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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES & RELATED

Rebellion in EM 2019: 3 Things That Have Changed the Way I Intubate

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miércoles, 18 de abril de 2018

Pancreatitis

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emDocs - April 16, 2018 - Author: Waller A -  Edited by: Koyfman A and Long B
"Key Points
  • Diagnosis of pancreatitis: 2 out of 3 criteria met => upper abdominal pain (clinical), serum lipase or amylase >3x upper limit of normal (laboratory), or imaging findings of pancreatic inflammation.
  • CT is not necessary if diagnosis can be made without it and is better obtained later in the disease course if needed.
  • Patients should receive a RUQ US in the ED if it will impact management.
  • Be cautious and avoid normal saline for fluid resuscitation (Lactated Ringer’s likely best).
  • APACHE II and BISAP score are the most useful predictors of mortality in the ED, but keep the entire clinical picture in mind.
  • There is little research to support discharging patients from the ED, but it may be possible in specific circumstances."