB, QTc prolongation, AV block ≥ Mobitz II, non-sinus rhythm, pacemaker malfunction, LVH, pre-excitation.S — Shortness of Breath ComplaintShortness of breath or dyspnea as a chief complaint or associated symptom at presentation.S — Systolic Blood Pressure < 90 mmHg on ArrivalInitial measured systolic blood pressure < 90 mmHg in the emergency department.

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CardiologyCriteria

San Francisco Syncope Rule (SFSR)

Identifies ED syncope patients at high risk for a serious outcome (death, MI, arrhythmia, PE, stroke, subarachnoid hemorrhage, significant hemorrhage, or any condition requiring hospitalization) within 7 days.

Parameters

CHESS Criteria — Any Single Criterion = High Risk

C — Congestive Heart Failure HistoryKnown history of congestive heart failure (any NYHA class).H — Hematocrit < 30%Venous or capillary hematocrit < 30% on ED presentation blood work.E — Abnormal ECGAny new ECG finding vs. baseline: ST changes, LBBB/RBBB, QTc prolongation, AV block ≥ Mobitz II, non-sinus rhythm, pacemaker malfunction, LVH, pre-excitation.S — Shortness of Breath ComplaintShortness of breath or dyspnea as a chief complaint or associated symptom at presentation.S — Systolic Blood Pressure < 90 mmHg on ArrivalInitial measured systolic blood pressure < 90 mmHg in the emergency department.

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Fill in the parameters to see your result