medical care. New guidelines for treating low-risk recurrent abdominal pain

Having a RAP does not increase the chance of a child developing an ulcer or other intestinal problem as an adult.

There are 4 recommendations for ED patients with low-risk abdominal pain. Photo: shutterstock.

The Society for Academic Emergency Medicine has published a second edition of its “Guidelines for Reasonable and Appropriate Care in the Emergency Department” (GRACE-2), which outlines the treatment of adults with lower abdominal pain. ER.

There are 4 recommendations for ED patients with low-risk, recurrent, and previously undifferentiated abdominal pain:

If a patient has had a negative CT scan of the abdomen and pelvis within the past 12 months, there is insufficient evidence to clearly distinguish between patients for whom it is safe to avoid repeating this test and those not routinely performed in ED.

If the patient has a negative CT scan of the abdomen and pelvis with intravenous contrast in ED, ultrasound is not recommended unless there are concerns or suspicion of pelvic or bile duct disease.

The doctor may examine the patient for depression and/or anxiety.

Your doctor may use low doses of opioids for pain relief.

This second guide to reasonable and appropriate care in the emergency department (GRACE-2) from community for Academic Emergency Medicine deals with the topic “Recurrent Low-Risk Abdominal Pain in the Emergency Department”.

The Multidisciplinary Guidelines Committee applied the Recommendation Classification, Development, and Evaluation (GRADE) approach to assess the certainty of evidence and strength of recommendations with respect to four priority questions for adult patients from Pain emergency department Undifferentiated, recurrent and low-risk abdominal pain.

The target population includes adults with multiple presentations similar to recurrent abdominal signs and symptoms during a period of months or years.

The team made the following recommendations:

If a previous negative CT scan of the abdomen and pelvis was performed within 12 months, there is insufficient evidence to accurately define a population where repeat CTAP can be safely avoided or recommended routinely.

If CTAP with intravenous contrast is negative, we suggest that ultrasound should not be used unless there is a concern of pelvic or bile duct disease; We suggest that it be implemented Depression screening tests and/or anxiety during evaluation in the emergency department; We suggest an opioid reduction strategy for pain control.

Source consult here.