| Guideline | Resources |
| Abdominal Pain/Vaginal Bleeding in 1st-Trimester Pregnancy in the ED | 2017 ACEP Clinical Policy | epocrates Synthesis |
Key Points
Perform pelvic US to identify an intrauterine pregnancy in all stable, 1st-trimester pts w/ abd pain or vaginal bleeding, regardless of β-hCG level. Don’t use β-hCG level to exclude the dx of ectopic pregnancy.
Choose Patient Type
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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. 2017;69(2):241-250.e20.
Epocrates Guideline Synopsis Last Update:
Mar 12, 2018
Publication Year:
2017
Source:
ACEP
- American College of Emergency Physicians
Recommendation Level
| [A] | Generally accepted principles for pt care that reflect a high degree of clinical certainty (Class I/multiple Class II studies) |
| [B] | Recommendations that reflect moderate clinical certainty (Class II or strong Class III studies) |
| [C] | Recommendations based on Class III studies or expert consensus |
Abbreviations
| ACEP | American College of Emergency Physicians |
| β-hCG | β-human chorionic gonadotropin |
| IUP | intrauterine pregnancy |
| US | ultrasound |
Recommendation Level
| A | = | Generally accepted principles for pt care that reflect a high degree of clinical certainty (Class I/multiple Class II studies) |
| B | = | Recommendations that reflect moderate clinical certainty (Class II or strong Class III studies) |
| C | = | Recommendations based on Class III studies or expert consensus |