ADTMC 2.5
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SCREENED IAW ADTMC MEDCOM PAM 40-7-21
RED FLAGS:
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      PARTIAL DIFFERENTIAL DIAGNOSIS
      IAW MEDCOM Regulation 40-50
      IAW STP 8-86W13-SM-TG Task
      • A.
        EAR, NOSE, AND THROAT
      • B.
        MUSCULOSKELETAL
      • C.
        GASTROINTESTINAL
      • D.
        CARDIORESPIRATORY
      • E.
        GENITOURINARY (GU)
      • F.
        NEUROPSYCHIATRIC
      • G.
        CONSTITUTIONAL
      • H.
        EYE
      • I.
        GYNECOLOGICAL
      • J.
        DERMATOLOGICAL
      • K.
        ENVIRONMENTAL
      • L.
        MISCELLANEOUS
      • M.
        MISCELLANEOUS RETURN
      • Acetaminophen 325mg tab
      • Acetic Acid and Hydrocortisone Otic suspension
      • Acetylsalicylic Acid (chewable) 81mg
      • Adapalene 1%
      • Albuterol
      • Aluminum Acetate
      • Azithromycin 1000mg
      • Bacitracin 500 units/ gram
      • Benzocaine Lozenge
      • Benzoyl Peroxide 10%
      • Bisacodyl 5mg
      • Bismuth Subsalicylate 262 mg/ 15 mL
      • Calamine Lotion
      • Ceftriaxone 250mg*
      • Diphenhydramine 25mg
      • Docusate Sodium 100mg
      • Doxycycline 100mg*
      • Epinephrine Auto Injector*
      • Fluconazole 150mg*
      • Glucagon 1mg IV*
      • Guaifenesin 100 mg/ 5 mL
      • Hydrocortisone Valerate
      • Hydrocortisone 2.5% and Pramoxine 1% Cream
      • Ibuprofen 200mg
      • Ketorolac 30mg*
      • Lidocaine Gargle 2%*
      • Loperamide 2mg*
      • Loratadine 10mg
      • Menthyl Salicylate Menthol
      • Metronidazole 250mg
      • Naproxen 250mg
      • Nitrofurantoin 100mg
      • Oxymetazoline
      • Permethrin 1%
      • Permethrin 5%*
      • Phenazopyridine 100mg*
      • Polyethylene Glycol 17g
      • Povidone Iodine
      • Propylene glycol 0.6%
      • Pseudoephedrine 30mg*
      • Ranitidine 150mg
      • Terbinafine 1%
      • Trimethoprim (TMP) Sulfamethoxazole (SMX)
      • Valacyclovir
      • A-1
        Sore Throat/Hoarseness
      • A-2
        Ear Pain/Drainage/Trauma
      • A-3
        Cold Symptoms /Allergies /Cough
      • A-4
        Ringing in the Ears/Hearing Problems
      • A-5
        Nosebleed/Nose Trauma
      • B-1
        Back Pain
      • B-2
        Neck Pain
      • B-3
        Shoulder Pain
      • B-4
        Elbow Pain
      • B-5
        Wrist Pain
      • B-6
        Hand Pain
      • B-7
        Hip Pain
      • B-8
        Knee Pain
      • B-9
        Ankle Pain
      • B-10
        Foot Pain
      • B-11
        Extremity, Non-joint Pain
      • C-1
        Nausea/Vomiting
      • C-2
        Diarrhea
      • C-3
        Abdominal and Flank Pain
      • C-4
        Rectal Pain/Itching/ Bleeding
      • C-5
        Constipation
      • C-6
        Difficulty When Swallowing
      • C-7
        Heartburn
      • D-1
        Shortness of Breath
      • D-2
        Chest Pain
      • E-1
        Painful/ Frequent Urination
      • E-2
        Groin/ Testicular Pain or Urethral Discharge
      • E-3
        Sexually Transmitted Infection (STI)
      • E-4
        Problems with Voiding
      • F-1
        Dizziness/Faintness/ Blackout
      • F-2
        Headache
      • F-3
        Numbness/Tingling/ Paralysis/Weakness
      • F-4
        Drowsiness/Confusion
      • F-5
        Depression/Nervousness/ Anxiety/Tension
      • F-6
        Minor Traumatic Brain Injury
      • G-1
        Fatigue
      • G-2
        Fever/Chills
      • H-1
        Eye Pain/ Redness/ Discharge/ Itching/ Injury
      • H-2
        Eyelid Problem
      • H-3
        Decreased Vision, Seeing Spots, Request for Glasses
      • H-4
        Seeing Double (Diplopia)
      • I-1
        Breast Problems
      • I-2
        Suspects Pregnancy
      • I-3
        Menstrual Problems, Vaginal Bleeding
      • I-4
        Vaginal Discharge, Itching, Irritation, or Pain
      • I-5
        Request for PAP or Routine Pelvic Examination
      • I-6
        Request for Information on Contraception
      • J-1
        Unknown Cause of Skin Disorder
      • J-2
        Acne
      • J-3
        Shaving-Pseudofolliculitis Barbae (Ingrown Hairs)
