SI

Imperial

General Calculators

BMI and BSA (Mosteller)Calculate BMI and Body Surface Area using Mosteller formula BMI and BSA (Du Bois)Determine body mass index and body surface area using Du Bois method Ideal Body Weight Weight-based medication dosingAdjust medication dose based on patient weight Body Surface Area Based Dosing Medication dose adjustment based on body surface area (BSA) Lean Body Weight (Female)Calculates estimated patient fat-free body mass in females Lean Body Weight (Male)Calculates estimated patient fat-free body mass in males

Addiction Medicine

Alcohol Use Disorders Identification Test-Concise (AUDIT-C)Brief screen to detecting heavy alcohol use Alcohol Use Disorders Identification Test (AUDIT)Screen for active alcohol abuse or dependence CAGE Questionnaire4 question screening for alcohol problems Car, Relax, Alone, Forget, Friends, Trouble (CRAFFT 2.1)9 question screener for substance use in adolescents COWS Score for Opiate Withdrawal Post Traumatic Stress Disorder (PCL-C)17 question self-report for Post Traumatic Stress Disorder Adverse Childhood Experience (ACE)10 question screener for numerous health, social, and behavioral problems.

Anesthesiology

Gupta Perioperative Cardiac RiskDetermine peri-operative risk for a wide array of surgeries.Postoperative Respiratory Failure Risk CalculatorEstimate risk of postoperative respiratory failure

Airway & Respiratory

Pediatric Endotracheal Tube Size Postoperative Respiratory Failure Risk CalculatorEstimate risk of postoperative respiratory failure STOP-BANG Score for Obstructive Sleep ApneaScreen for obstructive sleep apnea Modified Mallampati Classification Oropharyngeal assessment used for predicting difficulty in laryngoscopy and endotracheal intubation Recruitment to Inflation RatioCharacterize lung recruitability to personalize PEEP. Adapted from an algorithm developed by The Toronto Centre of Excellence in Mechanical Ventilation (CoEMV).

BMI

BMI and BSA (Mosteller)Calculate BMI and Body Surface Area using Mosteller formula BMI and BSA (Du Bois)Determine body mass index and body surface area using Du Bois method

Cardiac Surgery

Dialysis Risk After Cardiac Surgery (Cleveland Clinic Score by Thakar)Estimate risk of dialysis after cardiac surgery.Dialysis Risk After Cardiac Surgery (Mehta)Estimate the risk of dialysis after cardiac surgery (Mehta model)PORT score for PeriOperative Risk of blood Transfusion in cardiac surgery by ACTAPredict risk of blood transfusion after elective cardiac surgery using the ACTA-PORT score

Clinical Status Assessment

APACHE IIEstimate mortality in the critically ill Glasgow Coma Scale (GCS)Document level of consciousness.Sequential Organ Failure Assessment (SOFA)Document clinical severity in the ICU and predict mortality qSOFA Score in Septic PatientsPredict patients at high-mortality risk from sepsis (not diagnose sepsis)

Intraoperative Monitoring

Cardiac Output - FickCalculate cardiac output, cardiac index, stroke volume and stroke volume index

Obstetrical Anesthesia

Due Date by LMPPregnancy due date calculator Due Date by UltrasoundDetermine pregnancy due date using ultrasound results Pregnancy Gestation by LMP and Ultrasound BiometryPredicts estimated delivery dates and gestational age using LMP and biometry

Preoperative Assessment

ACC/AHA CV Risk Calculator (2013)Estimate 10-year risk for atherosclerotic cardiovascular disease Revised Cardiac Risk Index (Lee Criteria)Rapid pre-op assessment using the Revised Cardiac Risk Index Asymptomatic ICA (Internal Carotid Artery) Stenosis Surgical Risk Stratification Gupta Perioperative Cardiac RiskDetermine peri-operative risk for a wide variety of surgeries Postoperative Respiratory Failure Risk CalculatorEstimate risk of postoperative respiratory failure VSGNE Ruptured Abdominal Aortic Aneurysm (RAAA) Risk ScoreEstimate mortality after open repair of ruptured AAA Pre-test probability of CAD (CAD consortium)Determine pre-test probability of coronary artery disease in patients with chest pain.Vascular Quality Initiative (VQI) Cardiac Risk Index (CRI) | Carotid EndarterectomyEstimate risk of post-op myocardial infarction after carotid endarterectomy Vascular Quality Initiative (VQI) Cardiac Risk Index (CRI) | EVAREstimate risk of post-op myocardial infarction after EVAR Vascular Quality Initiative (VQI) Cardiac Risk Index (CRI) | Infra-inguinal BypassEstimate risk of post-op myocardial infarction after infra-inguinal bypass Vascular Quality Initiative (VQI) Cardiac Risk Index (CRI) | Open AAA RepairEstimate risk of post-op myocardial infarction after open AAA repair VQI: Respiratory Adverse Event Risk Post Vascular SurgeryEstimate the risk of pneumonia or respiratory failure after vascular surgery Vascular Quality Initiative (VQI) 30-Day Stroke Risk Index for CEAEstimate risk of stroke within 30 days after carotid endarterectomy Vascular Quality Initiative (VQI) 1-Year Mortality Risk Index for CEAEstimate probability of death within 1 year after carotid endarterectomy Vascular Quality Initiative (VQI) Cardiac Risk Index (CRI) | Suprainguinal BypassEstimate risk of post-op myocardial infarction after suprainguinal bypass Geriatric-Sensitive Perioperative Cardiac Risk Index | GSCRIEstimate risk of perioperative myocardial infarction or cardiac arrest in patients over 65 ASA Physical StatusClassification system for assessing the fitness of patients before surgery PEN-FAST - Penicillin Allergy Risk ToolClinical decision rule for point-of-care risk assessment of patient-reported penicillin allergies.

COVID-19

ROX Index to Predict Risk of IntubationPredict risk of intubation at 2, 6 and 12 hours in hypoxemic respiratory failure. Not yet validated for COVID-19 COVID-19 Prognostic ToolEstimate mortality rates in patients with COVID-19. Adapted from CDC materials.COVID-19 Ventilation ProtocolAdapted from an algorithm developed by The Toronto Centre of Excellence in Mechanical Ventilation (CoEMV)COVID-19 Critical Illness Prediction Tool (COVID-GRAM)Predict occurrence of ICU admission, mechanical ventilation, or death in hospitalized patients with COVID-19

REFERENCE BOOK

Guidance on Autopsy in COVID-19 with FAQ

REFERENCE BOOK

COVID-19: Triage, Diagnosis and Management

Cardiac Surgery

Surgery in Asymptomatic Aortic StenosisAssess timing of surgery in severe, asymptomatic aortic stenosis BC Cardiac Surgical Intensive Care ScorePredict mortality after cardiac surgery based on preoperative and intraoperative variables assessed at admission to a cardiac surgery ICU Dialysis Risk After Cardiac Surgery (Cleveland Clinic Score by Thakar)Estimate risk of dialysis after cardiac surgery.Dialysis Risk After Cardiac Surgery (Mehta)Estimate the risk of dialysis after cardiac surgery (Mehta model)HIT 4T's scoreDiagnose heparin-induced thrombocytopenia.Sequential Organ Failure Assessment (SOFA)Document clinical severity in the ICU and predict mortality Euroscore IIEstimate risk of in-hospital death after cardiac surgery.Aortic Stenosis Risk ScoreEstimate risk of cardiovascular events in patients with aortic stenosis PORT score for PeriOperative Risk of blood Transfusion in cardiac surgery by ACTAPredict risk of blood transfusion after elective cardiac surgery using the ACTA-PORT score ADviSED - Aortic Dissection Detection Risk Score Plus D-Dimer for Aortic SyndromesRule out aortic dissection and other aortic syndromes Predicted Heart Mass Calculator (PHM)Estimate donor/recipient heart mass for optimal cardiac transplant sizing PEN-FAST - Penicillin Allergy Risk ToolClinical decision rule for point-of-care risk assessment of patient-reported penicillin allergies.

Cardiology

Aortic Disease

ADviSED - Aortic Dissection Detection Risk Score Plus D-Dimer for Aortic SyndromesRule out aortic dissection and other aortic syndromes

Aortic Stenosis/Outflow

AS: Aortic Valve Area (Cont)Estimate aortic valve area AS: Aortic Valve Area (DVI)Estimate aortic valve area AS: Aortic Valve Area (Gorlin)Estimate aortic valve area AS: Aortic Valve Area (Hakki)Estimate aortic valve area Surgery in Asymptomatic Aortic StenosisAssess timing of surgery in severe, asymptomatic aortic stenosis Aortic Stenosis Risk ScoreEstimate risk of cardiovascular events in patients with aortic stenosis HCM Risk-SCDAssess risk of sudden cardiac death and need for ICD in hypertrophic cardiomyopathy

Arrhythmia

Brugada Criteria for Ventricular TachycardiaECG criteria to help differentiate ventricular tachycardia from supraventricular tachycardia.

