Guideline | Resources |
Early Pregnancy, Vag Bleeding/Abdo Pain in Stable Nontrauma Pts: 2012 ACEP Clinical Policy | epocrates Guideline Synopsis |
Key Points
For β-hCG below any discriminatory threshold: TVUS to exclude ectopic [C]. If TVUS indeterminate: arrange close f/u. If MTX given: OB/GYN consult, precautions for rupture.
Choose Patient Type
|
Hahn SA, et al. Clinical Policy: Critical Issues in the Initial Evaluation and Management of Patients Presenting to the Emergency Department in Early Pregnancy. Ann Emerg Med. 2012;60:381-90.
[
Full-text PDF
]
Epocrates Guideline Synopsis Last Update:
Jan 29, 2015
Publication Year:
2012
Source:
ACEP
- American College of Emergency Physicians
Evidence Grade
[A] | Generally accepted principles derived from ≥1 RCTs or multiple, retrospective observational studies |
[B] | Recommendations supported by ≥1 retrospective, observational studies or consensus of case series/reports |
[C] | Recommendations derived from case series/reports or expert consensus |
Abbreviations
Ig | immunoglobulin |
IUP | intrauterine pregnancy |
MTX | methotrexate |
PUD | peptic ulcer disease |
RCT | randomized, controlled trial |
TVUS | transvaginal ultrasound |
Evidence Grade
A | = | Generally accepted principles derived from ≥1 RCTs or multiple, retrospective observational studies |
B | = | Recommendations supported by ≥1 retrospective, observational studies or consensus of case series/reports |
C | = | Recommendations derived from case series/reports or expert consensus |