      • J-4
        Dandruff (Scaling of the Scalp)
      • J-5
        Hair Loss
      • J-6
        Athlete’s Foot (Tinea Pedis)
      • J-7
        Jock Itch (Tinea Cruris)
      • J-8
        Scaling, Depigmented Spots (Tinea Versicolor)
      • J-9
        Boils
      • J-10
        Fever Blisters (Cold Sores)
      • J-11
        Skin Abrasion/Laceration
      • J-12
        Suture Removal
      • J-13
        Drug Rash, Contact Dermatitis
      • J-14
        Burns/Sunburn
      • J-15
        Friction Blisters on Feet
      • J-16
        Corns on Feet
      • J-17
        Cutaneous (Plantar) Warts
      • J-18
        Ingrown Toenai
      • K-1
        Exertional Heat Illness/ Hyperthermia
      • K-2
        Hypothermia
      • K-3
        Immersion Foot
      • K-4
        Chapped Skin/Windburn
      • K-5
        Frostbite
      • K-6
        Crabs/Lice (Pediculosis)
      • K-7
        Insect Bites (Not Crabs/Lice)
      • L-1
        Exposed to Hepatitis or HIV
      • L-2
        Dental Problems
      • L-3
        Sores in the Mouth
      • L-4
        Prescription Refill
      • L-5
        Requests a Vasectomy
      • L-6
        Needs an Immunization
      • L-7
        Lymph Node Enlargement
      • L-8
        Blood Pressure Check
      • L-9
        Medical Screening for Overseas PCS
      • L-10
        Weight Reduction
      • L-11
        Complaint Not on the List
      • L-12
        Request for Nonprescription or Traveling Medication
      • M-1
        No Signs of Improvement
      • M-2
        Return Requested by Provider
      ABCDEFG
      A
      • Trade Name
        Content
      • Indications
        Content
      • Adult Dosing
        Content
      • Pediatric Dosing
        Content
      • Contraindications
        Content
      • Lactation Safety
        Content
      • Pregnancy Safety
        Content
      • Adverse Reactions
        Content
      • Mechanism of Action
        Content
      • Aviation Considerations
        Content
      A-1 Sore Throat
      RED FLAGS
      Are red flags present?
      YES
      NO
      CAT I: Provider Now
      Decision Making
      1.
      Do any of the following apply?
      • Symptoms > 10 days
      • Immunosuppression
      • Inhaled steroid
      • Fever
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      How many Apply?
      • Fever
      • No Cough
      • Tonsillar Exudate
      • Swollen anterior cervical nodes
      3+ CENTOR
      0-2 CENTOR
      CAT II: AEM Now
      Screen Cold sx. Ear Pain if present.
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Decision Making
      Decision Making
      Are red flags present?
      YES
      NO
      CAT I: Provider Now
      Decision Making
      Do any of the following apply?
      • Severe Ear pain
      • Ear drainage
      YES
      NO
      Decision Making
      Perform an otoscope exam (both ears). Look for the following:
      • TM: redness, opacification, bulging, immobility, rupture
      • Ear Canal (EC) redness, swollen, tenderness
      Decision Making
      Are there TM s/s, concern for Otitis media, or concern for Mod-Severe Otitis Externa?
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Vertigo
      • Symptoms > 7 days
      • Decreased hearing
      • Foreign body in ear
      • Visual trauma to ear
      YES
      NO
      CAT I: Provider Now
      Decision Making
      3.
      Cold symptoms or Sore Throat Present?
      YES
      NO
      Rescreen as another complaint
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      Are red flags present?
      YES
      NO
      CAT I: Provider Now
      Decision Making
      1.
      Do any of the following apply?
      • Productive cough
      • Symptoms > 7 days
      • severe sinus or dental pain
      YES
      NO
      CAT II: AEM Now
      Decision Making
      2.
      Do any of the following apply?
      • Symptoms > 7 days
      • Rebound symptoms
      • Purulent discharge
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      Are red flags present?
      YES
      NO
      CAT I: Provider Now
      Decision Making
      1.
      Do any of the following apply?
