MDM – CARDS/VASC Chest Pain, Atypical (No Troponin) Chest Pain – Low Risk (Trop Out) Chest Pain – Admit (High Risk) STEMI Activation CHF Exacerbation – Admit CHF – Hypertensive Pulm Edema CHF with Shock – Admit Sickle Cell Pain Crisis/VOC/Acute Chest/Stroke Related