Archive

Tag: MDCalc

MDCalc Wars: Alcohol Withdrawal–When CIWA-Ar Breaks Down, mMINDS Score Still Works

CIWA-Ar breaks down when patients can’t participate. mMINDS offers an objective, ICU-ready approach to scoring severe alcohol withdrawal—especially in delirious, intubated, or critically ill patients.

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Toxicology

Rib Fracture Risk: Using RibScore + SCARF to Predict Decline

Rib fractures are among the most common injuries in older trauma patients and can look deceptively “benign” early—until pain-limited ventilation, atelectasis, pneumonia, and respiratory failure develop hours to days later. Disposition decisions based on fracture count alone often miss the ...

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Thoracic and RespiratoryTrauma

Winter is Coming: Are You Using the Right Pneumonia Score?

Pneumonia season doesn’t just fill your waiting room – it fills your brain with decisions: Admit or discharge? Floor or ICU? CURB-65, PSI/PORT, and SMART-COP all promise to help, but they’re not built to answer the same question. This quick ...

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Thoracic and Respiratory

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

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