Atrial Fibrillation

Bleeding Risk in Atrial Fibrillation: OBRIThe Outpatient Bleeding Risk Index (OBRI) estimates risk of bleeding in AF while on oral anticoagulation.CHADS2 Score for AFAssess risk of stroke in atrial fibrillation CHA2DS2-VASc Score for AFReplacement for CHADS2 for stroke prediction in atrial fibrillation Bleeding Risk in Atrial Fibrillation: HAS-BLED ScoreUnderstand the risk of bleeding from anticoagulation in atrial fibrillation Warfarin Bleeding Risk - ElderlyEstimate 90 day risk of bleeding in patients on warfarin who are >65 years Bleeding Risk in Atrial Fibrillation: ATRIA Estimate bleeding risk for patients on warfarin.GARFIELD-AF Risk CalculatorCompare the effects of different anticoagulant treatment decisions in atrial fibrillation CCS-SAF Symptom ScoreCanadian Cardiovascular Society (CCS) Severity of Atrial Fibrillation (SAF) scale describes severity of symptoms in atrial fibrillation.

Bleeding Risk

Bleeding Risk in Atrial Fibrillation: OBRIThe Outpatient Bleeding Risk Index (OBRI) estimates risk of bleeding in AF while on oral anticoagulation.CRUSADE Score for Post-MI Bleeding RiskEstimate bleeding risk after NSTEMI. Bleeding Risk in Atrial Fibrillation: HAS-BLED ScoreUnderstand the risk of bleeding from anticoagulation in atrial fibrillation Warfarin Bleeding Risk - ElderlyEstimate 90 day risk of bleeding in patients on warfarin who are >65 years GARFIELD-AF Risk CalculatorCompare the effects of different anticoagulant treatment decisions in atrial fibrillation

Coronary Artery Disease

Infarct Size - AnteriorEstimate infarct size in anterior MI Infarct Size - InferiorEstimate infarct size in inferior MI HEART Score | Chest pain in the ERRisk stratify patients with chest pain in the ER Killip ClassEstimate mortality in myocardial infarction TIMI Risk Score (NSTEMI)Guide therapeutic decisions in non-ST elevation MI. Reynolds CAD Risk TIMI Risk Score (STEMI)VALIANT Heart Failure Risk Score GRACEThe GRACE ACS risk calculator estimates risk of death following acute coronary syndrome (ACS)Pre-test probability of CAD (CAD consortium)Determine pre-test probability of coronary artery disease in patients with chest pain.Sgarbossa’s Criteria for MI in Left Bundle Branch BlockAllows for the diagnosis of acute MI in patients with known LBBB CCS Angina Class Universal Definition of MI

ECG

ECG: Heart Rate ECG: Corrected QTCalculate the corrected QT interval ECG: Cycle Length

Echocardiography

AR: Quantification (Volumetric)AR: Regurgitant Orifice (PISA)Measure effective regurgitant orifice by PISA AS: Aortic Valve Area (Cont)Estimate aortic valve area AS: Aortic Valve Area (DVI)Estimate aortic valve area Ejection Fraction (Simplified)Fractional Shortening Hemodynamics (Echo)Left Atrial Systolic Pressure LV/RV Contractility (dp/dt)Modified Bernoulli Equation MR: Quantification (PISA)MR: Quantification (Volumetric)MS: Wilkins' Echo Score MS: Mitral Valve Area (Cont)MS: Mitral Valve Area (PHT)MS: Mitral Valve Area (PISA)Myocardial Performance Index (CO and ET)Myocardial Performance Index (IVRT and IVCT)PCWP (Echo)RV Systolic Pressure (TR Jet)Shunt Fraction (Echo)

Familial Hypercholesterolemia

Familial HypercholesterolemiaDiagnose familial hypercholesterolemia

Frailty

MDS Specific Frailty ScaleImprove prognostication with this frailty scale specific to those patients with myelodysplastic syndrome.

Heart Failure

Framingham CHF Criteria Forrester HF Class Killip ClassEstimate mortality in myocardial infarction Seattle Heart Failure Model Stevenson HF Class VALIANT Heart Failure Risk Score Emergency Heart Failure Mortality Risk Grade (EHMRG)Risk stratify patients with acutely decompensated heart failure Optimize Care in Heart Failure with Reduced Ejection FractionWorkup, treatment & management for heart failure
Sponsored Elevated serum creatinine or hyperkalemia after ACEi/ARBEstimate risk of elevated serum creatinine or hyperkalemia after ACEi or ARB initiation NYHA Functional Class

Hypertension

Valsartan dose equivalenceUseful for replacing Valsartan formulations affected by the 2018 recall

REFERENCE BOOK

Screening for Hypertension | CTFPHC

Invasive Hemodynamics

AS: Aortic Valve Area (Gorlin)Estimate aortic valve area AS: Aortic Valve Area (Hakki)Estimate aortic valve area Cardiac Output - FickCalculate cardiac output, cardiac index, stroke volume and stroke volume index MS: Mitral Valve Area (Gorlin)MS: Mitral Valve Area (Hakki)Pulmonary Resistance Shunt Fraction (Invasive)Systemic Vascular Resistance

Ischemic Stroke

GARFIELD-AF Risk CalculatorCompare the effects of different anticoagulant treatment decisions in atrial fibrillation

Miscellaneous

Duke Criteria for EndocarditisDiagnose endocarditis Metabolic Syndrome (IDF)Jones Criteria for Diagnosis of Rheumatic FeverDiagnose acute rheumatic fever RPDAI (Relapsing Polychondritis Disease Activity Index)Assess disease activity in relapsing polychondritis.

Mitral Regurgitation

MR: Quantification (PISA)MR: Quantification (Volumetric)

Mitral Stenosis

MS: Wilkins' Echo Score MS: Mitral Valve Area (Cont)MS: Mitral Valve Area (Gorlin)MS: Mitral Valve Area (PHT)MS: Mitral Valve Area (PISA)MS: Mitral Valve Area (Hakki)

PCI and Cardiac Surgery

British Columbia PCI risk scoreEstimate 30-day mortality after percutaneous coronary intervention BC Cardiac Surgical Intensive Care ScorePredict mortality after cardiac surgery based on preoperative and intraoperative variables assessed at admission to a cardiac surgery ICU Dialysis Risk After Cardiac Surgery (Cleveland Clinic Score by Thakar)Estimate risk of dialysis after cardiac surgery.Dialysis Risk After Cardiac Surgery (Mehta)Estimate the risk of dialysis after cardiac surgery (Mehta model)PCI complication - Mayo PCI mortality - Michigan DAPT ScoreWhich patients should remain on dual anti-platelet therapy 1 year following coronary stent treatment?NCDR AKI and Dialysis Risk after PCIEstimate risk of AKI and dialysis after PCI

Pre-operative Assessment

Revised Cardiac Risk Index (Lee Criteria)Rapid pre-op assessment using the Revised Cardiac Risk Index Asymptomatic ICA (Internal Carotid Artery) Stenosis Surgical Risk Stratification Gupta Perioperative Cardiac RiskDetermine peri-operative risk for a wide variety of surgeries Vascular Quality Initiative (VQI) Cardiac Risk Index (CRI) | Carotid EndarterectomyEstimate risk of post-op myocardial infarction after carotid endarterectomy Vascular Quality Initiative (VQI) Cardiac Risk Index (CRI) | EVAREstimate risk of post-op myocardial infarction after EVAR Vascular Quality Initiative (VQI) Cardiac Risk Index (CRI) | Infra-inguinal BypassEstimate risk of post-op myocardial infarction after infra-inguinal bypass Vascular Quality Initiative (VQI) Cardiac Risk Index (CRI) | Open AAA RepairEstimate risk of post-op myocardial infarction after open AAA repair Gupta Perioperative Cardiac RiskDetermine peri-operative risk for a wide array of surgeries.Vascular Quality Initiative (VQI) Cardiac Risk Index (CRI) | Suprainguinal BypassEstimate risk of post-op myocardial infarction after suprainguinal bypass Geriatric-Sensitive Perioperative Cardiac Risk Index | GSCRIEstimate risk of perioperative myocardial infarction or cardiac arrest in patients over 65 ASA Physical StatusClassification system for assessing the fitness of patients before surgery

Risk Scores

ACC/AHA CV Risk Calculator (2013)Estimate 10-year risk for atherosclerotic cardiovascular disease Reynolds CAD Risk Framingham Risk Score (2008)Framingham Risk Score (ATP-III)Determine lipid treatment using Framingham Risk Score GARFIELD-AF Risk CalculatorCompare the effects of different anticoagulant treatment decisions in atrial fibrillation Emergency Department Detection of Chest Pain Score (EDACS)Identifies chest pain patients at low-risk for major adverse cardiac events Troponin-only Manchester Acute Coronary Syndromes (TMACS) Decision AidIdentify chest pain patients at low-risk for major adverse cardiac events

Shunts

Shunt Fraction (Echo)Shunt Fraction (Invasive)

Syncope

Syncope - EGSYS ScoreWhich patients with syncope should be admitted?San Francisco Syncope RuleIdentify those at low risk of adverse outcome after a syncopal episode Canadian Syncope Risk Score (CSRS)Estimate prognosis among patients presenting to emergency with syncope FAINT Score in Syncope Identify low-risk patients 60 years or older presenting with syncope

Treadmill Testing

Pretest Probablity of CAD Duke Treadmill Score Exercise Capacity (METs)Rate Pressure Product Pre-test probability of CAD (CAD consortium)Determine pre-test probability of coronary artery disease in patients with chest pain.

