| 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.
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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.
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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 |