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welcome to the acute heart failure protocol module before we start I'll give some background on heart failure and the importance of this protocol acute heart failure leads to over 1 million admissions to the emergency department in the US and each year the hospitalization costs total twenty billion dollars ninety percent of these patients get admitted and most are treated with the routine treatment of the patients that present with heart failure to the emergency department more than 50 percent qualified to be discharged the diagram below shows the phenotypes that can be seen with acute heart failure which can often go unrecognized some of the phenotypes we will discuss during this module include pulmonary edema and right heart failure as well as other more specific phenotypes not shown in this diagram but will be discussed later to satisfy the objectives listed below we propose a protocol that can be used to rapidly identify the acute heart failure phenotype that includes focused echo...