EM Cases · Acute pancreatitis
Severe acute pancreatitis — the hypoxaemic resus station
ACEM Fellowship resus OSCE testing Atlanta severity thinking, WATERFALL moderate fluids, analgesia, no prophylactic antibiotics, and ERCP pathway recognition.
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Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
A shocked, hypoxaemic patient with gallstone pancreatitis who risks fluid overload if over-resuscitated.
Station brief
Format. Clinical-management (resus) station, 11 minutes — 4 minutes reading, 7 minutes active assessment. You are the EM consultant leading resuscitation.
Candidate instructions. Manage this patient. State actions and reasoning aloud. The examiner plays nursing staff.[2]
References3ShowHide
- [4]de-Madaria E, Buxbaum JL, Maisonneuve P, et al. Aggressive or moderate fluid resuscitation in acute pancreatitis (WATERFALL). New England Journal of Medicine, 2022.PMID 36103415
- [2]Banks PA, Bollen TL, Dervenis C, et al. Classification of acute pancreatitis--2012: revision of the Atlanta classification and definitions by international consensus. Gut, 2013.PMID 23100216
- [1]Tenner S, Baillie J, DeWitt J, Vege SS. American College of Gastroenterology guideline: management of acute pancreatitis. American Journal of Gastroenterology, 2013.PMID 23896955