4 lines
No EOL
64 KiB
XML
4 lines
No EOL
64 KiB
XML
<?xml version="1.0" encoding="UTF-8"?>
|
||
<!-- Do not edit this file with editors other than draw.io -->
|
||
<!DOCTYPE svg PUBLIC "-//W3C//DTD SVG 1.1//EN" "http://www.w3.org/Graphics/SVG/1.1/DTD/svg11.dtd">
|
||
<svg xmlns="http://www.w3.org/2000/svg" style="background: #ffffff; background-color: light-dark(#ffffff, var(--ge-dark-color, #121212)); color-scheme: light dark;" xmlns:xlink="http://www.w3.org/1999/xlink" version="1.1" width="2821px" height="4041px" viewBox="0 0 2821 4041" content="<mxfile host="app.diagrams.net" agent="Mozilla/5.0 (X11; Linux x86_64; rv:147.0) Gecko/20100101 Firefox/147.0" version="29.6.0" scale="3" border="10">
 <diagram name="CXR QI Flowchart" id="9AojJ5SYZ3YuZ7WpwGyt">
 <mxGraphModel dx="2593" dy="1391" grid="1" gridSize="10" guides="1" tooltips="1" connect="1" arrows="1" fold="1" page="1" pageScale="1" pageWidth="850" pageHeight="1100" math="0" shadow="0">
 <root>
 <mxCell id="0" />
 <mxCell id="1" parent="0" />
 <mxCell id="pRgEexwxrKvvUqylI0am-1" parent="1" style="text;html=1;align=center;verticalAlign=middle;resizable=0;points=[];autosize=1;strokeColor=none;fillColor=none;" value="&lt;b style=&quot;font-size:15px;letter-spacing:1px;&quot;&gt;QI TO DECREASE UNNECESSARY CHEST X-RAY&lt;br&gt;IN ACUTE ASTHMA EXACERBATION IN CHILDREN 2–18 YEARS&lt;/b&gt;" vertex="1">
 <mxGeometry height="50" width="700" x="315" y="40" as="geometry" />
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-2" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#dae8fc;strokeColor=#6c8ebf;strokeWidth=2;arcSize=12;verticalAlign=top;align=left;shadow=1;" value="&lt;div style=&quot;text-align:left;padding:10px;&quot;&gt;&lt;b style=&quot;font-size:12px;&quot;&gt;INCLUSION CRITERIA&lt;/b&gt;&lt;br&gt;&lt;br&gt;• Children age 2–18 years&lt;br&gt;• Established asthma diagnosis&lt;br&gt;• Presentation consistent with acute asthma exacerbation&lt;/div&gt;" vertex="1">
 <mxGeometry height="130" width="330" x="130" y="120" as="geometry" />
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-3" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#f8cecc;strokeColor=#b85450;strokeWidth=2;arcSize=8;verticalAlign=top;align=left;shadow=1;" value="" vertex="1">
 <mxGeometry height="310" width="530" x="520" y="120" as="geometry" />
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-4" parent="1" style="text;html=1;align=left;verticalAlign=top;resizable=0;points=[];autosize=0;strokeColor=none;fillColor=none;" value="&lt;div style=&quot;text-align:left;padding:10px 10px 4px 10px;&quot;&gt;&lt;b style=&quot;font-size:12px;&quot;&gt;EXCLUSION CRITERIA&lt;/b&gt;&lt;br&gt;&lt;br&gt;• Comorbidities: sickle cell disease, congenital heart disease,&lt;br&gt; immunodeficiency, BPD, severe malnutrition&lt;br&gt;• First-time wheezing unrelated to prior asthma diagnosis&lt;/div&gt;" vertex="1">
 <mxGeometry height="105" width="510" x="530" y="125" as="geometry" />
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-5" parent="1" style="line;strokeWidth=1;strokeColor=#b85450;dashed=1;dashPattern=5 3;html=1;" value="" vertex="1">
 <mxGeometry height="1" width="490" x="540" y="235" as="geometry" />
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-6" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#f5e6e6;strokeColor=#d4a0a0;strokeWidth=1;arcSize=10;verticalAlign=top;align=left;shadow=0;dashed=1;dashPattern=4 4;" value="&lt;div style=&quot;text-align:left;padding:8px 10px;&quot;&gt;&lt;b style=&quot;font-size:11px;color:#b85450;&quot;&gt;⚑ Other conditions where CXR is required:&lt;/b&gt;&lt;br&gt;&lt;br&gt;&lt;table style=&quot;font-size:11px;border-collapse:collapse;width:100%;&quot;&gt;&lt;tr&gt;&lt;td style=&quot;padding:3px 8px;vertical-align:top;&quot;&gt;•&lt;/td&gt;&lt;td style=&quot;padding:3px 0;&quot;&gt;Physical findings suggestive of &lt;b&gt;pneumonia or parenchymal disease&lt;/b&gt;&lt;br&gt;&lt;span style=&quot;color:#666;&quot;&gt;(focal crackles, dullness, fever)&lt;/span&gt;&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td style=&quot;padding:3px 8px;vertical-align:top;&quot;&gt;•&lt;/td&gt;&lt;td style=&quot;padding:3px 0;&quot;&gt;Suspicion of &lt;b&gt;inhaled foreign body&lt;/b&gt;&lt;br&gt;&lt;span style=&quot;color:#666;&quot;&gt;(sudden onset, unilateral decreased breath sounds)&lt;/span&gt;&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td style=&quot;padding:3px 8px;vertical-align:top;&quot;&gt;•&lt;/td&gt;&lt;td style=&quot;padding:3px 0;&quot;&gt;Suspicion of &lt;b&gt;structural complications&lt;/b&gt;&lt;br&gt;&lt;span style=&quot;color:#666;&quot;&gt;(pneumothorax, pneumomediastinum)&lt;/span&gt;&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td style=&quot;padding:3px 8px;vertical-align:top;&quot;&gt;•&lt;/td&gt;&lt;td style=&quot;padding:3px 0;&quot;&gt;&lt;b&gt;Trauma, post-op&lt;/b&gt;&lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;&lt;/div&gt;" vertex="1">
 <mxGeometry height="175" width="505" x="535" y="245" as="geometry" />
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-7" edge="1" parent="1" style="endArrow=none;html=1;strokeWidth=2;strokeColor=#888888;" value="">
 <mxGeometry relative="1" as="geometry">
 <mxPoint x="295" y="250" as="sourcePoint" />
 <mxPoint x="295" y="460" as="targetPoint" />
 </mxGeometry>
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-8" edge="1" parent="1" style="endArrow=none;html=1;strokeWidth=2;strokeColor=#888888;" value="">
 <mxGeometry relative="1" as="geometry">
 <mxPoint x="295" y="460" as="sourcePoint" />
 <mxPoint x="785" y="460" as="targetPoint" />
 </mxGeometry>
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-9" edge="1" parent="1" style="endArrow=none;html=1;strokeWidth=2;strokeColor=#888888;" value="">
 <mxGeometry relative="1" as="geometry">
 <mxPoint x="785" y="430" as="sourcePoint" />
 <mxPoint x="785" y="460" as="targetPoint" />
 </mxGeometry>
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-10" edge="1" parent="1" style="endArrow=classic;endSize=8;html=1;strokeWidth=2;strokeColor=#888888;" value="">
 <mxGeometry relative="1" as="geometry">
 <mxPoint x="540" y="460" as="sourcePoint" />
 <mxPoint x="540" y="500" as="targetPoint" />
 </mxGeometry>
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-11" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#d5e8d4;strokeColor=#82b366;strokeWidth=2;arcSize=20;shadow=1;" value="&lt;b style=&quot;font-size:13px;&quot;&gt;DO NOT ROUTINELY OBTAIN CHEST X-RAY&lt;/b&gt;&lt;br&gt;&lt;i&gt;in typical / uncomplicated asthma exacerbation&lt;/i&gt;" vertex="1">
 <mxGeometry height="65" width="440" x="320" y="500" as="geometry" />
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-12" edge="1" parent="1" source="pRgEexwxrKvvUqylI0am-11" style="endArrow=classic;endSize=8;html=1;strokeWidth=2;strokeColor=#888888;exitX=0.5;exitY=1;exitDx=0;exitDy=0;entryX=0.5;entryY=0;entryDx=0;entryDy=0;" target="pRgEexwxrKvvUqylI0am-13" value="">
 <mxGeometry relative="1" as="geometry" />
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-13" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#fff2cc;strokeColor=#d6b656;strokeWidth=2;arcSize=20;shadow=1;" value="&lt;b style=&quot;font-size:13px;&quot;&gt;CONSIDER OBTAINING CXR IF:&lt;/b&gt;" vertex="1">