Vascular Quality Initiative Tools

VQI Infrainguinal revascularization (open or PVI) for CLTI: 30 day and 2 year survivalThe Vascular Quality Initiative Prediction Model for survival after infrainguinal revascularization

Critical Care

Cardiac ICU

Cardiac Output - FickCalculate cardiac output, cardiac index, stroke volume and stroke volume index Killip ClassEstimate mortality in myocardial infarction TIMI Risk Score (NSTEMI)Guide therapeutic decisions in non-ST elevation MI. Shunt Fraction (Invasive)TIMI Risk Score (STEMI)Systemic Vascular Resistance GRACEThe GRACE ACS risk calculator estimates risk of death following acute coronary syndrome (ACS)Mean Arterial Pressure (MAP) Calculate MAP

REFERENCE BOOK

KDIGO Clinical Practice Guideline for Acute Kidney Injury
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General Medicine

Modified Early Warning Score (MEWS)Identify patients who are at risk of clinical deterioration and who may require a higher level of care.

ICU AKI

APACHE IIEstimate mortality in the critically ill Contrast Nephropathy Post-PCIEstimate risk of AKI after percutaneous coronary intervention Dialysis Risk After Cardiac Surgery (Cleveland Clinic Score by Thakar)Estimate risk of dialysis after cardiac surgery.Dialysis Risk After Cardiac Surgery (Mehta)Estimate the risk of dialysis after cardiac surgery (Mehta model)Fractional Excretion of SodiumDifferentiate pre-renal AKI from ATN.Fractional Excretion of UreaIdentify a pre-renal state in patients using diuretics Sequential Organ Failure Assessment (SOFA)Document clinical severity in the ICU and predict mortality Pediatric Renal Angina IndexPredict acute kidney injury in critically ill children STARRT-AKI Enrollment CriteriaDetermine if patients meet criteria for the STARRT-AKI study.Kinetic eGFR (KeGFR)Estimate GFR when creatinine is changing acutely (either rising or falling)PIM2Paediatric Index of Mortality, revised version Serious Renal Dysfunction Post-PCIAssess risk of dialysis or severe increase in creatinine after PCI CRRT Dosing CalculatorCalculate desired dose of dialysate in CRRT KDIGO AKI StagingClassification in acute kidney injury (AKI)

REFERENCE BOOK

KDIGO Clinical Practice Guideline for Acute Kidney Injury
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Illness Severity

APACHE IIEstimate mortality in the critically ill Ranson's CriteriaEstimate mortality in patients with pancreatitis. Sequential Organ Failure Assessment (SOFA)Document clinical severity in the ICU and predict mortality BISAP ScoreEstimate disease severity in acute pancreatitis.Modified Glasgow Imrie Severity Criteria for Acute PancreatitisPredict outcome in acute pancreatitis UKELD ScoreThe United Kingdom Model for End-Stage Liver Disease (UKELD) predicts prognosis in chronic liver disease and can be used to prioritize for liver transplantation SWAP Score for Out of Hospital Cardiac ArrestPredicts which patients with OHCA will have poor neurologic recovery

Medical ICU

Child Pugh ScoreDetermine severity and estimate mortality in cirrhosis DVT Clinical Probability (Well's)Determine pretest probability of DVT to guide workup Parkland FormulaManage IV fluids required in burns Ranson's CriteriaEstimate mortality in patients with pancreatitis. Serious Illness Conversation GuideSteps to elicit important information from your patients about their goals and values Modified Glasgow Imrie Severity Criteria for Acute PancreatitisPredict outcome in acute pancreatitis UKELD ScoreThe United Kingdom Model for End-Stage Liver Disease (UKELD) predicts prognosis in chronic liver disease and can be used to prioritize for liver transplantation Modified Early Warning Score (MEWS)Identify patients who are at risk of clinical deterioration and who may require a higher level of care.Mean Arterial Pressure (MAP) Calculate MAP Predicting Ionized Hypocalcemia in Critical CareIn critical care patients, estimate the single most likely ionised calcium value--with its surrounding 95% range of likely values--as well as the chance the true value is under 1.10 mM. The reference range for arterial iCa is 1.15-1.29 mM.PEN-FAST - Penicillin Allergy Risk ToolClinical decision rule for point-of-care risk assessment of patient-reported penicillin allergies.Rule of NinesEstimate surface area of burns

Neurologic ICU

Cerebral Perfusion PressureCalculate net pressure gradient causing cerebral blood flow to the brain FOUR Score Glasgow Coma Scale (GCS)Document level of consciousness.CIWA-ArOptimize benzodiazepine treatment of patients alcohol withdrawal CAM-ICUDiagnose delirium in the intensive care unit.The Richmond Agitation Sedation Score (RASS)Assess level of consciousness in the intensive care unit.

Respiratory ICU

A-a GradientUsed to determine cause of hypoxemia Pulmonary Embolism Severity Index (PESI)Predict outcome in patients with pulmonary embolism PE Clinical ProbabilityDetermine pretest probability of PE to guide workup Pneumonia risk (CURB-65)Estimate prognosis and determine disposition in community-acquired pneumonia. Not yet validated in COVID-19 Pulmonary Resistance Pneumonia Severity Index (PORT Score)Determine need for admission in pneumonia. Not yet validated in COVID-19.Postoperative Respiratory Failure Risk CalculatorEstimate risk of postoperative respiratory failure Postoperative Respiratory Failure Risk CalculatorEstimate risk of postoperative respiratory failure ROX Index to Predict Risk of IntubationPredict risk of intubation at 2, 6 and 12 hours in hypoxemic respiratory failure. Not yet validated for COVID-19 COVID-19 Ventilation ProtocolAdapted from an algorithm developed by The Toronto Centre of Excellence in Mechanical Ventilation (CoEMV)ProVent 14 Score for prolonged mechanical ventilationDetermine risk of 1-year mortality after prolonged mechanical ventilation

Sepsis

SIRS Criteria (Systemic Inflammatory Response Syndrome)Identify systemic inflammatory response to an infectious or non-infectious insult qSOFA Score in Septic PatientsPredict patients at high-mortality risk from sepsis (not diagnose sepsis)

Trauma

Canadian CT Head RuleDetermine which minor head injury patients need head CT imaging ABC Score for Massive TransfusionPredict necessity for massive transfusion in trauma patients

Emergency

Airway

Modified Mallampati Classification Oropharyngeal assessment used for predicting difficulty in laryngoscopy and endotracheal intubation

Burns

Parkland FormulaManage IV fluids required in burns Rule of NinesEstimate surface area of burns

Chest Pain & Cardiac

Infarct Size - AnteriorEstimate infarct size in anterior MI Infarct Size - InferiorEstimate infarct size in inferior MI HEART Score | Chest pain in the ERRisk stratify patients with chest pain in the ER Killip ClassEstimate mortality in myocardial infarction TIMI Risk Score (NSTEMI)Guide therapeutic decisions in non-ST elevation MI. TIMI Risk Score (STEMI)GRACEThe GRACE ACS risk calculator estimates risk of death following acute coronary syndrome (ACS)Pre-test probability of CAD (CAD consortium)Determine pre-test probability of coronary artery disease in patients with chest pain.ADviSED - Aortic Dissection Detection Risk Score Plus D-Dimer for Aortic SyndromesRule out aortic dissection and other aortic syndromes Smith-Modified Sgarbossa’s Criteria for MI in Left Bundle Branch BlockDiagnose acute MI in patients with known LBBB Sgarbossa’s Criteria for MI in Left Bundle Branch BlockAllows for the diagnosis of acute MI in patients with known LBBB Emergency Heart Failure Mortality Risk Grade (EHMRG)Risk stratify patients with acutely decompensated heart failure Brugada Criteria for Ventricular TachycardiaECG criteria to help differentiate ventricular tachycardia from supraventricular tachycardia. FAINT Score in Syncope Identify low-risk patients 60 years or older presenting with syncope Emergency Department Detection of Chest Pain Score (EDACS)Identifies chest pain patients at low-risk for major adverse cardiac events Troponin-only Manchester Acute Coronary Syndromes (TMACS) Decision AidIdentify chest pain patients at low-risk for major adverse cardiac events SWAP Score for Out of Hospital Cardiac ArrestPredicts which patients with OHCA will have poor neurologic recovery sPESI | simplified Pulmonary Embolism Severity IndexEstimate risk of 30-day mortality in patients with acute PE