      • Ringing > 24 hours
      • Ringing without MOI
      • Dizziness
      • Visual Trauma
      • Decreased hearing
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Loud noise exposure or trauma within 24 hours
      • Ear drainage
      • Ear pain
      YES
      NO
      Decision Making
      Perform an otoscope exam (both ears).
      Decision Making
      Is there TM opacification, immobility, rupture, Ear canal foreign body, or wax buildup?
      YES
      NO
      CAT I: Provider Now
      Decision Making
      3.
      Do any of the following apply?
      • Ear pain
      • Cold symptoms
      YES
      NO
      Rescreen as Ear Pain, Cold Symptoms
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      Stop the bleeding using the following methods:
      • Tilt head forwards
      • Blow nose gently
      • Give 2 sprays of Oxymetazoline (Afrin)
      • Pinch nose for five minutes with index finger and thumb
      Decision Making
      Is the bleeding Controlled?
      NO
      YES
      CAT I: Provider Now
      Decision Making
      1.
      Do any of the following apply?
      • Cut or deformity
      • Patient is on anticoagulants
      • Patient is using intra-nasal medication
      • Patient has high blood pressure ( > 140/80)
      • Purulent discharge present
      • Recurrent bleed w/o cold
      YES
      NO
      CAT II: AEM Now
      Decision Making
      2.
      Do any of the following apply?
      YES
      NO
      Rescreen as Cold symptoms
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Decision Making
      Decision Making
      1.
      Are red flags present or is there significant MOI?
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Are there radicular symptoms below the knee
      YES
      NO
      CAT II: AEM Now
      PT if available
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      1.
      Red flags or significant MOI?
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Are any of the following present?
      • Radiating pain
      • Numbness
      • Tingling
      • Weakness
      YES
      NO
      CAT II: AEM Now
      PT if available
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Red flags
      • The shoulder is red/warm
      • Abdominal symptoms
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Symptoms > 3 weeks
      • Neurologic symptoms
      • Limited motion
      • Laceration
      YES
      NO
      CAT II: AEM Now
      PT if available
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Red flags
      • The elbow is red/warm
      • Diffuse Pain
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Limited ROM
      • Neck, Shoulder Sx
      • Sx > 2 weeks
      • Ulnar Hand Sx
      • Swelling
      YES
      NO
      CAT II: AEM Now
      PT if available
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Red flags Present
      • Red/warm
      • Trauma/ FOOSH
      • No MOI
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Index, thumb sx
      • Clicking/popping
      • Mobile mass over tendon
      • Laceration
      • Inability to do job
      YES
      NO
      CAT II: AEM Now
      PT if available
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Red flags
      • Crush Injury
      • History of Punching
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Finger catching/locking
      • Laceration
      • Ulcers
      • Abscess
      YES
      NO
      CAT II: AEM Now
      PT if appropriate
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      1.
      Red Flags present?
      YES
      NO
      CAT I: Provider Now
      BSI Policy
      Decision Making
      2.
      Do any of the following apply?
      • Paresthesia
      • Not worse with direct pressure, hip flexion
      • Limited ROM
      YES
      NO
      CAT II: AEM Now
      PT if available
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Red flags present
      • Red/ warm
      • Immediate swelling after trauma
      • No MOI
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Swelling
      • Decreased ROM
      • Previous knee injury
      YES
      NO
      CAT II: AEM Now
      PT if available
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Red flags present
      • Calf squeeze
      • Unrelated to overuse or injury
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Ottowa test
      • Squeeze Test
      • Medial injury
      YES
      NO
      CAT II: AEM Now
      PT if available
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Red flags present
      • Constant pain
      • Unrelated to overuse or injury
      YES
      NO
      CAT I: Provider Now
      BSI Policy
      Decision Making
      2.
      Do any of the following apply?
      • Numbness
      • Red and warm
      • Abscess
      YES
      NO
      CAT II: AEM Now
      PT if appropriate
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Red flags present
      • Severe pain
      • Suspect stress fracture
      • Swelling, erythema
      YES
      NO
      CAT I: Provider Now
      BSI Policy
      Decision Making
      2.
      Do any of the following apply?
      • Abnormal joint function, limited range of motion or loss of strength
      • Laceration
      • Pain > 1 week
      YES
      NO
      CAT II: AEM Now
      PT if available
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      Red Flags?
      YES
      NO
      CAT I: Provider Now
      Decision Making
      1.
      Do any of the following apply?
      • Chemotherapy
      • BMI < 18
      • Diabetes
      • Recent head trauma w/in 72 hrs
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Greater than 72 hrs
      • Signs of fluid depletion, orthostatic hypotension
      • Unable to maintain oral intake
      YES
      NO
      CAT II: AEM Now
      PREGNANCY SCREEN/ TEST
      Decision Making
      Pregnancy Screen/Test
      Decision Making
      3.