 <mxGeometry height="55" width="350" x="370" y="605" as="geometry" />
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-14" parent="1" style="text;html=1;align=center;verticalAlign=middle;resizable=0;points=[];autosize=1;strokeColor=none;fillColor=none;" value="&lt;b style=&quot;font-size:18px;color:#cc0000;&quot;&gt;OR&lt;/b&gt;" vertex="1">
 <mxGeometry height="40" width="50" x="520" y="685" as="geometry" />
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-15" edge="1" parent="1" style="endArrow=none;html=1;strokeWidth=2;strokeColor=#cc0000;" value="">
 <mxGeometry relative="1" as="geometry">
 <mxPoint x="370" y="632" as="sourcePoint" />
 <mxPoint x="285" y="632" as="targetPoint" />
 </mxGeometry>
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-16" edge="1" parent="1" style="endArrow=classic;endSize=8;html=1;strokeWidth=2;strokeColor=#cc0000;" value="">
 <mxGeometry relative="1" as="geometry">
 <mxPoint x="285" y="632" as="sourcePoint" />
 <mxPoint x="285" y="730" as="targetPoint" />
 </mxGeometry>
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-17" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#f8cecc;strokeColor=#b85450;strokeWidth=2;arcSize=15;shadow=1;" value="&lt;b style=&quot;font-size:12px;&quot;&gt;Severe Respiratory Distress&lt;br&gt;Respiratory Score 7–12&lt;/b&gt;" vertex="1">
 <mxGeometry height="80" width="270" x="150" y="730" as="geometry" />
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-18" edge="1" parent="1" style="endArrow=none;html=1;strokeWidth=2;strokeColor=#4472C4;" value="">
 <mxGeometry relative="1" as="geometry">
 <mxPoint x="720" y="632" as="sourcePoint" />
 <mxPoint x="820" y="632" as="targetPoint" />
 </mxGeometry>
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-19" edge="1" parent="1" style="endArrow=classic;endSize=8;html=1;strokeWidth=2;strokeColor=#4472C4;" value="">
 <mxGeometry relative="1" as="geometry">
 <mxPoint x="820" y="632" as="sourcePoint" />
 <mxPoint x="820" y="730" as="targetPoint" />
 </mxGeometry>
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-20" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#f8cecc;strokeColor=#b85450;strokeWidth=2;arcSize=15;shadow=1;" value="&lt;b style=&quot;font-size:12px;&quot;&gt;Inadequate Response After ≥ 2 Hours&lt;br&gt;of Routine Asthma Exacerbation Management&lt;/b&gt;&lt;br&gt;&lt;i&gt;WITH any of the following:&lt;/i&gt;" vertex="1">
 <mxGeometry height="90" width="400" x="620" y="730" as="geometry" />
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-21" edge="1" parent="1" source="pRgEexwxrKvvUqylI0am-20" style="endArrow=classic;endSize=8;html=1;strokeWidth=2;strokeColor=#4472C4;exitX=0.5;exitY=1;exitDx=0;exitDy=0;" value="">
 <mxGeometry relative="1" as="geometry">
 <mxPoint x="820" y="860" as="targetPoint" />
 </mxGeometry>
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-22" parent="1" style="shape=partialRectangle;whiteSpace=wrap;html=1;fillColor=#dae8fc;strokeColor=#6c8ebf;strokeWidth=1.5;top=1;left=1;bottom=1;right=1;align=center;verticalAlign=middle;fontSize=11;" value="&lt;b&gt;Past Medical&lt;br&gt;History&lt;/b&gt;" vertex="1">
 <mxGeometry height="55" width="160" x="550" y="870" as="geometry" />
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-23" parent="1" style="shape=partialRectangle;whiteSpace=wrap;html=1;fillColor=#FFFFFF;strokeColor=#6c8ebf;strokeWidth=1.5;top=1;left=0;bottom=1;right=1;align=left;verticalAlign=middle;fontSize=11;" value="&lt;div style=&quot;padding-left:12px;&quot;&gt;1. History of recurrent pneumonia&lt;br&gt;2. History of pneumothorax&lt;/div&gt;" vertex="1">
 <mxGeometry height="55" width="340" x="710" y="870" as="geometry" />
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-24" parent="1" style="shape=partialRectangle;whiteSpace=wrap;html=1;fillColor=#dae8fc;strokeColor=#6c8ebf;strokeWidth=1.5;top=0;left=1;bottom=1;right=1;align=center;verticalAlign=middle;fontSize=11;" value="&lt;b&gt;RR &amp;gt; 40*&lt;/b&gt;" vertex="1">
 <mxGeometry height="40" width="160" x="550" y="925" as="geometry" />
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-25" parent="1" style="shape=partialRectangle;whiteSpace=wrap;html=1;fillColor=#FFFFFF;strokeColor=#6c8ebf;strokeWidth=1.5;top=0;left=0;bottom=1;right=1;align=center;verticalAlign=middle;fontSize=11;" value="2–5 years of age" vertex="1">
 <mxGeometry height="40" width="340" x="710" y="925" as="geometry" />
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-26" parent="1" style="shape=partialRectangle;whiteSpace=wrap;html=1;fillColor=#dae8fc;strokeColor=#6c8ebf;strokeWidth=1.5;top=0;left=1;bottom=1;right=1;align=center;verticalAlign=middle;fontSize=11;" value="&lt;b&gt;RR &amp;gt; 30*&lt;/b&gt;" vertex="1">
 <mxGeometry height="40" width="160" x="550" y="965" as="geometry" />
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-27" parent="1" style="shape=partialRectangle;whiteSpace=wrap;html=1;fillColor=#FFFFFF;strokeColor=#6c8ebf;strokeWidth=1.5;top=0;left=0;bottom=1;right=1;align=center;verticalAlign=middle;fontSize=11;" value="6–8 years of age" vertex="1">
 <mxGeometry height="40" width="340" x="710" y="965" as="geometry" />
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-28" parent="1" style="shape=partialRectangle;whiteSpace=wrap;html=1;fillColor=#dae8fc;strokeColor=#6c8ebf;strokeWidth=1.5;top=0;left=1;bottom=1;right=1;align=center;verticalAlign=middle;fontSize=11;" value="&lt;b&gt;RR &amp;gt; 20*&lt;/b&gt;" vertex="1">
 <mxGeometry height="40" width="160" x="550" y="1005" as="geometry" />
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-29" parent="1" style="shape=partialRectangle;whiteSpace=wrap;html=1;fillColor=#FFFFFF;strokeColor=#6c8ebf;strokeWidth=1.5;top=0;left=0;bottom=1;right=1;align=center;verticalAlign=middle;fontSize=11;" value="9–18 years of age" vertex="1">
 <mxGeometry height="40" width="340" x="710" y="1005" as="geometry" />
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-30" parent="1" style="shape=partialRectangle;whiteSpace=wrap;html=1;fillColor=#dae8fc;strokeColor=#6c8ebf;strokeWidth=1.5;top=0;left=1;bottom=1;right=1;align=center;verticalAlign=middle;fontSize=11;" value="&lt;b&gt;Pulse Oximetry&lt;/b&gt;" vertex="1">
 <mxGeometry height="75" width="160" x="550" y="1045" as="geometry" />
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-31" parent="1" style="shape=partialRectangle;whiteSpace=wrap;html=1;fillColor=#FFFFFF;strokeColor=#6c8ebf;strokeWidth=1.5;top=0;left=0;bottom=1;right=1;align=left;verticalAlign=middle;" value="&lt;div style=&quot;text-align:left;padding-left:12px;font-size:11px;&quot;&gt;Lowest SpO₂ &amp;lt;91% on room air*&lt;br&gt;&lt;b&gt;OR&lt;/b&gt; required inhaled FiO₂ &amp;gt;50% to keep saturations &amp;gt;90%&lt;br&gt;&lt;i style=&quot;color:#888;&quot;&gt;* after 2 hours of routine management&lt;/i&gt;&lt;/div&gt;" vertex="1">
 <mxGeometry height="75" width="340" x="710" y="1045" as="geometry" />
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-32" parent="1" style="shape=partialRectangle;whiteSpace=wrap;html=1;fillColor=#dae8fc;strokeColor=#6c8ebf;strokeWidth=1.5;top=0;left=1;bottom=1;right=1;align=center;verticalAlign=middle;fontSize=11;" value="&lt;b&gt;Lung Exam&lt;/b&gt;" vertex="1">
