Episode 121.0 – Pancreatitis

This week we dive into the diagnosis and management of pancreatitis in the ED

November 13th, 2017 Download Leave a Comment Tags: , ,

Show Notes

Ranson’s Criteria for Pancreatitis-Associated Mortality (Rosen’s)

Take Home Points

  • Pancreatitis is diagnosed by a combination of clinical features (epigastric pain with radiation to back, nausea/vomiting etc) and diagnostic tests (lipsae 3x normal, CT scan)
  • A RUQ US should be performed looking for gallstones as this finding significantly alters management
  • The focus of management is on supportive care. IV fluids, while central to therapy, should be given judiciously and titrated to end organ perfusion
  • Patients will mild pancreatitis who are tolerating oral intake and can reliably follow up, can be discharged home

Read More

Hemphill RR, Santen SA: Disorders of the Pancreas; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2010, (Ch) 91: p 1205-1226

PulmCrit: The Myth of Large-Volume Resuscitation in Acute Pancreatitis

PulmCrit: Hypertriglyceridemic Pancreatitis: Can We Defuse the Bomb?

Leave a Reply

Your email address will not be published.