General Medicine

ECG: Heart Rate A-a GradientUsed to determine cause of hypoxemia Anion GapCalculate anion gap for workup of acid-base disorders CHADS2 Score for AFAssess risk of stroke in atrial fibrillation CHA2DS2-VASc Score for AFReplacement for CHADS2 for stroke prediction in atrial fibrillation Child Pugh ScoreDetermine severity and estimate mortality in cirrhosis ECG: Corrected QTCalculate the corrected QT interval ECG: Cycle Length Fractional Excretion of SodiumDifferentiate pre-renal AKI from ATN.MDRD eGFRCalculate eGFR using the MDRD formula Prognosis after TIPSS using MELD Score Osmolal GapDetect unmeasured osmoles, such as toxic alcohols Peak Expiratory Flow Prediction Pneumonia risk (CURB-65)Estimate prognosis and determine disposition in community-acquired pneumonia. Not yet validated in COVID-19 Ranson's CriteriaEstimate mortality in patients with pancreatitis. Water Deficit in HypernatremiaDetermine water replacement in hypernatremia Canadian Syncope Risk Score (CSRS)Estimate prognosis among patients presenting to emergency with syncope ROSIER scaleDetermine which patients are likely to have true stroke vs stroke mimics Modified Early Warning Score (MEWS)Identify patients who are at risk of clinical deterioration and who may require a higher level of care.Mean Arterial Pressure (MAP) Calculate MAP Centor Score (modified) for GAS PharyngitisEstimate likelihood of GAS pharyngitis Maintenance Fluid CalculationsDetermine maintenance IV fluid rates Ottawa chronic obstructive pulmonary disease risk scale (OCRS)Guide admission vs discharge in COPD exacerbation Light's CriteriaDetermine whether a pleural effusion is exudative or transudative McMahon Rhabdomyolysis Risk ScorePredict the risk of severe acute kidney injury or mortality in patients with rhabdomyolysis Kocher Criteria for Septic ArthritisDetermine risk of septic arthritis in a child with an inflamed hip Shock IndexA more sensitive quotient for circulatory shock than vital signs alone Acute Gout Diagnosis RuleClinical decision tool to assist in the diagnosis of acute gout Sodium Correction Rate for HyponatremiaRate of fluid administration in correction of hyponatremia IV Drip Rate CalculatorAssistance in calculating accurate rates of medication administration PEN-FAST - Penicillin Allergy Risk ToolClinical decision rule for point-of-care risk assessment of patient-reported penicillin allergies.sPESI | simplified Pulmonary Embolism Severity IndexEstimate risk of 30-day mortality in patients with acute PE CCS Angina Class

Injuries & Trauma

Canadian CT Head RuleDetermine which minor head injury patients need head CT imaging Canadian C-Spine RuleDetermine whether cervical spine imaging can be safely avoided NEXUS C-Spine CriteriaDetermine whether cervical spine imaging can be safely avoided Ottawa Ankle RulesDoes this ankle injury require an x-ray?Ottawa Knee RulesDoes this knee injury require an x-ray?Ottawa SAH RuleUse the Ottawa SAH Rule to rule out subarachnoid hemorrhage Injury Severity ScoreDescribe severity of traumatic injury ABC Score for Massive TransfusionPredict necessity for massive transfusion in trauma patients Pittsburgh Knee RuleAssist with detection of knee fractures and decision to x-ray McMahon Rhabdomyolysis Risk ScorePredict the risk of severe acute kidney injury or mortality in patients with rhabdomyolysis

Pediatrics ER

APGARRapid newborn clinical assessment Pediatric Endotracheal Tube Size Pediatric Glasgow Coma Scale Pediatric Strep Score PELD Score - Age Younger Than 12 yearsPELD (Pediatric End-Stage Liver Disease) is used for liver allocation in the OPTN match system Westley Croup ScoreAssess croup severity PELD Score - Age Younger Than 12 yearsPELD (Pediatric End-Stage Liver Disease) is used for liver allocation in the OPTN match system Philadelphia Criteria in Febrile Infants Identify febrile infants aged 29 – 56 days old who are lower risk for serious bacterial infection Boston Criteria for Febrile InfantsIdentify febrile infants aged 28 – 89 days old who are lower risk for serious bacterial infection Rochester Criteria for Febrile InfantsIdentify febrile infants aged ≤ 60 days old who are low-risk for serious bacterial infection PECARN Rule for Pediatric Head Injury < 2 years oldAssess the need for neuroimaging in pediatric head trauma PECARN Rule for Pediatric Head Injury ≥ 2 years oldAssess the need for neuroimaging in pediatric head trauma PRAM Score for Pediatric Asthma Exacerbation SeverityAssess asthma severity in pediatric patients Attia Criteria for Evaluation of PharyngitisEstimate likelihood of Streptococcal pharyngitis as the etiology for sore throat PEN-FAST - Penicillin Allergy Risk ToolClinical decision rule for point-of-care risk assessment of patient-reported penicillin allergies.Alberta Croup Severity

Psychiatry

Modified SAD PERSONS ScaleAssess depression with the modified SAD PERSONS Scale CIWA-ArOptimize benzodiazepine treatment of patients alcohol withdrawal COWS Score for Opiate Withdrawal Abnormal Involuntary Movement Scale (AIMS)12-item scale to assess severity of dyskinesias

Sepsis

SIRS Criteria (Systemic Inflammatory Response Syndrome)Identify systemic inflammatory response to an infectious or non-infectious insult qSOFA Score in Septic PatientsPredict patients at high-mortality risk from sepsis (not diagnose sepsis)PEN-FAST - Penicillin Allergy Risk ToolClinical decision rule for point-of-care risk assessment of patient-reported penicillin allergies.

Surgery

Alvarado Score for Acute AppendicitisDiagnose appendicitis VSGNE Ruptured Abdominal Aortic Aneurysm (RAAA) Risk ScoreEstimate mortality after open repair of ruptured AAA Modified Glasgow Imrie Severity Criteria for Acute PancreatitisPredict outcome in acute pancreatitis

Thrombosis

DVT Clinical Probability (Well's)Determine pretest probability of DVT to guide workup Pulmonary Embolism Severity Index (PESI)Predict outcome in patients with pulmonary embolism PE Clinical ProbabilityDetermine pretest probability of PE to guide workup PERC Rule for Pulmonary EmbolismUse the PERC rule to rule out PE if no criteria are present and pre-test probability is <15%.

Endocrinology

Diabetes

FINDRISC Diabetes Risk CalculatorEstimate risk of developing diabetes and frequency of screening required.Reducing Vascular Risk in Patients Living with DiabetesDetermine which patients with diabetes require vascular protective therapy Physical Activity Decision Tool for Patients Living with DiabetesAssess your patient's physical ability and level of motivation to start and/or progress through a physical activity program.Individualizing Your Patient's A1c TargetDetermine a patient-specific A1C target recommendation Self-Monitoring Blood Glucose (SMBG)Determine frequency of blood glucose monitoring Screening For And Diagnosing Diabetes - A1c and Fasting Plasma GlucoseDetermine risk of developing diabetes and frequency of screening required Pharmacotherapy for Type 2 DiabetesDetermine which type 2 diabetes medications are recommended based on patient characteristics.Screening For And Diagnosing Diabetes - 75g Oral Glucose Tolerance Test (OGTT)Determine risk of developing diabetes and frequency of screening required Screening For And Diagnosing Gestational Diabetes Mellitus (GDM)Assess for gestational diabetes mellitus Diabetes Risk Score (Type 2)Calculate risk of developing T2DM Optimizing Care in Diabetic Kidney DiseaseEnsure application of evidence-based care in diabetic kidney disease (DKD)
Sponsored

REFERENCE BOOK

Screening for Type 2 Diabetes | CTFPHC

Electrolytes

Calcium Correction for HypoalbuminemiaAdjust serum calcium in the setting of low albumin Predicting Ionized Hypocalcemia in Critical CareIn critical care patients, estimate the single most likely ionised calcium value--with its surrounding 95% range of likely values--as well as the chance the true value is under 1.10 mM. The reference range for arterial iCa is 1.15-1.29 mM.