      Do any of the following apply?
      • Headache (migraine)
      • Heartburn
      • Dizziness
      • Pregnancy
      • Other symptoms
      YES
      NO
      Screen heartburn, headache, dizziness, pregnancy, or other symptoms if present
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      Red Flags?
      YES
      NO
      CAT I: Provider Now
      Decision Making
      1.
      Do any of the following apply?
      • Recent hospital stay
      • Recent antibiotics
      • Bloody diarrhea
      • H/O inflammatory bowel disease
      • Severe abdominal pain
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • > 6 unformed stools in 24 hours
      • Hypovolemia
      • Dizziness
      • 3+ days
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      Pregnancy Screen/ Test
      Decision Making
      Red Flags?
      YES
      NO
      CAT I: Provider Now
      Decision Making
      1.
      Do any of the following apply?
      • Melena
      • Coffee grind emesis
      • Periumbilical pain
      • Abdominal trauma w/in 72 hours
      • 40+ years old
      • Chest pain and nausea
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Loss of appetite
      • Followed by nausea
      • Present for 1+ weeks
      • Testicular symptoms
      YES
      NO
      CAT II: AEM Now
      Decision Making
      3.
      Do any of the following apply?
      • Nausea/vomiting
      • Diarrhea
      • Female pelvic pain
      • Constipation x 3 days
      • Urinary symptoms
      YES
      NO
      Screen nausea, diarrhea, pelvic pain, constipation, heartburn, urinary Sx, or other symptoms
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      Red Flags?
      YES
      NO
      CAT I: Provider Now
      Hemocult positive
      Unable to obtain stool sample
      Decision Making
      1.
      Do any of the following apply?
      • weight loss
      • Night sweats
      • Family H/O early GI cancer
      • Change in stool
      • Mucous with stool
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • H/O anal sex
      • Low back problems
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Red flags
      • Weight change
      • Fatigue
      • Temperature sensitivity
      • Depression
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Rectal bleeding?
      YES
      NO
      Screen rectal bleeding or other symptoms if present
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Decision Making
      Decision Making
      Red Flags?
      YES
      NO
      CAT I: Provider Now
      Decision Making
      1.
      Do any of the following apply?
      • Sudden onset during eating
      • Inability to swallow (drooling)
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Started before a sore throat?
      YES
      NO
      CAT II: AEM Now
      Decision Making
      3.
      Sore throat started first?
      YES
      NO
      Screen sore throat or other symptoms if present
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Decision Making
      Decision Making
      Red Flags?
      YES
      NO
      CAT I: Provider Now
      Decision Making
      1.
      Do any of the following apply?
      • Tachycardia
      • Sweating
      • Shoulder/Jaw Pain
      YES
      NO
      CAT I: Provider Now
      Oxygen, EKG, chewable aspirin
      Decision Making
      2.
      Do any of the following apply?
      • > 2 weeks
      • History of ulcer
      • Unexplained wt loss
      • Anorexia, vomiting
      • Dysphagia
      • Odynophagia
      YES
      NO
      CAT II: AEM Now
      Decision Making
      3.
      Classic symptoms of heartburn?
      NO
      YES
      Screen other symptoms if present
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Decision Making
      Decision Making
      Red Flags?
      YES
      NO
      CAT I: Provider Now
      Decision Making
      1.
      Do any of the following apply?
      • Irregular pulse
      • Sweating
      • Chest, shoulder, jaw pain or pressure
      • H/O or FH of heart problems
      YES
      NO
      CAT I: Provider Now
      Oxygen, EKG, Aspirin 325mg
      Decision Making
      2.
      Do any of the following apply?
      • Elevated temperature
      • Productive cough
      • Symptoms > 10 days
      • H/O asthma wheeze
      YES
      NO
      CAT II: AEM Now
      Decision Making
      3.
      Do any of the following apply?
      • Cold like symptoms
      • Allergy symptoms
      • H/O panic attacks
      YES
      NO
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      CAT II: AEM Now
      Decision Making
      Decision Making
      EKG
      Decision Making
      1.
      Do any of the following apply?
      • Red flags
      • Abnormal vitals
      • Abnormal EKG
      • 40+ years old
      YES
      NO
      CAT I: Provider Now
      Oxygen, EKG, Aspirin 325mg
      Decision Making
      2.
      Do any of the following apply?
      • Productive cough >7 days
      • Elevated temperature
      • Symptoms > 10 days
      YES
      NO
      CAT II: AEM Now
      Decision Making
      3.
      Do any of the following apply?