 <mxGeometry height="45" width="160" x="550" y="1120" as="geometry" />
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-33" parent="1" style="shape=partialRectangle;whiteSpace=wrap;html=1;fillColor=#FFFFFF;strokeColor=#6c8ebf;strokeWidth=1.5;top=0;left=0;bottom=1;right=1;align=center;verticalAlign=middle;fontSize=11;" value="Localizing findings or asymmetry on lung examination" vertex="1">
 <mxGeometry height="45" width="340" x="710" y="1120" as="geometry" />
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-34" edge="1" parent="1" style="endArrow=none;html=1;strokeWidth=2;strokeColor=#cc0000;" value="">
 <mxGeometry relative="1" as="geometry">
 <mxPoint x="285" y="810" as="sourcePoint" />
 <mxPoint x="285" y="1240" as="targetPoint" />
 </mxGeometry>
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-35" edge="1" parent="1" style="endArrow=none;html=1;strokeWidth=2;strokeColor=#cc0000;" value="">
 <mxGeometry relative="1" as="geometry">
 <mxPoint x="285" y="1240" as="sourcePoint" />
 <mxPoint x="540" y="1240" as="targetPoint" />
 </mxGeometry>
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-36" edge="1" parent="1" style="endArrow=none;html=1;strokeWidth=2;strokeColor=#4472C4;" value="">
 <mxGeometry relative="1" as="geometry">
 <mxPoint x="820" y="1165" as="sourcePoint" />
 <mxPoint x="820" y="1240" as="targetPoint" />
 </mxGeometry>
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-37" edge="1" parent="1" style="endArrow=none;html=1;strokeWidth=2;strokeColor=#4472C4;" value="">
 <mxGeometry relative="1" as="geometry">
 <mxPoint x="820" y="1240" as="sourcePoint" />
 <mxPoint x="540" y="1240" as="targetPoint" />
 </mxGeometry>
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-38" edge="1" parent="1" style="endArrow=classic;endSize=10;html=1;strokeWidth=2;strokeColor=#333333;" value="">
 <mxGeometry relative="1" as="geometry">
 <mxPoint x="540" y="1240" as="sourcePoint" />
 <mxPoint x="540" y="1280" as="targetPoint" />
 </mxGeometry>
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-39" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#d5e8d4;strokeColor=#82b366;strokeWidth=2;arcSize=20;shadow=1;" value="&lt;b style=&quot;font-size:14px;&quot;&gt;→ OBTAIN CHEST X-RAY&lt;/b&gt;" vertex="1">
 <mxGeometry height="55" width="400" x="340" y="1280" as="geometry" />
 </mxCell>
 <mxCell id="pRgEexwxrKvvUqylI0am-40" parent="1" style="text;html=1;align=center;verticalAlign=middle;resizable=0;points=[];autosize=1;strokeColor=none;fillColor=none;" value="&lt;i style=&quot;font-size:10px;color:#666666;&quot;&gt;* Respiratory rate thresholds apply after ≥ 2 hours of routine asthma exacerbation management&lt;/i&gt;" vertex="1">
 <mxGeometry height="30" width="520" x="310" y="1350" as="geometry" />
 </mxCell>
 </root>
 </mxGraphModel>
 </diagram>
</mxfile>
"><defs/><rect fill="#ffffff" style="fill: light-dark(#ffffff, var(--ge-dark-color, #121212));" width="100%" height="100%" x="0" y="0"/><g><g data-cell-id="0"><g data-cell-id="1"><g data-cell-id="pRgEexwxrKvvUqylI0am-1"><g transform="translate(0.5,0.5)"><rect x="579" y="9" width="2100" height="150" fill="none" stroke="none" pointer-events="all"/></g><g><g transform="scale(3)"><switch><foreignObject style="overflow: visible; text-align: left;" pointer-events="none" width="100%" height="100%" requiredFeatures="http://www.w3.org/TR/SVG11/feature#Extensibility"><div xmlns="http://www.w3.org/1999/xhtml" style="display: flex; align-items: unsafe center; justify-content: unsafe center; width: 1px; height: 1px; padding-top: 28px; margin-left: 543px;"><div style="box-sizing: border-box; font-size: 0; text-align: center; color: #000000; "><div style="display: inline-block; font-size: 12px; font-family: Helvetica; color: light-dark(#000000, #ffffff); line-height: 1.2; pointer-events: all; white-space: nowrap; "><b style="font-size:15px;letter-spacing:1px;">QI TO DECREASE UNNECESSARY CHEST X-RAY<br />IN ACUTE ASTHMA EXACERBATION IN CHILDREN 2–18 YEARS</b></div></div></div></foreignObject><text x="543" y="32" fill="light-dark(#000000, #ffffff)" font-family="Helvetica" font-size="12px" text-anchor="middle">QI TO DECREASE UNNECESSARY CHEST X-RAY...</text></switch></g></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-2"><g transform="translate(0.5,0.5)" style="filter: drop-shadow(light-dark(rgba(0, 0, 0, 0.25), rgba(237, 237, 237, 0.25)) 6px 9px 6px);"><rect x="24" y="249" width="990" height="390" rx="46.8" ry="46.8" fill="#dae8fc" style="fill: light-dark(rgb(218, 232, 252), rgb(29, 41, 59)); stroke: light-dark(rgb(108, 142, 191), rgb(92, 121, 163));" stroke="#6c8ebf" stroke-width="6" pointer-events="all"/></g><g><g transform="scale(3)"><switch><foreignObject style="overflow: visible; text-align: left;" pointer-events="none" width="100%" height="100%" requiredFeatures="http://www.w3.org/TR/SVG11/feature#Extensibility"><div xmlns="http://www.w3.org/1999/xhtml" style="display: flex; align-items: unsafe flex-start; justify-content: unsafe flex-start; width: 328px; height: 1px; padding-top: 90px; margin-left: 10px;"><div style="box-sizing: border-box; font-size: 0; text-align: left; color: #000000; "><div style="display: inline-block; font-size: 12px; font-family: Helvetica; color: light-dark(#000000, #ffffff); line-height: 1.2; pointer-events: all; white-space: normal; word-wrap: normal; "><div style="text-align:left;padding:10px;"><b style="font-size:12px;">INCLUSION CRITERIA</b><br /><br />• Children age 2–18 years<br />• Established asthma diagnosis<br />• Presentation consistent with acute asthma exacerbation</div></div></div></div></foreignObject><text x="10" y="102" fill="light-dark(#000000, #ffffff)" font-family="Helvetica" font-size="12px">INCLUSION CRITERIA...</text></switch></g></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-3"><g transform="translate(0.5,0.5)" style="filter: drop-shadow(light-dark(rgba(0, 0, 0, 0.25), rgba(237, 237, 237, 0.25)) 6px 9px 6px);"><rect x="1194" y="249" width="1590" height="930" rx="74.4" ry="74.4" fill="#f8cecc" style="fill: light-dark(rgb(248, 206, 204), rgb(81, 45, 43)); stroke: light-dark(rgb(184, 84, 80), rgb(215, 129, 126));" stroke="#b85450" stroke-width="6" pointer-events="all"/></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-4"><g transform="translate(0.5,0.5)"><rect x="1224" y="264" width="1530" height="315" fill="none" stroke="none" pointer-events="all"/></g><g><g transform="scale(3)"><switch><foreignObject style="overflow: visible; text-align: left;" pointer-events="none" width="100%" height="100%" requiredFeatures="http://www.w3.org/TR/SVG11/feature#Extensibility"><div xmlns="http://www.w3.org/1999/xhtml" style="display: flex; align-items: unsafe flex-start; justify-content: unsafe flex-start; width: 1px; height: 1px; padding-top: 95px; margin-left: 410px;"><div style="box-sizing: border-box; font-size: 0; text-align: left; color: #000000; "><div style="display: inline-block; font-size: 12px; font-family: Helvetica; color: light-dark(#000000, #ffffff); line-height: 1.2; pointer-events: all; white-space: nowrap; "><div style="text-align:left;padding:10px 10px 4px 10px;"><b style="font-size:12px;">EXCLUSION CRITERIA</b><br /><br />• Comorbidities: sickle cell disease, congenital heart disease,<br /> immunodeficiency, BPD, severe malnutrition<br />• First-time wheezing unrelated to prior asthma diagnosis</div></div></div></div></foreignObject><text x="410" y="107" fill="light-dark(#000000, #ffffff)" font-family="Helvetica" font-size="12px">EXCLUSION CRITERIA...