Lipids

Lipid Lowering Guidelines using Framingham (2008)Lipid Lowering Guidelines using Framingham (ATP-III)Familial HypercholesterolemiaDiagnose familial hypercholesterolemia

Obesity

REFERENCE BOOK

Obesity in Adults | CTFPHC

REFERENCE BOOK

Obesity in Children | CTFPHC

Osteoporosis

Dubbo Osteoporotic Fracture RiskAssess risk of osteoporotic fracture Osteoporosis Self-Assessment Tool for Men Risk stratify men for likelihood of osteoporosis Osteoporosis Self-Assessment Tool for WomenRisk stratify women for likelihood of osteoporosis

Thyroid disease & cancer

Differentiated Thyroid Cancer TNM StagingTNM Staging | AJCC 2017 Anaplastic Thyroid Cancer TNM StagingTNM Staging | AJCC 2017 Medullary Thyroid Cancer TNM StagingTNM Staging | AJCC 2017

Gastroenterology

Diarrhea

Diagnosis of Clostridium Difficile InfectionBased on IDSA guidelines Treatment of First Episode of Clostridium DifficileClinical management algorithm for adults, based on IDSA guidelines Treatment of Recurrent Episode of Clostridium DifficileClinical management algorithm for adults, based on IDSA guidelines

GI Bleed

Blatchford ScoreAssess if intervention is required for acute upper GI bleeding.Forrest ClassificationEstimate risk of re-bleeding post-endoscopy for upper GI bleeding.Rockall ScoreEstimate risk of mortality after endoscopy for GI bleed.Gastric Cancer TNM StagingTNM Staging | AJCC 2017

Gastrointestinal cancer

Colorectal CancerTNM Staging | AJCC 2017 Gastric Cancer TNM StagingTNM Staging | AJCC 2017 Hepatocellular Carcinoma TNM StagingTNM Staging | AJCC 2017 Esophagus and Esophagogastric Junction Cancers (Squamous Cell Carcinoma)TNM Staging | AJCC 2017 Esophagus and Esophagogastric Junction Cancers (Adenocarcinoma)TNM Staging | AJCC 2017

Hepatology

Autoimmune Hepatitis DiagnosisClarify the diagnose of autoimmune hepatitis Child Pugh ScoreDetermine severity and estimate mortality in cirrhosis Discriminant Function (Alcoholic Hepatitis)Emory Model (TIPSS)Prognosis after TIPSS using MELD Score Prognosis in Alcoholic HepatitisEstimates prognosis in alcoholic hepatitis using the MELD score PELD Score - Age Younger Than 12 yearsPELD (Pediatric End-Stage Liver Disease) is used for liver allocation in the OPTN match system Alcohol Addiction Risk of Relapse Alcohol Relapse Risk after Liver Transplant Serum Ascites to Albumin Gradient (SAAG)Determine if ascites due to portal hypertension.FIB-4 for Noninvasive Diagnosis of Hepatic FibrosisNon-invasively identify hepatic fibrosis APRI (AST to Platelet Ratio Index)Assess likelihood of fibrosis or cirrhosis non-invasively using AST and platelet count.NAFLD Fibrosis ScoreReduce the need for liver biopsy by identifying patients with non-alcoholic fatty liver disease likely or unlikely to have advanced fibrosis MELD Score - Age above 12 yearsScoring system used to rank prioritize candidates for liver transplantation, including MELD-Na used in the OPTN match system Alcohol Relapse Risk after Liver Transplant MELD Score - Age above 12 yearsScoring system used to rank prioritize candidates for liver transplantation, including MELD-Na used in the OPTN match system PELD Score - Age Younger Than 12 yearsPELD (Pediatric End-Stage Liver Disease) is used for liver allocation in the OPTN match system UKELD ScoreThe United Kingdom Model for End-Stage Liver Disease (UKELD) predicts prognosis in chronic liver disease and can be used to prioritize for liver transplantation Lille Model for Alcoholic HepatitisEstimate mortality in patients with severe alcoholic hepatitis not responding to corticosteroid therapy BE3A ScoreWhen to treat HCV in decompensated cirrhosis Hepatocellular Carcinoma TNM StagingTNM Staging | AJCC 2017

Inflammatory Bowel Disease

Crohn's Disease Activity Index (CDAI)Assess disease activity in Crohn's disease Mayo Score for Ulcerative Colitis ActivityAssess disease activity in ulcerative colitis Urine Anion Gap or Urine Net ChargeUse urine electrolytes to differentiate renal tubular acidosis from diarrhea-induced non-anion gap metabolic acidosis PCDAIPediatric Crohn's Disease Activity Index

Pancreatitis

APACHE IIEstimate mortality in the critically ill CT Severity Index (Pancreatitis)Predict complication and mortality rate in pancreatitis, based on CT findings (Balthazar score)Ranson's CriteriaEstimate mortality in patients with pancreatitis. BISAP ScoreEstimate disease severity in acute pancreatitis.Modified Marshall ScoreA definition of organ failure in acute pancreatitis Modified Glasgow Imrie Severity Criteria for Acute PancreatitisPredict outcome in acute pancreatitis

Geriatrics

Predicting 3 Year Survival for Incident Elderly ESRD PatientsDetermine appropriateness for transplant referral in elderly patients starting dialysis

Cardiac & Cerebrovascular

ABCD² ScoreGuide admission in TIA based on ABCD² Score ACC/AHA CV Risk Calculator (2013)Estimate 10-year risk for atherosclerotic cardiovascular disease CHADS2 Score for AFAssess risk of stroke in atrial fibrillation CHA2DS2-VASc Score for AFReplacement for CHADS2 for stroke prediction in atrial fibrillation Syncope - EGSYS ScoreWhich patients with syncope should be admitted?Bleeding Risk in Atrial Fibrillation: HAS-BLED ScoreUnderstand the risk of bleeding from anticoagulation in atrial fibrillation Warfarin Bleeding Risk - ElderlyEstimate 90 day risk of bleeding in patients on warfarin who are >65 years Bleeding Risk in Atrial Fibrillation: ATRIA Estimate bleeding risk for patients on warfarin.San Francisco Syncope RuleIdentify those at low risk of adverse outcome after a syncopal episode Canadian Syncope Risk Score (CSRS)Estimate prognosis among patients presenting to emergency with syncope Geriatric-Sensitive Perioperative Cardiac Risk Index | GSCRIEstimate risk of perioperative myocardial infarction or cardiac arrest in patients over 65 Seizure vs SyncopeDetermine which patients are likely to have seizure versus syncope as the cause of loss of consciousness

Depression

Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE)16 question geriatric cognitive screener

Frailty

Dubbo Osteoporotic Fracture RiskAssess risk of osteoporotic fracture Edmonton Frail ScaleSimple tool to assess frailty in older patients Osteoporosis Self-Assessment Tool for Men Risk stratify men for likelihood of osteoporosis Osteoporosis Self-Assessment Tool for WomenRisk stratify women for likelihood of osteoporosis

General Medicine

MGUS PrognosisDetermine risk of malignant progression to myleoma or lymphoproliferative disorder.Pneumonia risk (CURB-65)Estimate prognosis and determine disposition in community-acquired pneumonia. Not yet validated in COVID-19 Water Deficit in HypernatremiaDetermine water replacement in hypernatremia Pneumonia Severity Index (PORT Score)Determine need for admission in pneumonia. Not yet validated in COVID-19.Patient Health Questionnaire-9 (PHQ-9)Screening tool to assist in identifying major depressive disorder Polymyalgia Rheumatica (2012 EULAR/ACR Provisional Criteria)Review EULAR/ACR criteria for polymyalgia rheumatica International Prostate Symptom Score (IPSS)Assess severity of symptoms in benign prostatic hypertrophy

Geriatric Psychiatry

Hamilton Depression Rating Scale (HAM-D or HDRS)Determine severity of depression Geriatric Depression ScaleA questionnaire to screen for depression in geriatric populations GAD-7 Anxiety ScaleScreen for generalized anxiety disorder Short Michigan Alcoholism Screening Test-geriatric version The SMAST-GAssess for problem alcohol drinking in the elderly

Kidney Disease

MGUS PrognosisDetermine risk of malignant progression to myleoma or lymphoproliferative disorder.eGFR using CKD-EPICalculate eGFR using the CKD-EPI formula 3-Month Mortality in Incident Elderly ESRD PatientsEstimate the risk of early death (at 3 months) in elderly patients starting dialysis.Predicting 3 Year Survival for Incident Elderly ESRD PatientsDetermine appropriateness for transplant referral in elderly patients starting dialysis

Neurocognitive Disorder

Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE)16 question geriatric cognitive screener Diagnosis of Dementia with Lewy Bodies (DLB)Diagnose patients with dementia with Lewy Bodies based on the 2017 criteria Diagnosis of Multiple System Atrophy (MSA)Diagnose Multiple Systems Atrophy based on the 2008 criteria Anticholinergic Burden Assessment ToolA tool for finding the ACB Score of commonly prescribed medicines, and for calculating the Anticholinergic Burden for your patient.
Sponsored by Astellas Pharma

REFERENCE BOOK

Screening for Cognitive Impairment | CTFPHC

Hematology

Benign Hematology

DVT Clinical Probability (Well's)Determine pretest probability of DVT to guide workup Pulmonary Embolism Severity Index (PESI)Predict outcome in patients with pulmonary embolism HIT 4T's scoreDiagnose heparin-induced thrombocytopenia.PE Clinical ProbabilityDetermine pretest probability of PE to guide workup Recognize Thrombotic Microangiopathy
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Sponsored Content PERC Rule for Pulmonary EmbolismUse the PERC rule to rule out PE if no criteria are present and pre-test probability is <15%.Expected spleen size Provides upper limit of normal for spleen length and volume by ultrasound relative to body height and gender. Padua Prediction Score for Risk of VTEEstimate risk of venous thromboembolism in hospitalized patients Khorana risk scoreEstimate risk of chemotherapy-associated thrombosis PORT score for PeriOperative Risk of blood Transfusion in cardiac surgery by ACTAPredict risk of blood transfusion after elective cardiac surgery using the ACTA-PORT score Identify Type of Thrombotic Microangiopathy
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Sponsored by Alexion Pharmaceuticals Absolute Neutrophil Count (ANC)Determine ANC to assess risk of opportunistic infection Estimated Blood Volume Blood volume estimate based on patient weight and demographics DIC ScoreAssess likelihood of disseminated intravascular coagulation (DIC)Plasmic Score for TTPPredict ADAMTS13 deficiency in suspected thrombotic thrombocytopenic purpura (TTP) with high discrimination.sPESI | simplified Pulmonary Embolism Severity IndexEstimate risk of 30-day mortality in patients with acute PE