      • Cold like symptoms
      • Reproducible chest pain
      • Heartburn
      • H/O panic attacks
      NO
      YES
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      Pregnancy Test
      Decision Making
      1.
      Do any of the following apply?
      • Red flags
      • Fever T>100.4
      • H/O diabetes
      • Nausea and vomiting
      • Vaginal symptoms
      • Vulvar ulcer
      • Pain with intercourse
      • Cola colored urine
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Male
      • H/O kidney stones
      • Pregnant
      • Recent urinary catheter
      • Red urine, not menstrual cycle related
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Red flags
      • Nausea and vomiting
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Hematuria?
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      Pregnancy Test
      Decision Making
      1.
      Do any of the following apply?
      • Red flags
      • Worsening despite treatment
      • Severe illness
      • Vaginal symptoms
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Skin lesion
      • Rash
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Red flags
      • Worsening despite treatment
      • Severe illness
      • Vaginal symptoms
      YES
      NO
      CAT I: Provider Now
      Decision Making
      Urinalysis
      Pregnancy Test
      Decision Making
      2.
      Do any of the following apply?
      • Pregnant
      • Male > 40 yrs old
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Red flags
      • Suspect drugs/alcohol
      • Altered mental status
      • Unstable gait
      • Diabetic
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Vertigo
      • Appears anxious
      • Prevent normal duties
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      2.
      YES
      NO
      Decision Making
      Finger Stick Glucose
      Decision Making
      1.
      Do any of the following apply?
      • Red flags
      • Back Pain
      • Severe headache
      • Blood glucose less than 70
      • Diabetes using insulin
      • Tick exposure
      YES
      NO
      CAT I: Provider Now
      Decision Making
      Pregnancy Test
      Decision Making
      2.
      Do any of the following apply?
      • Fever
      • Prevents normal activities
      • First occurrence of symptoms
      • Pregnant
      • Depresssed
      • 35+ years old
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      Finger Stick Glucose
      Decision Making
      1.
      Do any of the following apply?
      • Red flags
      • Unable to touch chin to chest
      • Hypoglycemia
      • H/O Alcoholism
      • H/O narcotics
      • H/O seizures
      YES
      NO
      CAT I: Provider Now
      Decision Making
      Blood Alcohol
      UDS
      Decision Making
      2.
      Do any of the following apply?
      • Sudden onset
      • Heat exposure
      • >Positive urine drug screen
      • Positive blood alcohol
      • Medication changes
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Red flags
      • Positive suicide screening
      • Abnormal vital signs
      • Severe emotional distress
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Positive depression screening
      • Difficulty adjusting to injury or pain
      • Escorted due to safety concerns
      • Positive blood alcohol
      • Other indications of depression/anxiety
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      MACE 2 Exam
      Decision Making
      1.
      Do any of the following apply?
      • Red flags
      • Amnesia 30+ min before event
      • Neurological deficit
      • High impact head injury
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • MACE < 26
      • Nausea, dizziness
      • Headache
      • Memory, concentration problem
      • Balance/ visual problem
      • Ringing in the ears
      • Altered or loss of consciousness
      • H/O TBIs
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Red flags
      • Depression
      • Loss of libido
      • Weight change
      • Menorrhagia, Anemia > 3 weeks
      • Snoring
      • UPSTF
      • Screen/PHA out of date
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Cold, Sore throat Sx
      • Rectal bleeding
      • Other symptoms
      YES
      NO
      Screen bleeding, cold, sore throat,
      other symptoms if present
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      Red flags?
      YES
      NO
      CAT I: Provider Now
      Decision Making
      1.
      Do any of the following apply?
      • Abnormal Vitals
      • HIV positive
      • Immunosuppression
      • Overseas travel within 6 months
      • Tick, mosquito bite
      • Malaria area
      • Animal exposure
      • IV drug use
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Cold, Sore throat Sx
      • Ear pain
      • Diarrhea
      • Pain with urination
      • Other symptoms
      YES
      NO
      Screen other symptoms algorithm
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      Eye exam / Fluorescein

      *Do not perform fluorescin exam if there is concern for an open globe or ruptured eye*
      1.
      Do any of the following apply?
      • Red Flags
      • Fluorescein uptake
      • Immunosuppression
      • Recent eye surgery
      • Associated head trauma
      • Double vision
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Thick, yellow or green discharge
      • Painful
      • Light sensitivity
      • Inability to keep eye open
      • Trauma
      • History foreign body getting better
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      Eye exam
      visual
      YES
      NO
      1.
      Do any of the following apply?
      • Red Flags
      • Fixed pupil
      • Mod-severe pain
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Significant redness, swelling
      • Rash > 1 week
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      Eye exam
      YES
      NO
      1.
