Archive

Tag: MDCalc Wars

MDCalc Wars – The Rise of BISAP: Is Ranson Retiring?

Predicting severity in acute pancreatitis matters — it guides where patients go, how closely we watch them, and how aggressively we manage fluids and complications. Two of the most commonly used tools are Ranson’s Criteria and the BISAP Score.

Ranson’s offers ...

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Abdominal and Gastroinstestinal

MDCalc Wars – Tiny Patient, Big Decision: Head CT or no Head CT?

PECARN has been THE  decision rule for guidance on management of kids with head injuries, but the Infant Scalp Score dives even deeper—built just for babies with scalp hematomas.  Which rule is best in this situation?

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Trauma

MDCalc Wars: Sorting Out Syncope – Which Rule Should You Trust?

Syncope is one of the most common complaints we face in the ED. Most patients do well, yet a small subset are harboring serious cardiac or neurologic disease. Admit everyone, and we waste beds and resources; discharge everyone, and we ...

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Cardiovascular

MDCalc Wars: Stop Before the CT! — Are You Using PERC or Wells Correctly

Diagnosing PE in the emergency department is tricky. The symptoms—chest pain, shortness of breath, tachycardia—are nonspecific and overlap with many other conditions. But missing a PE can have devastating consequences, so there’s often a low threshold to order a CTA. ...

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Thoracic and Respiratory

MDCalc Wars: NEXUS Criteria Vs Canadian C-Spine Rules

Over 1 million blunt trauma patients visit US emergency departments each year for possible c-spine injuries. Yet, 98% of c-spine imaging shows no fracture. Using clinical decision tools can safely and significantly reduce unnecessary imaging.

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Trauma

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