Body Surface Area

BMI and BSA (Mosteller)Calculate BMI and Body Surface Area using Mosteller formula BMI and BSA (Du Bois)Determine body mass index and body surface area using Du Bois method Body Surface Area Based Dosing Medication dose adjustment based on body surface area (BSA)

Malignant Hematology

CMML Prognostic Scoring Systems (from Spain and Dusseldorf)Assess risk of progression to AML and early mortality in CMML Diffuse Large B-Cell Lymphoma Prognosis (R-IPI)Determine prognosis in diffuse large B-cell lymphoma Follicular Lymphoma prognosisDetermine prognosis in follicular lymphoma (FLIPI)Acute GVHD GradingDetermine severity in acute graft versus host disease.Hodgkin's Disease | PrognosisEstimate prognosis in Hodgkin's disease.Hematopoietic cell transplantation - specific comorbidity index (HCT-CI)MDS Revised - International Prognostic Scoring System (IPSS-R)Assess mortality and progression to acute myeloid leukemia in myelodysplastic syndrome Hodgkin's Marrow InvolvementEstimate likelihood of bone marrow involvement in Hodgkin's lymphoma.MDS International Prognostic Scoring System (IPSS)Determine prognosis in myelodysplastic sydnrome Multiple Myeloma Prognosis (ISS)MASCC Febrile Neutropenia RiskAssess risk in febrile neutropenia and appropriateness for outpatient management MDS Anemia - EPO/GCSF ResponseIdentify those with MDS likely to respond to stem-cell factors.MDS WHO Classification-based Prognostic Scoring System (WPSS)Estimate survival and risk of transformation to AML in myelodysplastic syndrome.MGUS PrognosisDetermine risk of malignant progression to myleoma or lymphoproliferative disorder.MIPI - Mantle Cell Lymphoma PrognosisEstimate prognosis in mantle cell lymphoma.DIPSS Prognosis in MyelofibrosisEstimate prognosis in myelofibrosis.Smoldering Multiple Myeloma PrognosisDetermine risk of progression to symptomatic multiple myeloma.Diffuse Large B-cell Lymphoma Prognosis (IPI24)Determine prognosis in diffuse large B-cell lymphoma.Diffuse Large B-cell Lymphoma Prognosis (NCCN-IPI)Estimate prognosis in diffuse large B-cell lymphoma DIPSS Plus Score for Prognosis in MyelofibrosisEstimate prognosis in myelofibrosis.Multiple Myeloma Prognosis (R-ISS)Revised international staging system for myeloma CLL-IPIThe International Prognostic Index for patients with chronic lymphocytic leukemia Expected spleen size Provides upper limit of normal for spleen length and volume by ultrasound relative to body height and gender. MDS Revised - International Prognostic Scoring System (IPSS-R) Non-Age AdjustedAssess mortality and progression to acute myeloid leukemia in myelodysplastic syndrome using the non-age adjusted model
Sponsored CNS International Prognostic Index in Diffuse Large B-Cell Lymphoma (CNS-IPI)Estimate risk of CNS relapse/progression in diffuse large B-cell lymphoma MALT Lymphoma prognosis (MALT-IPI)Estimate prognosis in MALT lymphoma Khorana risk scoreEstimate risk of chemotherapy-associated thrombosis CLL BALL Score for Relapsed/Refractory CLL Sokal Score for CMLEstimate survival in CML EUTOS Score for Chronic Myelogenous Leukemia (CML)Predict outcomes after CML treatment, adjusted for tyrosine kinase treatments CMML CPSS-MolEstimate risk of progression to AML in those with CMML using molecular genetics data International Prognostic Scoring System for Waldenstrom MacroglobulinemiaEstimate prognosis with the IPPSWM Prognosis Calculator for Relapsed/Refractory DLBCLEstimate survival in relapsed/refractory DLBCL MDS Specific Frailty ScaleImprove prognostication with this frailty scale specific to those patients with myelodysplastic syndrome.ECOG ScoreAssess quality of life and degree of well-being in patients with cancer Karnofsky Score / Performance StatusAssess quality of life and degree of well-being in patients with cancer

Infectious Disease

MELD Score - Age above 12 yearsScoring system used to rank prioritize candidates for liver transplantation, including MELD-Na used in the OPTN match system

Antibiotics

Vancomycin Dosing Based on eGFR (creatinine-cystatin C)Select an appropriate initial dose and interval for vancomycin taking into account renal function using cystatin C & creatinine PEN-FAST - Penicillin Allergy Risk ToolClinical decision rule for point-of-care risk assessment of patient-reported penicillin allergies.

Clostridium Difficile

Diagnosis of Clostridium Difficile InfectionBased on IDSA guidelines Treatment of First Episode of Clostridium DifficileClinical management algorithm for adults, based on IDSA guidelines Treatment of Recurrent Episode of Clostridium DifficileClinical management algorithm for adults, based on IDSA guidelines

Diagnostic Criteria

Duke Criteria for EndocarditisDiagnose endocarditis Jones Criteria for Diagnosis of Rheumatic FeverDiagnose acute rheumatic fever Kocher Criteria for Septic ArthritisDetermine risk of septic arthritis in a child with an inflamed hip CSF WBC Correction In Blood Contaminated CSFCorrection equation for white cell count in setting of traumatic lumbar puncture

Febrile Neutropenia

MASCC Febrile Neutropenia RiskAssess risk in febrile neutropenia and appropriateness for outpatient management Absolute Neutrophil Count (ANC)Determine ANC to assess risk of opportunistic infection

Fever in Infants

Philadelphia Criteria in Febrile Infants Identify febrile infants aged 29 – 56 days old who are lower risk for serious bacterial infection Boston Criteria for Febrile InfantsIdentify febrile infants aged 28 – 89 days old who are lower risk for serious bacterial infection Rochester Criteria for Febrile InfantsIdentify febrile infants aged ≤ 60 days old who are low-risk for serious bacterial infection

Liver

Child Pugh ScoreDetermine severity and estimate mortality in cirrhosis Prognosis after TIPSS using MELD Score MELD Score - Age above 12 yearsScoring system used to rank prioritize candidates for liver transplantation, including MELD-Na used in the OPTN match system BE3A ScoreWhen to treat HCV in decompensated cirrhosis

REFERENCE BOOK

Screening for Hepatitis C | CTFPHCReview Canadian Task Force on Preventive Health Care guideline on Hepatitis C screening

Respiratory Tract Infection

Lund-Mackay Sinusitis StageAssess severity of chronic rhinosinusitis and assess response to therapy Pediatric Strep Score Pneumonia risk (CURB-65)Estimate prognosis and determine disposition in community-acquired pneumonia. Not yet validated in COVID-19 Westley Croup ScoreAssess croup severity Pneumonia Severity Index (PORT Score)Determine need for admission in pneumonia. Not yet validated in COVID-19.Centor Score (modified) for GAS PharyngitisEstimate likelihood of GAS pharyngitis Canadian Influenza Immunization GuideAdapted from Immunize Canada Alberta Croup Severity

Sepsis

Sequential Organ Failure Assessment (SOFA)Document clinical severity in the ICU and predict mortality qSOFA Score in Septic PatientsPredict patients at high-mortality risk from sepsis (not diagnose sepsis)

Tuberculosis

TB Skin Test InterpretationDetermine likelihood of TB based on tuberculin skin test

Medical Administration

Mayo Early Screen for Discharge PlanningIdentify patients needing specialized discharge planning services HOSPITAL ScoreDetermine risk of avoidable hospital readmission Worklife Balance

Medical Imaging

Body Imaging

CT Severity Index (Pancreatitis)Predict complication and mortality rate in pancreatitis, based on CT findings (Balthazar score)Expected spleen size Provides upper limit of normal for spleen length and volume by ultrasound relative to body height and gender.

Neuroimaging

ASPECTS: Alberta Stroke Programme Early CT Score for Predicting Outcome of Hyperacute StrokePredict outcome and risk of hemorrhage in acute ischemic stroke patients eligible for IV thrombolysis

Obstetrical imaging

Due Date by LMPPregnancy due date calculator Due Date by UltrasoundDetermine pregnancy due date using ultrasound results Gestational Age

Thrombosis imaging

DVT Clinical Probability (Well's)Determine pretest probability of DVT to guide workup PE Clinical ProbabilityDetermine pretest probability of PE to guide workup PERC Rule for Pulmonary EmbolismUse the PERC rule to rule out PE if no criteria are present and pre-test probability is <15%.