      Do any of the following apply?
      • Red Flags
      • Observed foreign body
      • Partial visual field affected
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • contact wearer
      • Onset within 7 days
      • Painful
      • Red
      • Headache
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      Visual Acuity
      YES
      NO
      1.
      Do any of the following apply?
      • Red Flags
      • Red Eye
      • Associated pain
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Appears intoxicated
      • With 1 eye shut
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Red Flags
      • T> 100.4
      • Red, swollen breast
      • Focal breast pain but no other symptoms
      • Family H/O early breast cancer
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Male with H/O testosterone supplement
      • Female breastfeeding
      • Repeat visit
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      Check hCG
      YES
      NO
      Decision Making
      Red Flags?
      YES
      NO
      CAT I: Provider Now
      Decision Making
      1.
      Positive HCG without other symptoms?
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      Check hCG
      YES
      NO
      1.
      Do any of the following apply?
      • Red flags
      • Non-midline pelvic pain
      • Pain with intercourse
      • Post menopause
      • Bleeding > 10 days not on birth control
      YES
      NO
      CAT I: Provider Now
      Decision Making
      Menses History:
      Length, Severity (clots, #pads), Medications
      YES
      NO
      1.
      Positive hCG without other symptoms?
      • New problem
      • Failed previous self-care
      • Menstrual pain onset after 25 y/o
      • Progression of symptoms
      • Menses < 21 or > 35 days
      • Spotting >1 pad/2hrs
      • Prevents normal duties
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      Check hCG
      YES
      NO
      1.
      Do any of the following apply?
      • Red flags
      • Recurrent vaginitis
      • Presence of IUD
      • Vaginal discharge
      • Genital lesion, ulcer
      • Vaginal lump, mass
      • Pelvic pain during exercise
      YES
      NO
      CAT I: Provider Now
      Decision Making
      1.
      Do any of the following apply?
      • Moderate vaginal pain
      • Presentation different from the treatment protocol descriptions
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      Check hCG
      YES
      NO
      1.
      Do any of the following apply?
      • Pregnant
      • Abnormal previous pap
      • Total hysterectomy
      YES
      NO
      CAT I: Provider Now
      Decision Making
      1.
      Do any of the following apply?
      • 1st pap over 21 y/o
      • 21-29 y/o pap/3 yrs
      • 30+ y/o pap/3 yrs or pap and HPV/5 yrs if tests are negative
      • Additional screening: HPV vaccine and G/C screening
      YES
      NO
      Schedule appointment
      Schedule appointment
      Decision Making
      Decision Making
      Check hCG
      YES
      NO
      1.
      Do any of the following apply?
      • Pregnant
      • Medication side-effects
      • H/O recent unprotected sex
      YES
      NO
      CAT I: Provider Now
      Decision Making
      1.
      Do any of the following apply?
      • Discuss effectiveness of each type of contraceptive
      • Discuss contraceptive preferences
      • Discuss additional benefits
      YES
      NO
      Schedule appointment or referral
      Schedule appointment or referral
      Decision Making
      Decision Making
      Red Flags?
      YES
      NO
      CAT I: Provider Now
      Decision Making
      1.
      Do any of the following apply?
      • New medication
      • Fever
      • Painful (not a sunburn)
      • Failed previous treatment or worsening
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Change in color
      • Oozing blood or fluid
      • Present > 4 weeks
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      Check hCG
      YES
      NO
      1.
      Do any of the following apply?
      • Resuesting birth control
      • Positive hCG
      • Draining lesion
      • Acute onset
      • Requiring limitations in protective equipment
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Acne interferes with wearing equipment
      • Moderate to severe inflammatory acne
      • Scarring or hyperpigmentation
      • Failed initial treatment
      • Appears very self conscious
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Red flags
      • Abscess requiring drainage on face or neck
      • Signs of scarring
      • Requiring limitations on protective equipment
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Failed conservative therapy
      • Requesting profile
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      1.
      Red Flags present?
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • 2nd complaint
      • Medicated shampoo not (stopped) working
      • Developed new/worsening symptoms
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • New medication
      • Lack hair follicles
      • Smooth, circular hair loss
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Tinea capitis
      • Papules, pustules
      • Erythema
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Decision Making
      Decision Making
      1.
      Red Flags present?
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Rash with no improvement or response to medication
      • Blisters and ulcers
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Decision Making
      Decision Making
      1.
      Red Flags present?
      YES
      NO
      CAT I: Provider Now
      Decision Making
      1.
      Do any of the following apply?