</text></switch></g></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-5"><g transform="translate(0.5,0.5)"><path d="M 1254 595.5 L 2724 595.5" fill="none" stroke="#b85450" style="stroke: light-dark(rgb(184, 84, 80), rgb(215, 129, 126));" stroke-width="3" stroke-miterlimit="10" stroke-dasharray="15 9" pointer-events="all"/></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-6"><g transform="translate(0.5,0.5)"><rect x="1239" y="624" width="1515" height="525" rx="52.5" ry="52.5" fill="#f5e6e6" style="fill: light-dark(rgb(245, 230, 230), rgb(46, 33, 33)); stroke: light-dark(rgb(212, 160, 160), rgb(126, 81, 81));" stroke="#d4a0a0" stroke-width="3" stroke-dasharray="12 12" pointer-events="all"/></g><g><g transform="scale(3)"><switch><foreignObject style="overflow: visible; text-align: left;" pointer-events="none" width="100%" height="100%" requiredFeatures="http://www.w3.org/TR/SVG11/feature#Extensibility"><div xmlns="http://www.w3.org/1999/xhtml" style="display: flex; align-items: unsafe flex-start; justify-content: unsafe flex-start; width: 503px; height: 1px; padding-top: 215px; margin-left: 415px;"><div style="box-sizing: border-box; font-size: 0; text-align: left; color: #000000; "><div style="display: inline-block; font-size: 12px; font-family: Helvetica; color: light-dark(#000000, #ffffff); line-height: 1.2; pointer-events: all; white-space: normal; word-wrap: normal; "><div style="text-align:left;padding:8px 10px;"><b style="font-size: 11px; color: light-dark(rgb(184, 84, 80), rgb(215, 129, 126));">⚑ Other conditions where CXR is required:</b><br /><br /><table style="font-size:11px;border-collapse:collapse;width:100%;"><tbody><tr><td style="padding:3px 8px;vertical-align:top;">•</td><td style="padding:3px 0;">Physical findings suggestive of <b>pneumonia or parenchymal disease</b><br /><span style="color: light-dark(rgb(102, 102, 102), rgb(149, 149, 149));">(focal crackles, dullness, fever)</span></td></tr><tr><td style="padding:3px 8px;vertical-align:top;">•</td><td style="padding:3px 0;">Suspicion of <b>inhaled foreign body</b><br /><span style="color: light-dark(rgb(102, 102, 102), rgb(149, 149, 149));">(sudden onset, unilateral decreased breath sounds)</span></td></tr><tr><td style="padding:3px 8px;vertical-align:top;">•</td><td style="padding:3px 0;">Suspicion of <b>structural complications</b><br /><span style="color: light-dark(rgb(102, 102, 102), rgb(149, 149, 149));">(pneumothorax, pneumomediastinum)</span></td></tr><tr><td style="padding:3px 8px;vertical-align:top;">•</td><td style="padding:3px 0;"><b>Trauma, post-op</b></td></tr></tbody></table></div></div></div></div></foreignObject><text x="415" y="227" fill="light-dark(#000000, #ffffff)" font-family="Helvetica" font-size="12px">⚑ Other conditions where CXR is required:...</text></switch></g></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-7"><g transform="translate(0.5,0.5)"><path d="M 519 639 L 519 1269" fill="none" stroke="#888888" style="stroke: light-dark(rgb(136, 136, 136), rgb(120, 120, 120));" stroke-width="6" stroke-miterlimit="10" pointer-events="stroke"/></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-8"><g transform="translate(0.5,0.5)"><path d="M 519 1269 L 1989 1269" fill="none" stroke="#888888" style="stroke: light-dark(rgb(136, 136, 136), rgb(120, 120, 120));" stroke-width="6" stroke-miterlimit="10" pointer-events="stroke"/></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-9"><g transform="translate(0.5,0.5)"><path d="M 1989 1179 L 1989 1269" fill="none" stroke="#888888" style="stroke: light-dark(rgb(136, 136, 136), rgb(120, 120, 120));" stroke-width="6" stroke-miterlimit="10" pointer-events="stroke"/></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-10"><g transform="translate(0.5,0.5)"><path d="M 1254 1269 L 1254 1359.79" fill="none" stroke="#888888" style="stroke: light-dark(rgb(136, 136, 136), rgb(120, 120, 120));" stroke-width="6" stroke-miterlimit="10" pointer-events="stroke"/><path d="M 1254 1382.29 L 1239 1352.29 L 1254 1359.79 L 1269 1352.29 Z" fill="#888888" style="fill: light-dark(rgb(136, 136, 136), rgb(120, 120, 120)); stroke: light-dark(rgb(136, 136, 136), rgb(120, 120, 120));" stroke="#888888" stroke-width="6" stroke-miterlimit="10" pointer-events="all"/></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-11"><g transform="translate(0.5,0.5)" style="filter: drop-shadow(light-dark(rgba(0, 0, 0, 0.25), rgba(237, 237, 237, 0.25)) 6px 9px 6px);"><rect x="594" y="1389" width="1320" height="195" rx="39" ry="39" fill="#d5e8d4" style="fill: light-dark(rgb(213, 232, 212), rgb(31, 47, 30)); stroke: light-dark(rgb(130, 179, 102), rgb(68, 110, 44));" stroke="#82b366" stroke-width="6" pointer-events="all"/></g><g><g transform="scale(3)"><switch><foreignObject style="overflow: visible; text-align: left;" pointer-events="none" width="100%" height="100%" requiredFeatures="http://www.w3.org/TR/SVG11/feature#Extensibility"><div xmlns="http://www.w3.org/1999/xhtml" style="display: flex; align-items: unsafe center; justify-content: unsafe center; width: 438px; height: 1px; padding-top: 496px; margin-left: 199px;"><div style="box-sizing: border-box; font-size: 0; text-align: center; color: #000000; "><div style="display: inline-block; font-size: 12px; font-family: Helvetica; color: light-dark(#000000, #ffffff); line-height: 1.2; pointer-events: all; white-space: normal; word-wrap: normal; "><b style="font-size:13px;">DO NOT ROUTINELY OBTAIN CHEST X-RAY</b><br /><i>in typical / uncomplicated asthma exacerbation</i></div></div></div></foreignObject><text x="418" y="499" fill="light-dark(#000000, #ffffff)" font-family="Helvetica" font-size="12px" text-anchor="middle">DO NOT ROUTINELY OBTAIN CHEST X-RAY...</text></switch></g></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-12"><g transform="translate(0.5,0.5)"><path d="M 1254 1584 L 1265.38 1675.02" fill="none" stroke="#888888" style="stroke: light-dark(rgb(136, 136, 136), rgb(120, 120, 120));" stroke-width="6" stroke-miterlimit="10" pointer-events="stroke"/><path d="M 1268.17 1697.34 L 1249.56 1669.44 L 1265.38 1675.02 L 1279.33 1665.71 Z" fill="#888888" style="fill: light-dark(rgb(136, 136, 136), rgb(120, 120, 120)); stroke: light-dark(rgb(136, 136, 136), rgb(120, 120, 120));" stroke="#888888" stroke-width="6" stroke-miterlimit="10" pointer-events="all"/></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-13"><g transform="translate(0.5,0.5)" style="filter: drop-shadow(light-dark(rgba(0, 0, 0, 0.25), rgba(237, 237, 237, 0.25)) 6px 9px 6px);"><rect x="744" y="1704" width="1050" height="165" rx="33" ry="33" fill="#fff2cc" style="fill: light-dark(rgb(255, 242, 204), rgb(40, 29, 0)); stroke: light-dark(rgb(214, 182, 86), rgb(109, 81, 0));" stroke="#d6b656" stroke-width="6" pointer-events="all"/></g><g><g transform="scale(3)"><switch><foreignObject style="overflow: visible; text-align: left;" pointer-events="none" width="100%" height="100%" requiredFeatures="http://www.w3.org/TR/SVG11/feature#Extensibility"><div xmlns="http://www.w3.org/1999/xhtml" style="display: flex; align-items: unsafe center; justify-content: unsafe center; width: 348px; height: 1px; padding-top: 596px; margin-left: 249px;"><div style="box-sizing: border-box; font-size: 0; text-align: center; color: #000000; "><div style="display: inline-block; font-size: 12px; font-family: Helvetica; color: light-dark(#000000, #ffffff); line-height: 1.2; pointer-events: all; white-space: normal; word-wrap: normal; "><b style="font-size:13px;">CONSIDER OBTAINING CXR IF:</b></div></div></div></foreignObject><text x="423" y="599" fill="light-dark(#000000, #ffffff)" font-family="Helvetica" font-size="12px" text-anchor="middle">CONSIDER OBTAINING CXR IF:</text></switch></g></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-14"><g transform="translate(0.5,0.5)"><rect x="1194" y="1944" width="150" height="120" fill="none" stroke="none" pointer-events="all"/></g><g><g transform="scale(3)"><switch><foreignObject style="overflow: visible; text-align: left;" pointer-events="none" width="100%" height="100%" requiredFeatures="http://www.w3.org/TR/SVG11/feature#Extensibility"><div xmlns="http://www.w3.org/1999/xhtml" style="display: flex; align-items: unsafe center; justify-content: unsafe center; width: 1px; height: 1px; padding-top: 668px; margin-left: 423px;"><div style="box-sizing: border-box; font-size: 0; text-align: center; color: #000000; "><div style="display: inline-block; font-size: 12px; font-family: Helvetica; color: light-dark(#000000, #ffffff); line-height: 1.2; pointer-events: all; white-space: nowrap; "><b style="font-size: 18px; color: light-dark(rgb(204, 0, 0), rgb(255, 163, 163));">OR</b></div></div></div></foreignObject><text x="423" y="672" fill="light-dark(#000000, #ffffff)" font-family="Helvetica" font-size="12px" text-anchor="middle">OR</text></switch></g></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-15"><g transform="translate(0.5,0.5)"><path d="M 744 1785 L 489 1785" fill="none" stroke="#cc0000" style="stroke: light-dark(rgb(204, 0, 0), rgb(255, 163, 163));" stroke-width="6" stroke-miterlimit="10" pointer-events="stroke"/></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-16"><g transform="translate(0.5,0.5)"><path d="M 489 1785 L 489 2049.79" fill="none" stroke="#cc0000" style="stroke: light-dark(rgb(204, 0, 0), rgb(255, 163, 163));" stroke-width="6" stroke-miterlimit="10" pointer-events="stroke"/><path d="M 489 2072.29 L 474 2042.29 L 489 2049.79 L 504 2042.29 Z" fill="#cc0000" style="fill: light-dark(rgb(204, 0, 0), rgb(255, 163, 163)); stroke: light-dark(rgb(204, 0, 0), rgb(255, 163, 163));" stroke="#cc0000" stroke-width="6" stroke-miterlimit="10" pointer-events="all"/></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-17"><g transform="translate(0.5,0.5)" style="filter: drop-shadow(light-dark(rgba(0, 0, 0, 0.25), rgba(237, 237, 237, 0.25)) 6px 9px 6px);"><rect x="84" y="2079" width="810" height="240" rx="36" ry="36" fill="#f8cecc" style="fill: light-dark(rgb(248, 206, 204), rgb(81, 45, 43)); stroke: light-dark(rgb(184, 84, 80), rgb(215, 129, 126));" stroke="#b85450" stroke-width="6" pointer-events="all"/></g><g><g transform="scale(3)"><switch><foreignObject style="overflow: visible; text-align: left;" pointer-events="none" width="100%" height="100%" requiredFeatures="http://www.w3.org/TR/SVG11/feature#Extensibility"><div xmlns="http://www.w3.org/1999/xhtml" style="display: flex; align-items: unsafe center; justify-content: unsafe center; width: 268px; height: 1px; padding-top: 733px; margin-left: 29px;"><div style="box-sizing: border-box; font-size: 0; text-align: center; color: #000000; "><div style="display: inline-block; font-size: 12px; font-family: Helvetica; color: light-dark(#000000, #ffffff); line-height: 1.2; pointer-events: all; white-space: normal; word-wrap: normal; "><b style="font-size:12px;">Severe Respiratory Distress<br />Respiratory Score 7–12</b></div></div></div></foreignObject><text x="163" y="737" fill="light-dark(#000000, #ffffff)" font-family="Helvetica" font-size="12px" text-anchor="middle">Severe Respiratory Distress...</text></switch></g></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-18"><g transform="translate(0.5,0.5)"><path d="M 1794 1785 L 2094 1785" fill="none" stroke="#4472c4" style="stroke: light-dark(rgb(68, 114, 196), rgb(106, 146, 216));" stroke-width="6" stroke-miterlimit="10" pointer-events="stroke"/></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-19"><g transform="translate(0.5,0.5)"><path d="M 2094 1785 L 2094 2049.79" fill="none" stroke="#4472c4" style="stroke: light-dark(rgb(68, 114, 196), rgb(106, 146, 216));" stroke-width="6" stroke-miterlimit="10" pointer-events="stroke"/><path d="M 2094 2072.29 L 2079 2042.29 L 2094 2049.79 L 2109 2042.29 Z" fill="#4472c4" style="fill: light-dark(rgb(68, 114, 196), rgb(106, 146, 216)); stroke: light-dark(rgb(68, 114, 196), rgb(106, 146, 216));" stroke="#4472c4" stroke-width="6" stroke-miterlimit="10" pointer-events="all"/></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-20"><g transform="translate(0.5,0.5)" style="filter: drop-shadow(light-dark(rgba(0, 0, 0, 0.25), rgba(237, 237, 237, 0.25)) 6px 9px 6px);"><rect x="1494" y="2079" width="1200" height="270" rx="40.5" ry="40.5" fill="#f8cecc" style="fill: light-dark(rgb(248, 206, 204), rgb(81, 45, 43)); stroke: light-dark(rgb(184, 84, 80), rgb(215, 129, 126));" stroke="#b85450" stroke-width="6" pointer-events="all"/></g><g><g transform="scale(3)"><switch><foreignObject style="overflow: visible; text-align: left;" pointer-events="none" width="100%" height="100%" requiredFeatures="http://www.w3.org/TR/SVG11/feature#Extensibility"><div xmlns="http://www.w3.org/1999/xhtml" style="display: flex; align-items: unsafe center; justify-content: unsafe center; width: 398px; height: 1px; padding-top: 738px; margin-left: 499px;"><div style="box-sizing: border-box; font-size: 0; text-align: center; color: #000000; "><div style="display: inline-block; font-size: 12px; font-family: Helvetica; color: light-dark(#000000, #ffffff); line-height: 1.2; pointer-events: all; white-space: normal; word-wrap: normal; "><b style="font-size:12px;">Inadequate Response After ≥ 2 Hours<br />of Routine Asthma Exacerbation Management</b><br /><i>WITH any of the following:</i></div></div></div></foreignObject><text x="698" y="742" fill="light-dark(#000000, #ffffff)" font-family="Helvetica" font-size="12px" text-anchor="middle">Inadequate Response After ≥ 2 Hours...