Note: If the referrer feels the presentation of a patient is not within the inclusion/exclusion criteria they can still contact the SDEC co-ordinator and check for acceptance into SDEC.

• ED referrals ONLY 08-18:00
• Check Capacity prior to sending
• Investigations: FBC/U&E/Clotting/ECG

Medical SDEC exclusion criteria:

• Age <16yrs old
• Not General Medical (i.e. Trauma, Surgical, Frailty, Haem/Onc, Renal, Mental Health)
• Not mobile OR at baseline (Bed-bound patients are exclusions)
• Oxygen Requirement
• NEWS2 >5 OR individual score of 3

• Suitable for UCH/LCD
• Required Frailly input
• Time-Critical diagnoses (examples)
  • High-risk chest pain:
    • STEMI
    • New acute ECG changes such as LBBB
    • Ongoing cardiac chest pain
    • Troponin positive
  • Stroke including TIA
  • Sepsis
  • Seizure
• Require Admission/monitoring (examples)
  • Overdose or intoxication with alcohol/drugs
  • Hypothermia
  • Severe pain (pain score >6/10 despite analgesia)
  • Haematemesis/melaena (with GBS>2)
  • Asthma with peak flow <75% of best/predicted
  • Severe electrolyte abnormalities (Requiring IV therapy)
  • Acute Confusion (senior discussion only)
• Requires Isolation (examples)
  • Diarrhoea and vomiting
  • COVID-19/flu
  • Measles