      • Itchy, red rash in the groin area
      • No improvement in 2 weeks
      • Reoccuring infection
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Itchy, red ring-shaped rash in the groin area?
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Failed treatment
      • Widespread
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Recurrent
      • Unidentified
      • Atypical presentation
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Decision Making
      Decision Making
      Red Flags?
      YES
      NO
      CAT I: Provider Now
      Decision Making
      1.
      Do any of the following apply?
      • Fever
      • Rapid progression
      • Cellulitis
      • Indwelling medical device
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Fluctuant mass
      • Multiple abscesses
      • Drained abscess > 5cm diameter
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Red Flag
      • Burns
      • Eczema
      • Severe pain
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Sore throat
      • Hand sore
      • Pustule, yellow crusting
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Red Flags
      • Red streaks
      • Oozing fluid
      • Tetanus risk
      • High risk wounds
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Erythema > 1 inch
      • Increased warmth
      • Increased tenderness
      • Laceration
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      1.
      Red Flags?
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Incomplete closure?
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Red Flags
      • Blistering
      • Oral involvement
      • Petechiae
      • Fever
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • No new medication within 2 weeks
      • Itchy rash with other symptoms
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Red flags present
      • Deep 2nd and 3rd degree
      • > 10% of body
      • Trauma
      • Severe pain
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Second degre burn
      • Secondary infection
      • Sunburn >25% of body
      • Exhaustion
      • Unable to perform duties
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Red flags
      • Flu like symptoms
      • Painful erythematous macules
      • Trauma
      • Exposure to new medications
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Large open blister
      • Erythema or other signs of infection
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      Foot Exam
      YES
      NO
      1.
      Do any of the following apply?
      • Red flags
      • Diabetes mellitus
      • Decreased peripheral sensation to light touch
      • Lesion freely bleeds with paring
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Plantar wart
      • Interfere with normal duty
      • Bunion
      • Mallet or hammer toe
      • Decreased toe motion
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      Skin Exam
      YES
      NO
      1.
      Do any of the following apply?
      • Bleeding
      • Sensitive area
      • > 10 warts
      • Upcoming mission limiting treatment
      • Signs of infection or inflammation
      • Treatment > 12 weeks
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • > 3 warts
      • Treatment > 4 weeks
      • Medic not trained on procedure
      • Complication from prior treatment
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      Skin Exam
      YES
      NO
      1.
      Do any of the following apply?
      • Red flags present
      • Cellulitis
      • Immunocompromised
      • Diabetic
      • Severe infection
      • Recurrent ingrown nail
      • Severe pain, limping
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Moderate infection
      • Limitations to duty
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      Red Flags?
      YES
      NO
      CAT I: Provider Now
      Decision Making
      1.
      Do any of the following apply?
      • Patient appears confused, delirious, or unresponsive
      • Dry skin
      • Temperature > 103° F
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Is the patient is sweating profusely; do they complain of headache, weakness, dizziness, and/or nausea
      • Is the patient complaining of painful cramps of the extremities and/or abdominal muscles and is their body temperature normal
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      Rectal Temp
      YES
      NO
      1.
      Do any of the following apply?
      • Red Flags
      • Neurologic Symptoms
      • Infection
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • H/O psych meds or narcotics
      • H/O alcohol abuse
      • Severe Pain
      YES
      NO
      CAT II: AEM Now
      Decision Making
      3.
      Immersion Foot?
      YES
      NO
      Screen Immersion Foot
      K-3
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      Extremity Exam
      YES
      NO
      1.
      Do any of the following apply?
      • Red Flags
      • Severe pain
      • Signs of infection
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Unable to perform duties
      • Symptom > 1 week
      • Pain not controlled
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Activity Modification
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Diffuse symptoms
      • Not exposed to dry wind
      • Signs of infection
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • White or greyish-yellow color
      • Hard, or waxy to touch
      • Blisters, cyanosis after rewarming
      • Hypothermia
      YES
      NO
      CAT I: Provider Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Secondary infection
      • No nits or lice seen
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Decision Making
      Decision Making
      Red Flags?
      YES
      NO
      CAT I: Provider Now
      Decision Making
      1.
      Do any of the following apply?
      • Wheezing, SOB
      • Hives, H/O allergy
      • Poisonous insects
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • No signs of bit
      • Blister, ulcer, pain
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Red Flags
      • High risk exposure
      • Exposure wit HIV
      • In a lab
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • >7 days from exposure
      • No risk exposure
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Decision Making
      Decision Making
      Do any of the following apply?
      • Red Flags
      • Loose tooth
      • Abscess/ infection
      • Gingivitis, periodontitis
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Broken tooth
      • Issue not below
      • Jaw pain not from trauma
      YES
      NO
      CAT II: Dentist or AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Decision Making
      Decision Making
      Oral Exam
      YES
      NO
      1.
