Chest pain of any nature Breathlessness and pulmonary oedema on CXR Breathlessness and new ECG changes or abnormal admission ECG if no previous Syncope with new ECG changes or abnormal admission ECG if no previous Unexplained hypotension and new ECG changes or abnormal admission ECG if no previous Stroke/TIA only if new ECG changes or abnormal admission ECG if no previous New onset AF or atrial flutter Sepsis only if new ECG changes or abnormal admission ECG if no previous Congestive cardiac failure if new ECG changes or abnormal admission ECG

Table 1: Criteria for appropriateness of request.