</text></switch></g></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-21"><g transform="translate(0.5,0.5)"><path d="M 2094 2349 L 2094 2439.79" fill="none" stroke="#4472c4" style="stroke: light-dark(rgb(68, 114, 196), rgb(106, 146, 216));" stroke-width="6" stroke-miterlimit="10" pointer-events="stroke"/><path d="M 2094 2462.29 L 2079 2432.29 L 2094 2439.79 L 2109 2432.29 Z" fill="#4472c4" style="fill: light-dark(rgb(68, 114, 196), rgb(106, 146, 216)); stroke: light-dark(rgb(68, 114, 196), rgb(106, 146, 216));" stroke="#4472c4" stroke-width="6" stroke-miterlimit="10" pointer-events="all"/></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-22"><g transform="translate(0.5,0.5)"><rect x="1284" y="2499" width="480" height="165" fill="#dae8fc" style="fill: light-dark(rgb(218, 232, 252), rgb(29, 41, 59));" stroke="none" pointer-events="all"/><path d="M 1284 2499 L 1764 2499 L 1764 2664 L 1284 2664 L 1284 2499" fill="none" stroke="#6c8ebf" style="stroke: light-dark(rgb(108, 142, 191), rgb(92, 121, 163));" stroke-width="4.5" stroke-linecap="square" stroke-miterlimit="10" pointer-events="all"/></g><g><g transform="scale(3)"><switch><foreignObject style="overflow: visible; text-align: left;" pointer-events="none" width="100%" height="100%" requiredFeatures="http://www.w3.org/TR/SVG11/feature#Extensibility"><div xmlns="http://www.w3.org/1999/xhtml" style="display: flex; align-items: unsafe center; justify-content: unsafe center; width: 158px; height: 1px; padding-top: 861px; margin-left: 429px;"><div style="box-sizing: border-box; font-size: 0; text-align: center; color: #000000; "><div style="display: inline-block; font-size: 11px; font-family: Helvetica; color: light-dark(#000000, #ffffff); line-height: 1.2; pointer-events: all; white-space: normal; word-wrap: normal; "><b>Past Medical<br />History</b></div></div></div></foreignObject><text x="508" y="864" fill="light-dark(#000000, #ffffff)" font-family="Helvetica" font-size="11px" text-anchor="middle">Past Medical...</text></switch></g></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-23"><g transform="translate(0.5,0.5)"><rect x="1764" y="2499" width="1020" height="165" fill="#ffffff" style="fill: light-dark(rgb(255, 255, 255), rgb(18, 18, 18));" stroke="none" pointer-events="all"/><path d="M 1764 2499 L 2784 2499 L 2784 2664 L 1764 2664" fill="none" stroke="#6c8ebf" style="stroke: light-dark(rgb(108, 142, 191), rgb(92, 121, 163));" stroke-width="4.5" stroke-linecap="square" stroke-miterlimit="10" pointer-events="all"/></g><g><g transform="scale(3)"><switch><foreignObject style="overflow: visible; text-align: left;" pointer-events="none" width="100%" height="100%" requiredFeatures="http://www.w3.org/TR/SVG11/feature#Extensibility"><div xmlns="http://www.w3.org/1999/xhtml" style="display: flex; align-items: unsafe center; justify-content: unsafe flex-start; width: 338px; height: 1px; padding-top: 861px; margin-left: 590px;"><div style="box-sizing: border-box; font-size: 0; text-align: left; color: #000000; "><div style="display: inline-block; font-size: 11px; font-family: Helvetica; color: light-dark(#000000, #ffffff); line-height: 1.2; pointer-events: all; white-space: normal; word-wrap: normal; "><div style="padding-left:12px;">1. History of recurrent pneumonia<br />2. History of pneumothorax</div></div></div></div></foreignObject><text x="590" y="864" fill="light-dark(#000000, #ffffff)" font-family="Helvetica" font-size="11px">1. History of recurrent pneumonia...</text></switch></g></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-24"><g transform="translate(0.5,0.5)"><rect x="1284" y="2664" width="480" height="120" fill="#dae8fc" style="fill: light-dark(rgb(218, 232, 252), rgb(29, 41, 59));" stroke="none" pointer-events="all"/><path d="M 1284 2664 M 1764 2664 L 1764 2784 L 1284 2784 L 1284 2664" fill="none" stroke="#6c8ebf" style="stroke: light-dark(rgb(108, 142, 191), rgb(92, 121, 163));" stroke-width="4.5" stroke-linecap="square" stroke-miterlimit="10" pointer-events="all"/></g><g><g transform="scale(3)"><switch><foreignObject style="overflow: visible; text-align: left;" pointer-events="none" width="100%" height="100%" requiredFeatures="http://www.w3.org/TR/SVG11/feature#Extensibility"><div xmlns="http://www.w3.org/1999/xhtml" style="display: flex; align-items: unsafe center; justify-content: unsafe center; width: 158px; height: 1px; padding-top: 908px; margin-left: 429px;"><div style="box-sizing: border-box; font-size: 0; text-align: center; color: #000000; "><div style="display: inline-block; font-size: 11px; font-family: Helvetica; color: light-dark(#000000, #ffffff); line-height: 1.2; pointer-events: all; white-space: normal; word-wrap: normal; "><b>RR > 40*</b></div></div></div></foreignObject><text x="508" y="911" fill="light-dark(#000000, #ffffff)" font-family="Helvetica" font-size="11px" text-anchor="middle">RR > 40*</text></switch></g></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-25"><g transform="translate(0.5,0.5)"><rect x="1764" y="2664" width="1020" height="120" fill="#ffffff" style="fill: light-dark(rgb(255, 255, 255), rgb(18, 18, 18));" stroke="none" pointer-events="all"/><path d="M 1764 2664 M 2784 2664 L 2784 2784 L 1764 2784" fill="none" stroke="#6c8ebf" style="stroke: light-dark(rgb(108, 142, 191), rgb(92, 121, 163));" stroke-width="4.5" stroke-linecap="square" stroke-miterlimit="10" pointer-events="all"/></g><g><g transform="scale(3)"><switch><foreignObject style="overflow: visible; text-align: left;" pointer-events="none" width="100%" height="100%" requiredFeatures="http://www.w3.org/TR/SVG11/feature#Extensibility"><div xmlns="http://www.w3.org/1999/xhtml" style="display: flex; align-items: unsafe center; justify-content: unsafe center; width: 338px; height: 1px; padding-top: 908px; margin-left: 589px;"><div style="box-sizing: border-box; font-size: 0; text-align: center; color: #000000; "><div style="display: inline-block; font-size: 11px; font-family: Helvetica; color: light-dark(#000000, #ffffff); line-height: 1.2; pointer-events: all; white-space: normal; word-wrap: normal; ">2–5 years of age</div></div></div></foreignObject><text x="758" y="911" fill="light-dark(#000000, #ffffff)" font-family="Helvetica" font-size="11px" text-anchor="middle">2–5 years of age</text></switch></g></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-26"><g transform="translate(0.5,0.5)"><rect x="1284" y="2784" width="480" height="120" fill="#dae8fc" style="fill: light-dark(rgb(218, 232, 252), rgb(29, 41, 59));" stroke="none" pointer-events="all"/><path d="M 1284 2784 M 1764 2784 L 1764 2904 L 1284 2904 L 1284 2784" fill="none" stroke="#6c8ebf" style="stroke: light-dark(rgb(108, 142, 191), rgb(92, 121, 163));" stroke-width="4.5" stroke-linecap="square" stroke-miterlimit="10" pointer-events="all"/></g><g><g transform="scale(3)"><switch><foreignObject style="overflow: visible; text-align: left;" pointer-events="none" width="100%" height="100%" requiredFeatures="http://www.w3.org/TR/SVG11/feature#Extensibility"><div xmlns="http://www.w3.org/1999/xhtml" style="display: flex; align-items: unsafe center; justify-content: unsafe center; width: 158px; height: 1px; padding-top: 948px; margin-left: 429px;"><div style="box-sizing: border-box; font-size: 0; text-align: center; color: #000000; "><div style="display: inline-block; font-size: 11px; font-family: Helvetica; color: light-dark(#000000, #ffffff); line-height: 1.2; pointer-events: all; white-space: normal; word-wrap: normal; "><b>RR > 30*</b></div></div></div></foreignObject><text x="508" y="951" fill="light-dark(#000000, #ffffff)" font-family="Helvetica" font-size="11px" text-anchor="middle">RR > 30*</text></switch></g></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-27"><g transform="translate(0.5,0.5)"><rect