View Post

Tiny Tip: Ranson’s Criteria in Pancreatitis

In Medical Concepts, Tiny Tips by Doran DrewLeave a Comment

Editor’s Note: Last week we ran a tiny tip for the BISAP score which is an emergency department friendly way to evaluate the severity of disease. The more traditional RANSON criteria hasn’t gone completely out of style though. It may be particularly helpful when coordinating admission and prognosticating in those who will become inpatients.  Ranson’s Criteria [1] is a well-validated clinical tool designed for the risk stratification of acute pancreatitis. Based on parameters collected …

View Post

Tiny Tip: BISAP for Pancreatitis

In Featured, Medical Concepts, Tiny Tips by Doran Drew2 Comments

EDITOR’S NOTE: I often struggle with determining whether the presentation is pancreatitis or whether it’s PANCREATITIS. There are a number of scoring systems to help evaluate this question but one in particular is nicely suited to the Emergency Department. I like Doran’s Tiny Tip that can help you remember some of the key features to consider. – EP The severity and sequelae of acute pancreatitis range wildly, from mild epigastric pain with a benign natural history …

View Post

Clinical Question: How useful is the β-HCG discriminatory zone in a suspected ectopic pregnancy?

In Clinical Questions, Medical Concepts by Taft MicksLeave a Comment

For female patients presenting to the emergency department with a positive serum β-HCG as well as abdominal pain, vaginal bleeding, syncope, or hypotension, the prudent emergency physician must rule out an ectopic pregnancy (EP). This potentially life-threatening entity is estimated to occur in 1.5 to 2% of all pregnancies and ruptured ectopic pregnancies account for 6% of all maternal deaths . Point-of-care ultrasound (either trans-abdominal or trans-vaginal) has become the standard of care …