Trauma/MSK imaging

Canadian CT Head RuleDetermine which minor head injury patients need head CT imaging Canadian C-Spine RuleDetermine whether cervical spine imaging can be safely avoided NEXUS C-Spine CriteriaDetermine whether cervical spine imaging can be safely avoided Ottawa Ankle RulesDoes this ankle injury require an x-ray?Ottawa Knee RulesDoes this knee injury require an x-ray?NEXUS Chest Decision Instrument for Blunt Chest TraumaAssess the need for chest imaging after blunt trauma

Mental Health

Addictions

CIWA-ArOptimize benzodiazepine treatment of patients alcohol withdrawal Short Michigan Alcoholism Screening Test-geriatric version The SMAST-GAssess for problem alcohol drinking in the elderly Alcohol Use Disorders Identification Test-Concise (AUDIT-C)Brief screen to detecting heavy alcohol use Alcohol Use Disorders Identification Test (AUDIT)Screen for active alcohol abuse or dependence Who Five Well Being Index (WHO-5)5 questions to measure mental well-being Brief Psychiatric Rating Scale (BPRS)18 clinical questions to assess severity of consolidated symptoms

Anxiety

GAD-7 Anxiety ScaleScreen for generalized anxiety disorder Patient Health Questionnaire-4 (PHQ-4)Ultra-Brief Screening for Anxiety and Depression CAGE Questionnaire4 question screening for alcohol problems Edinburgh Postnatal Depression Scale (EPDS)10 question screener for postpartum depression Panic Disorder Severity Scale (PDSS)7 question scale to grade panic disorder severity Major Depression Inventory (MDI)12 question depression severity scale Post Traumatic Stress Disorder (PCL-C)17 question self-report for Post Traumatic Stress Disorder Generalized Anxiety Disorder 2 (GAD-2)Ultra-brief screening for anxiety disorders Mood Disorder Questionnaire (MDQ)15 question self-report to screen for bipolar disorder Post Traumatic Stress Disorder (PCL-5)20 questions that assesses the DSM-5 symptoms of PTSD Primary Care PTSD Screen for DSM-5 (PC-PTSD-5)A five question screener for PTSD Adult ADHD Self-Report Scales (ASRS)6 question scale to screen for adult ADHD

Bipolar

Altman Self-Rating Mania Scale (ASRM)5 question scale to screen and stage severity of hypomania/mania Young Mania Rating Scale (YMRS)11 question scale to grade the severity of mania Patient Health Questionnaire-4 (PHQ-4)Ultra-Brief Screening for Anxiety and Depression Edinburgh Postnatal Depression Scale (EPDS)10 question screener for postpartum depression Bipolar Spectrum Diagnostic Scale (BSDS)20 question screener for bipolar spectrum diagnosis Who Five Well Being Index (WHO-5)5 questions to measure mental well-being Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE)16 question geriatric cognitive screener Major Depression Inventory (MDI)12 question depression severity scale Brief Psychiatric Rating Scale (BPRS)18 clinical questions to assess severity of consolidated symptoms Generalized Anxiety Disorder 2 (GAD-2)Ultra-brief screening for anxiety disorders Mood Disorder Questionnaire (MDQ)15 question self-report to screen for bipolar disorder

Cognition

Anticholinergic Burden Assessment ToolA tool for finding the ACB Score of commonly prescribed medicines, and for calculating the Anticholinergic Burden for your patient.
Sponsored by Astellas Pharma

REFERENCE BOOK

Screening for Cognitive Impairment | CTFPHC

Depression

Hamilton Depression Rating Scale (HAM-D or HDRS)Determine severity of depression Modified SAD PERSONS ScaleAssess depression with the modified SAD PERSONS Scale Patient Health Questionnaire-9 (PHQ-9)Screening tool to assist in identifying major depressive disorder Geriatric Depression ScaleA questionnaire to screen for depression in geriatric populations Patient Health Questionnaire-2 (PHQ-2)Ultra-brief screening for depressive disorders Altman Self-Rating Mania Scale (ASRM)5 question scale to screen and stage severity of hypomania/mania Young Mania Rating Scale (YMRS)11 question scale to grade the severity of mania Patient Health Questionnaire-4 (PHQ-4)Ultra-Brief Screening for Anxiety and Depression CAGE Questionnaire4 question screening for alcohol problems Edinburgh Postnatal Depression Scale (EPDS)10 question screener for postpartum depression Bipolar Spectrum Diagnostic Scale (BSDS)20 question screener for bipolar spectrum diagnosis Who Five Well Being Index (WHO-5)5 questions to measure mental well-being Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE)16 question geriatric cognitive screener Major Depression Inventory (MDI)12 question depression severity scale Post Traumatic Stress Disorder (PCL-C)17 question self-report for Post Traumatic Stress Disorder Brief Psychiatric Rating Scale (BPRS)18 clinical questions to assess severity of consolidated symptoms Generalized Anxiety Disorder 2 (GAD-2)Ultra-brief screening for anxiety disorders Mood Disorder Questionnaire (MDQ)15 question self-report to screen for bipolar disorder

REFERENCE BOOK

Screening for Depression | CTFPHC

Eating Disorder

Eating Disorder Diagnostic Scale (EDDS)22 questions to screen for eating disorders

Obsessive Compulsive Disorder

Who Five Well Being Index (WHO-5)5 questions to measure mental well-being Brief Psychiatric Rating Scale (BPRS)18 clinical questions to assess severity of consolidated symptoms Eating Disorder Diagnostic Scale (EDDS)22 questions to screen for eating disorders

Pediatrics

SNAP-IV 26 - Teacher & Parent Rating ScaleAssess children for attention deficit hyperactivity disorder (ADHD)Adverse Childhood Experience (ACE)10 question screener for numerous health, social, and behavioral problems.

Post Traumatic Stress

Post Traumatic Stress Disorder (PCL-C)17 question self-report for Post Traumatic Stress Disorder Generalized Anxiety Disorder 2 (GAD-2)Ultra-brief screening for anxiety disorders Post Traumatic Stress Disorder (PCL-5)20 questions that assesses the DSM-5 symptoms of PTSD Primary Care PTSD Screen for DSM-5 (PC-PTSD-5)A five question screener for PTSD

Psychosis

Who Five Well Being Index (WHO-5)5 questions to measure mental well-being Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE)16 question geriatric cognitive screener Brief Psychiatric Rating Scale (BPRS)18 clinical questions to assess severity of consolidated symptoms

Psychosomatic

Patient Health Questionnaire-15 (PHQ-15)Somatic Symptom Severity Scale Who Five Well Being Index (WHO-5)5 questions to measure mental well-being Brief Psychiatric Rating Scale (BPRS)18 clinical questions to assess severity of consolidated symptoms

Sexual Function

Sexual Desire Inventory-2 (SDI-2)14-item scale for sexual desire

Treatment Side Effects

Abnormal Involuntary Movement Scale (AIMS)12-item scale to assess severity of dyskinesias

Nephrology

Acute Kidney Injury

APACHE IIEstimate mortality in the critically ill Contrast Nephropathy Post-PCIEstimate risk of AKI after percutaneous coronary intervention Dialysis Risk After Cardiac Surgery (Cleveland Clinic Score by Thakar)Estimate risk of dialysis after cardiac surgery.Dialysis Risk After Cardiac Surgery (Mehta)Estimate the risk of dialysis after cardiac surgery (Mehta model)Fractional Excretion of SodiumDifferentiate pre-renal AKI from ATN.Fractional Excretion of UreaIdentify a pre-renal state in patients using diuretics Sequential Organ Failure Assessment (SOFA)Document clinical severity in the ICU and predict mortality Pediatric Renal Angina IndexPredict acute kidney injury in critically ill children STARRT-AKI Enrollment CriteriaDetermine if patients meet criteria for the STARRT-AKI study.Kinetic eGFR (KeGFR)Estimate GFR when creatinine is changing acutely (either rising or falling)PIM2Paediatric Index of Mortality, revised version Serious Renal Dysfunction Post-PCIAssess risk of dialysis or severe increase in creatinine after PCI CRRT Dosing CalculatorCalculate desired dose of dialysate in CRRT NCDR AKI and Dialysis Risk after PCIEstimate risk of AKI and dialysis after PCI Advanced CKD after AKI Risk IndexEstimate risk of advanced chronic kidney disease after acute kidney injury Mayo AKI Risk after Primary Total Hip ArthroplastyEstimate perioperative risk of acute kidney injury NSAID risk of AKI or hyperkalemiaCalculator to predict risk of AKI or hyperkalemia within 30 days after initiation of prescription NSAIDs in adults 66 years and older.McMahon Rhabdomyolysis Risk ScorePredict the risk of severe acute kidney injury or mortality in patients with rhabdomyolysis Elevated serum creatinine or hyperkalemia after ACEi/ARBEstimate risk of elevated serum creatinine or hyperkalemia after ACEi or ARB initiation KDIGO AKI StagingClassification in acute kidney injury (AKI)

REFERENCE BOOK

KDIGO Clinical Practice Guideline for Acute Kidney Injury
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Chronic Kidney Disease