x="1764" y="2784" width="1020" height="120" fill="#ffffff" style="fill: light-dark(rgb(255, 255, 255), rgb(18, 18, 18));" stroke="none" pointer-events="all"/><path d="M 1764 2784 M 2784 2784 L 2784 2904 L 1764 2904" fill="none" stroke="#6c8ebf" style="stroke: light-dark(rgb(108, 142, 191), rgb(92, 121, 163));" stroke-width="4.5" stroke-linecap="square" stroke-miterlimit="10" pointer-events="all"/></g><g><g transform="scale(3)"><switch><foreignObject style="overflow: visible; text-align: left;" pointer-events="none" width="100%" height="100%" requiredFeatures="http://www.w3.org/TR/SVG11/feature#Extensibility"><div xmlns="http://www.w3.org/1999/xhtml" style="display: flex; align-items: unsafe center; justify-content: unsafe center; width: 338px; height: 1px; padding-top: 948px; margin-left: 589px;"><div style="box-sizing: border-box; font-size: 0; text-align: center; color: #000000; "><div style="display: inline-block; font-size: 11px; font-family: Helvetica; color: light-dark(#000000, #ffffff); line-height: 1.2; pointer-events: all; white-space: normal; word-wrap: normal; ">6–8 years of age</div></div></div></foreignObject><text x="758" y="951" fill="light-dark(#000000, #ffffff)" font-family="Helvetica" font-size="11px" text-anchor="middle">6–8 years of age</text></switch></g></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-28"><g transform="translate(0.5,0.5)"><rect x="1284" y="2904" width="480" height="120" fill="#dae8fc" style="fill: light-dark(rgb(218, 232, 252), rgb(29, 41, 59));" stroke="none" pointer-events="all"/><path d="M 1284 2904 M 1764 2904 L 1764 3024 L 1284 3024 L 1284 2904" fill="none" stroke="#6c8ebf" style="stroke: light-dark(rgb(108, 142, 191), rgb(92, 121, 163));" stroke-width="4.5" stroke-linecap="square" stroke-miterlimit="10" pointer-events="all"/></g><g><g transform="scale(3)"><switch><foreignObject style="overflow: visible; text-align: left;" pointer-events="none" width="100%" height="100%" requiredFeatures="http://www.w3.org/TR/SVG11/feature#Extensibility"><div xmlns="http://www.w3.org/1999/xhtml" style="display: flex; align-items: unsafe center; justify-content: unsafe center; width: 158px; height: 1px; padding-top: 988px; margin-left: 429px;"><div style="box-sizing: border-box; font-size: 0; text-align: center; color: #000000; "><div style="display: inline-block; font-size: 11px; font-family: Helvetica; color: light-dark(#000000, #ffffff); line-height: 1.2; pointer-events: all; white-space: normal; word-wrap: normal; "><b>RR > 20*</b></div></div></div></foreignObject><text x="508" y="991" fill="light-dark(#000000, #ffffff)" font-family="Helvetica" font-size="11px" text-anchor="middle">RR > 20*</text></switch></g></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-29"><g transform="translate(0.5,0.5)"><rect x="1764" y="2904" width="1020" height="120" fill="#ffffff" style="fill: light-dark(rgb(255, 255, 255), rgb(18, 18, 18));" stroke="none" pointer-events="all"/><path d="M 1764 2904 M 2784 2904 L 2784 3024 L 1764 3024" fill="none" stroke="#6c8ebf" style="stroke: light-dark(rgb(108, 142, 191), rgb(92, 121, 163));" stroke-width="4.5" stroke-linecap="square" stroke-miterlimit="10" pointer-events="all"/></g><g><g transform="scale(3)"><switch><foreignObject style="overflow: visible; text-align: left;" pointer-events="none" width="100%" height="100%" requiredFeatures="http://www.w3.org/TR/SVG11/feature#Extensibility"><div xmlns="http://www.w3.org/1999/xhtml" style="display: flex; align-items: unsafe center; justify-content: unsafe center; width: 338px; height: 1px; padding-top: 988px; margin-left: 589px;"><div style="box-sizing: border-box; font-size: 0; text-align: center; color: #000000; "><div style="display: inline-block; font-size: 11px; font-family: Helvetica; color: light-dark(#000000, #ffffff); line-height: 1.2; pointer-events: all; white-space: normal; word-wrap: normal; ">9–18 years of age</div></div></div></foreignObject><text x="758" y="991" fill="light-dark(#000000, #ffffff)" font-family="Helvetica" font-size="11px" text-anchor="middle">9–18 years of age</text></switch></g></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-30"><g transform="translate(0.5,0.5)"><rect x="1284" y="3024" width="480" height="225" fill="#dae8fc" style="fill: light-dark(rgb(218, 232, 252), rgb(29, 41, 59));" stroke="none" pointer-events="all"/><path d="M 1284 3024 M 1764 3024 L 1764 3249 L 1284 3249 L 1284 3024" fill="none" stroke="#6c8ebf" style="stroke: light-dark(rgb(108, 142, 191), rgb(92, 121, 163));" stroke-width="4.5" stroke-linecap="square" stroke-miterlimit="10" pointer-events="all"/></g><g><g transform="scale(3)"><switch><foreignObject style="overflow: visible; text-align: left;" pointer-events="none" width="100%" height="100%" requiredFeatures="http://www.w3.org/TR/SVG11/feature#Extensibility"><div xmlns="http://www.w3.org/1999/xhtml" style="display: flex; align-items: unsafe center; justify-content: unsafe center; width: 158px; height: 1px; padding-top: 1046px; margin-left: 429px;"><div style="box-sizing: border-box; font-size: 0; text-align: center; color: #000000; "><div style="display: inline-block; font-size: 11px; font-family: Helvetica; color: light-dark(#000000, #ffffff); line-height: 1.2; pointer-events: all; white-space: normal; word-wrap: normal; "><b>Pulse Oximetry</b></div></div></div></foreignObject><text x="508" y="1049" fill="light-dark(#000000, #ffffff)" font-family="Helvetica" font-size="11px" text-anchor="middle">Pulse Oximetry</text></switch></g></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-31"><g transform="translate(0.5,0.5)"><rect x="1764" y="3024" width="1020" height="225" fill="#ffffff" style="fill: light-dark(rgb(255, 255, 255), rgb(18, 18, 18));" stroke="none" pointer-events="all"/><path d="M 1764 3024 M 2784 3024 L 2784 3249 L 1764 3249" fill="none" stroke="#6c8ebf" style="stroke: light-dark(rgb(108, 142, 191), rgb(92, 121, 163));" stroke-width="4.5" stroke-linecap="square" stroke-miterlimit="10" pointer-events="all"/></g><g><g transform="scale(3)"><switch><foreignObject style="overflow: visible; text-align: left;" pointer-events="none" width="100%" height="100%" requiredFeatures="http://www.w3.org/TR/SVG11/feature#Extensibility"><div xmlns="http://www.w3.org/1999/xhtml" style="display: flex; align-items: unsafe center; justify-content: unsafe flex-start; width: 338px; height: 1px; padding-top: 1046px; margin-left: 590px;"><div style="box-sizing: border-box; font-size: 0; text-align: left; color: #000000; "><div style="display: inline-block; font-size: 12px; font-family: Helvetica; color: light-dark(#000000, #ffffff); line-height: 1.2; pointer-events: all; white-space: normal; word-wrap: normal; "><div style="text-align:left;padding-left:12px;font-size:11px;">Lowest SpO₂ <91% on room air*<br /><b>OR</b> required inhaled FiO₂ >50% to keep saturations >90%<br /><i style="color: light-dark(rgb(136, 136, 136), rgb(120, 120, 120));">* after 2 hours of routine management</i></div></div></div></div></foreignObject><text x="590" y="1049" fill="light-dark(#000000, #ffffff)" font-family="Helvetica" font-size="12px">Lowest SpO₂ <91% on room air*...