Cardiac Failure

Heart failure patient requiring admission 

1. Arrange admission
   • Most patients don't require cardiology discussion in the ED and are admitted under medicine via the medical registrar medical registrar (bleep 1470)
   • If cardiology input is required, they can be contacted on bleep 4205
2. Once admission is arranged, send EPR referral message to the heart failure team:
   • In EPR, click Communicate
   • In the To: section, type Consult Heart and press Enter
   • Click Pool
   • Select "Consult Heart Failure (IP)"
   • Double click to select this as the address
   • (Right click to add to your address book for next time)
   • In the body of the message, type ~R and select ~R-ED_Heart_Failure to open up a pro forma
   • Complete the proforma and click Send

 Heart failure patient not requiring admission but requiring further treatment 

1. Refer to AAU, and CC in the heart failure team ("Consult Heart Failure IP")
   • In EPR, click Communicate
   • In the To: section, type AAU and press Enter
   • Click Pool
   • Select "AAU"
   • Double click to select this as the address
   • (Right click to add to your address book for next time)
   • CC in "Consult Heart Failure IP" address
   • In the body of the message, include a brief summary of the patient's presentation

 Heart failure patient suitable for discharge from the ED 

• At the point of discharge, if you send an EPR referral to the heart failure team they will review the patient's presentation and may arrange further treatment and follow-up
• This does not replace primary care follow-up, but may provide more timely initiation of treatment/investigation
  • In EPR, click Communicate
  • In the To: section, type Consult Heart and press Enter
  • Click Pool
  • Select "Consult Heart Failure (IP)"
  • Double click to select this as the address
  • (Right click to add to your address book for next time)
  • In the body of the message, type ~R and select ~R-ED_Heart_Failure to open up a pro forma
  • Complete the proforma and click Send