Escalation follows the patient's orders and agency policy; the following are representative disease-specific thresholds that supplement the parent module's red flags.
🚩 Red flags — escalate
Major bleeding — gastrointestinal bleeding (melena, hematochezia, hematemesis), severe or uncontrolled epistaxis, hematuria with clots, signs of intracranial bleeding, or a large or expanding hematoma — activate emergency response (911).
A head injury or a fall with a head strike while on anticoagulation — urgent or emergency evaluation per severity, given the risk of intracranial bleeding.
A supratherapeutic INR with minor bleeding — provider notification per parameters; hold and recheck per order.
Signs of thromboembolism — a new deep-vein thrombosis, stroke symptoms, acute limb ischemia, or pulmonary-embolism symptoms (dyspnea, chest pain, tachycardia) — activate emergency response.