</text></switch></g></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-32"><g transform="translate(0.5,0.5)"><rect x="1284" y="3249" width="480" height="135" fill="#dae8fc" style="fill: light-dark(rgb(218, 232, 252), rgb(29, 41, 59));" stroke="none" pointer-events="all"/><path d="M 1284 3249 M 1764 3249 L 1764 3384 L 1284 3384 L 1284 3249" fill="none" stroke="#6c8ebf" style="stroke: light-dark(rgb(108, 142, 191), rgb(92, 121, 163));" stroke-width="4.5" stroke-linecap="square" stroke-miterlimit="10" pointer-events="all"/></g><g><g transform="scale(3)"><switch><foreignObject style="overflow: visible; text-align: left;" pointer-events="none" width="100%" height="100%" requiredFeatures="http://www.w3.org/TR/SVG11/feature#Extensibility"><div xmlns="http://www.w3.org/1999/xhtml" style="display: flex; align-items: unsafe center; justify-content: unsafe center; width: 158px; height: 1px; padding-top: 1106px; margin-left: 429px;"><div style="box-sizing: border-box; font-size: 0; text-align: center; color: #000000; "><div style="display: inline-block; font-size: 11px; font-family: Helvetica; color: light-dark(#000000, #ffffff); line-height: 1.2; pointer-events: all; white-space: normal; word-wrap: normal; "><b>Lung Exam</b></div></div></div></foreignObject><text x="508" y="1109" fill="light-dark(#000000, #ffffff)" font-family="Helvetica" font-size="11px" text-anchor="middle">Lung Exam</text></switch></g></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-33"><g transform="translate(0.5,0.5)"><rect x="1764" y="3249" width="1020" height="135" fill="#ffffff" style="fill: light-dark(rgb(255, 255, 255), rgb(18, 18, 18));" stroke="none" pointer-events="all"/><path d="M 1764 3249 M 2784 3249 L 2784 3384 L 1764 3384" fill="none" stroke="#6c8ebf" style="stroke: light-dark(rgb(108, 142, 191), rgb(92, 121, 163));" stroke-width="4.5" stroke-linecap="square" stroke-miterlimit="10" pointer-events="all"/></g><g><g transform="scale(3)"><switch><foreignObject style="overflow: visible; text-align: left;" pointer-events="none" width="100%" height="100%" requiredFeatures="http://www.w3.org/TR/SVG11/feature#Extensibility"><div xmlns="http://www.w3.org/1999/xhtml" style="display: flex; align-items: unsafe center; justify-content: unsafe center; width: 338px; height: 1px; padding-top: 1106px; margin-left: 589px;"><div style="box-sizing: border-box; font-size: 0; text-align: center; color: #000000; "><div style="display: inline-block; font-size: 11px; font-family: Helvetica; color: light-dark(#000000, #ffffff); line-height: 1.2; pointer-events: all; white-space: normal; word-wrap: normal; ">Localizing findings or asymmetry on lung examination</div></div></div></foreignObject><text x="758" y="1109" fill="light-dark(#000000, #ffffff)" font-family="Helvetica" font-size="11px" text-anchor="middle">Localizing findings or asymmetry on lung examination</text></switch></g></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-34"><g transform="translate(0.5,0.5)"><path d="M 489 2319 L 489 3609" fill="none" stroke="#cc0000" style="stroke: light-dark(rgb(204, 0, 0), rgb(255, 163, 163));" stroke-width="6" stroke-miterlimit="10" pointer-events="stroke"/></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-35"><g transform="translate(0.5,0.5)"><path d="M 489 3609 L 1254 3609" fill="none" stroke="#cc0000" style="stroke: light-dark(rgb(204, 0, 0), rgb(255, 163, 163));" stroke-width="6" stroke-miterlimit="10" pointer-events="stroke"/></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-36"><g transform="translate(0.5,0.5)"><path d="M 2094 3384 L 2094 3609" fill="none" stroke="#4472c4" style="stroke: light-dark(rgb(68, 114, 196), rgb(106, 146, 216));" stroke-width="6" stroke-miterlimit="10" pointer-events="stroke"/></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-37"><g transform="translate(0.5,0.5)"><path d="M 2094 3609 L 1254 3609" fill="none" stroke="#4472c4" style="stroke: light-dark(rgb(68, 114, 196), rgb(106, 146, 216));" stroke-width="6" stroke-miterlimit="10" pointer-events="stroke"/></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-38"><g transform="translate(0.5,0.5)"><path d="M 1254 3609 L 1254 3695.29" fill="none" stroke="#333333" style="stroke: light-dark(rgb(51, 51, 51), rgb(193, 193, 193));" stroke-width="6" stroke-miterlimit="10" pointer-events="stroke"/><path d="M 1254 3722.29 L 1236 3686.29 L 1254 3695.29 L 1272 3686.29 Z" fill="#333333" style="fill: light-dark(rgb(51, 51, 51), rgb(193, 193, 193)); stroke: light-dark(rgb(51, 51, 51), rgb(193, 193, 193));" stroke="#333333" stroke-width="6" stroke-miterlimit="10" pointer-events="all"/></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-39"><g transform="translate(0.5,0.5)" style="filter: drop-shadow(light-dark(rgba(0, 0, 0, 0.25), rgba(237, 237, 237, 0.25)) 6px 9px 6px);"><rect x="654" y="3729" width="1200" height="165" rx="33" ry="33" fill="#d5e8d4" style="fill: light-dark(rgb(213, 232, 212), rgb(31, 47, 30)); stroke: light-dark(rgb(130, 179, 102), rgb(68, 110, 44));" stroke="#82b366" stroke-width="6" pointer-events="all"/></g><g><g transform="scale(3)"><switch><foreignObject style="overflow: visible; text-align: left;" pointer-events="none" width="100%" height="100%" requiredFeatures="http://www.w3.org/TR/SVG11/feature#Extensibility"><div xmlns="http://www.w3.org/1999/xhtml" style="display: flex; align-items: unsafe center; justify-content: unsafe center; width: 398px; height: 1px; padding-top: 1271px; margin-left: 219px;"><div style="box-sizing: border-box; font-size: 0; text-align: center; color: #000000; "><div style="display: inline-block; font-size: 12px; font-family: Helvetica; color: light-dark(#000000, #ffffff); line-height: 1.2; pointer-events: all; white-space: normal; word-wrap: normal; "><b style="font-size:14px;">→ OBTAIN CHEST X-RAY</b></div></div></div></foreignObject><text x="418" y="1274" fill="light-dark(#000000, #ffffff)" font-family="Helvetica" font-size="12px" text-anchor="middle">→ OBTAIN CHEST X-RAY</text></switch></g></g></g><g data-cell-id="pRgEexwxrKvvUqylI0am-40"><g transform="translate(0.5,0.5)"><rect x="564" y="3939" width="1560" height="90" fill="none" stroke="none" pointer-events="all"/></g><g><g transform="scale(3)"><switch><foreignObject style="overflow: visible; text-align: left;" pointer-events="none" width="100%" height="100%" requiredFeatures="http://www.w3.org/TR/SVG11/feature#Extensibility"><div xmlns="http://www.w3.org/1999/xhtml" style="display: flex; align-items: unsafe center; justify-content: unsafe center; width: 1px; height: 1px; padding-top: 1328px; margin-left: 448px;"><div style="box-sizing: border-box; font-size: 0; text-align: center; color: #000000; "><div style="display: inline-block; font-size: 12px; font-family: Helvetica; color: light-dark(#000000, #ffffff); line-height: 1.2; pointer-events: all; white-space: nowrap; "><i style="font-size: 10px; color: light-dark(rgb(102, 102, 102), rgb(149, 149, 149));">* Respiratory rate thresholds apply after ≥ 2 hours of routine asthma exacerbation management</i></div></div></div></foreignObject><text x="448" y="1332" fill="light-dark(#000000, #ffffff)" font-family="Helvetica" font-size="12px" text-anchor="middle">* Respiratory rate thresholds apply after ≥ 2 hours of routine asthma exacerbation mana...</text></switch></g></g></g></g></g></g></svg> |