      Do any of the following apply?
      • Red Flags
      • Painless
      • Also located in groin
      • H/O bloody diarrhea
      • Diffuse rash
      • >2 weeks
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Do any of the following apply?
      • Cluster of ulcers
      • >5mm ulcer
      YES
      NO
      CAT II: AEM Now
      CAT III: Treatment Protocol and RTD
      Treatment Protocol
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Narcotic, Psych med
      • Sleeping med
      • Birth control
      • Chronic medication
      YES
      NO
      Place secure message or T-Con for Provider
      Decision Making
      2.
      Do any of the following apply?
      • Acute condition that failed initial treatment
      • Prescription
      YES
      NO
      CAT II: Refer to AEM
      Provide Acute OTC Medication
      Decision Making
      Decision Making
      Provide Counseling
      YES
      NO
      1.
      Do any of the following apply?
      • Not stable relationship
      • No children
      • Under 30 years old
      • PCM Performs
      YES
      NO
      Schedule appointment with PCM
      Message Provider or Local Policy
      Decision Making
      Decision Making
      Provide Counseling
      YES
      NO
      1.
      Do any of the following apply?
      • Rabies
      • Not required
      • Requested early
      • Contraindication for immunization
      • Medic not trained
      YES
      NO
      CAT I: Provider Now (Rabies)
      or AEM Now
      CAT III: Treatment Protocol and RTD
      Decision Making
      Decision Making
      Lymph node exam
      YES
      NO
      1.
      Do any of the following apply?
      • Multiple body areas
      • Unexplained weight loss
      • Supraclavicular
      • Posterior Cervical
      • Not mobile
      • Not soft
      • No recent infection
      YES
      NO
      CAT I: Provider Now
      Screen for infection Sx
      Decision Making
      Decision Making
      Check blood pressure
      YES
      NO
      1.
      Do any of the following apply?
      • Greater than 150/90
      • Lower than 90 systolic
      • Difference > 15 mmHg between arms
      YES
      NO
      CAT I: Provider Now
      Decision Making
      1.
      Do any of the following apply?
      • Last day of 5 day blood pressure check
      • Orthostatic Hypotension
      YES
      NO
      CAT II: AEM Now
      CAT III: RTD
      Decision Making
      Decision Making
      Record Review
      YES
      NO
      1.
      MEDPROS RED?
      YES
      NO
      Schedule appointment or Refer for Service
      Decision Making
      2.
      Do any of the following apply?
      • Non-deployable profile
      • Behavioral Health
      • Specialty Care
      YES
      NO
      Schedule Appointment
      Fill out paper
      Provider review and sign
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Enrolled in ABCP
      • BMI > 30 and not mucular build
      • Struggling with weight for >6 months
      • H/O failing Ht/Wt/Tape
      YES
      NO
      Schedule Provider Appointment
      Decision Making
      1.
      Do any of the following apply?
      • New Issue
      • BMI > or equal to 25
      • Recent profile
      YES
      NO
      Wellness Center or Dietician Referral
      Schedule Provider Appointment
      Decision Making
      Decision Making
      1.
      Do any of the following apply?
      • Appears sick, AMS, uncomfortable
      • HR > 100, RR > 20
      • BP > 150/90
      • Moderate - Severe pain
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Complaint does not apply to another algorithm on the list?
      YES
      NO
      CAT II: AEM Now
      Screen Symptoms
      Decision Making
      Decision Making
      1.
      Current symptoms are present?
      YES
      NO
      Screen Symptoms
      Decision Making
      2.
      Soldier is traveling on Temporary Duty to a location without easy access to medical care?
      YES
      NO
      Provide Travel Pack Medications
      Schedule Provider Appointment
      Decision Making
      Decision Making
      Rescreen Algorithm
      YES
      NO
      1.
      Do any of the following apply?
      • Worsening on treatment
      • Previously saw provider or AEM
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Screened a Self Care or AEM?
      YES
      NO
      CAT II: AEM Now
      CAT II: AEM Now
      Decision Making
      Decision Making
      Rescreen if acutely ill
      YES
      NO
      1.
      Do any of the following apply?
      • Screening dispositioned as provider now
      • Condition worsening
      • Not improving
      YES
      NO
      CAT I: Provider Now
      Decision Making
      2.
      Previously seen by provider or specialty clinic requesting Soldier to follow-up?
      YES
      NO
      Make an Appointment
      Make an Appointment
      Decision Making
      Decision Making

      Algorithm Directed Troop Medical Care

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