Kidney Failure Risk Equation (8 Variable)Estimate risk of progression to end-stage renal disease in CKD patients using 8 variables.Kidney Failure Risk Equation (4 Variable)Estimate risk of progression to end-stage renal disease in CKD patients using age, sex, eGFR and proteinuria with KFRE Chronic Kidney Disease Management: BC GuidelinesPrimary care management of CKD
Supported by Shared Care Committee of BC Predicting 6 and 12 Month Mortality in CKD patientsEstimate mortality in patients with stage IV or V chronic kidney disease.Vancomycin Dosing Based on eGFR (creatinine-cystatin C)Select an appropriate initial dose and interval for vancomycin taking into account renal function using cystatin C & creatinine Clinical outcomes in CKD with severely decreased GFREstimate likelihood of clinical outcomes and their timing in people with severely decreased GFR.Elevated serum creatinine or hyperkalemia after ACEi/ARBEstimate risk of elevated serum creatinine or hyperkalemia after ACEi or ARB initiation Optimizing Care in Diabetic Kidney DiseaseEnsure application of evidence-based care in diabetic kidney disease (DKD)
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Fluids & Electrolytes

Anion GapCalculate anion gap for workup of acid-base disorders Henderson-Hasselbalch Osmolal GapDetect unmeasured osmoles, such as toxic alcohols Transtubular K GradientWorkup hypokalemia and hyperkalemia Water Deficit in HypernatremiaDetermine water replacement in hypernatremia Volume of Distribution of Urea Calcium Correction for HypoalbuminemiaAdjust serum calcium in the setting of low albumin Total Body Water (Watson Formula)Corrected Sodium in HyperglycemiaAs used in the new MELD score, to correct Na in the setting of hyperglycemia Base ExcessUsed in assessing acid-base status Urine Anion Gap or Urine Net ChargeUse urine electrolytes to differentiate renal tubular acidosis from diarrhea-induced non-anion gap metabolic acidosis Sodium Correction Rate for HyponatremiaRate of fluid administration in correction of hyponatremia Sodium Deficit in HyponatremiaAmount of required sodium replenishment for the patient with hyponatremia Predicting Ionized Hypocalcemia in Critical CareIn critical care patients, estimate the single most likely ionised calcium value--with its surrounding 95% range of likely values--as well as the chance the true value is under 1.10 mM. The reference range for arterial iCa is 1.15-1.29 mM.Elevated serum creatinine or hyperkalemia after ACEi/ARBEstimate risk of elevated serum creatinine or hyperkalemia after ACEi or ARB initiation

Glomerulonephritis

Membranous PrognosisEstimate risk of progressive renal dysfunction in membranous nephropathy SLEDAI-2KAssess disease activity in lupus International IgAN Prediction Tool - AdultsDetermine prognosis in adults with IgA nephropathy Body Surface Area Based Dosing Medication dose adjustment based on body surface area (BSA)

Hemodialysis

Access RecirculationCalculate dialysis access recirculation Kt/V from PRU Kt/V Daugirdas 6-Month Mortality on HDEstimate 6 month mortality on dialysis using the Cohen model Home HD Candidacy (MATCH-D)Assess candidacy for home hemodialysis Percent Reduction of Urea Phenytoin Adjustment in Renal Failure 3-Month Mortality in Incident Elderly ESRD PatientsEstimate the risk of early death (at 3 months) in elderly patients starting dialysis.Predicting 3 Year Survival for Incident Elderly ESRD PatientsDetermine appropriateness for transplant referral in elderly patients starting dialysis Dialysis Duration Needed for Methanol IngestionEstimate dialysis duration required for methanol poisoning Dialysis Duration Needed for Ethylene Glycol IngestionEstimate dialysis duration required for ethylene glycol poisoning Predicting 3 Year Survival for Incident Elderly ESRD PatientsDetermine appropriateness for transplant referral in elderly patients starting dialysis

Hypertension

REFERENCE BOOK

Screening for Hypertension | CTFPHC

Lupus Nephritis

SLEDAI-2KAssess disease activity in lupus

Nephrolithiasis

ROKS - Recurrence Of Kidney Stone (2014)Predict risk of recurrent kidney stones ROKS – Recurrence Of Kidney Stone (2018)Predict the risk of a future symptomatic kidney stone after the last symptomatic stone.

PD

PD Candidacy (MATCH-D)Assess candidacy for peritoneal dialysis 3-Month Mortality in Incident Elderly ESRD PatientsEstimate the risk of early death (at 3 months) in elderly patients starting dialysis.Predicting 3 Year Survival for Incident Elderly ESRD PatientsDetermine appropriateness for transplant referral in elderly patients starting dialysis Predicting 3 Year Survival for Incident Elderly ESRD PatientsDetermine appropriateness for transplant referral in elderly patients starting dialysis

REFERENCE BOOK

PD Prescription Management Guide
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REFERENCE BOOK

Access Care and Complications Management
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REFERENCE BOOK

PD Prescription Quick Reference Guide
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Pathology

Glomerulosclerosis on Biopsy (2015)Differentiate glomerulosclerosis from kidney disease rather than aging International IgAN Prediction Tool - AdultsDetermine prognosis in adults with IgA nephropathy

Polycystic Kidney Disease

ADPKD Prognostic Tool using Total Kidney VolumeEstimate risk of progression in Autosomal Dominant Polycystic Kidney Disease
Sponsored by Otsuka Canada Pharmaceutical PROPKD ScorePredict renal survival in Autosomal Dominant Polycystic Kidney Disease (ADPKD) using genetics
Sponsored by Otsuka Canada Pharmaceutical ADPKD Prognostic Tool using Kidney DimensionsEstimate risk of progression in Autosomal Dominant Polycystic Kidney Disease
Sponsored by Otsuka Canada Pharmaceutical Total Kidney Volume (height-adjusted) Calculator & ADPKD Prognostic Tool using Kidney DimensionsEstimate risk of progression in Autosomal Dominant Polycystic Kidney Disease using kidney dimensions
Sponsored ADPKD Prognostic Tool using Total Kidney VolumeEstimate risk of progression in Autosomal Dominant Polycystic Kidney Disease using total kidney volume
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REFERENCE BOOK

ADPKD Canadian Expert Consensus
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Thrombotic Microangiopathy

Recognize Thrombotic Microangiopathy
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Sponsored by Alexion Pharmaceuticals Recognise Thrombotic Microangiopathy
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Transplant

Renal Graft Failure at 5-Years, Predicted 1 Year Post TransplantEstimate the risk of kidney transplant graft failure at 5 years Renal Graft Failure at 5-Years, Predicted 7 Days Post TransplantEstimate the risk of kidney transplant graft failure at 5 years Renal Graft Failure at 5-Years, Predicted at Time of TransplantEstimate the risk of kidney transplant graft failure at 5 years Predicting 3 Year Survival for Incident Elderly ESRD PatientsDetermine appropriateness for transplant referral in elderly patients starting dialysis Predicting 3 Year Survival for Incident Elderly ESRD PatientsDetermine appropriateness for transplant referral in elderly patients starting dialysis Renal Graft Failure at 5-Years, Predicted 1 Year Post TransplantEstimate the risk of kidney transplant graft failure at 5 years Renal Graft Failure at 5-Years, Predicted 7 Days Post TransplantEstimate the risk of kidney transplant graft failure at 5 years Renal Graft Failure at 5-Years, Predicted at Time of TransplantEstimate the risk of kidney transplant graft failure at 5 years ESRD Risk Tool for Kidney Donor Candidates15-year and lifetime risk for kidney donors

eGFR

CrCl Cockroft-GaultEstimate creatinine clearance CrCl from 24h UrineCalculate creatinine clearance from a 24h urine collection.Mayo Quadratic eGFR MDRD eGFRCalculate eGFR using the MDRD formula MDRD eGFR (6 Variable)eGFR using CKD-EPICalculate eGFR using the CKD-EPI formula Schwartz Pediatric Bedside eGFR (2009)The revised "bedside" pediatric eGFR requires only serum creatinine and height.Schwartz Pediatric eGFR, Full Model (2009)The full Schwartz pediatric eGFR calculation requires height, serum creatinine, cystatin C, blood urea nitrogen and gender.

Neurology / Neurosurgery

Arteriovenous Malformation

AVM Rupture RiskEstimate risk of rupture of an arteriovenous malformation (AVM)Spetzler-Martin Score R₂eD AVM Hemorrhage RiskEstimate risk of hemorrhage in patients with cerebral arteriovenous malformations

Coma/Level of Consciousness

FOUR Score Glasgow Coma Scale (GCS)Document level of consciousness.Pediatric Glasgow Coma Scale CAM-ICUDiagnose delirium in the intensive care unit.The Richmond Agitation Sedation Score (RASS)Assess level of consciousness in the intensive care unit.Anticholinergic Burden Assessment ToolA tool for finding the ACB Score of commonly prescribed medicines, and for calculating the Anticholinergic Burden for your patient.
Sponsored by Astellas Pharma Glasgow Outcome Scale Extended [GOS-E]Stratifies patient’s functional outcome after acute brain injury SWAP Score for Out of Hospital Cardiac ArrestPredicts which patients with OHCA will have poor neurologic recovery

Dementia/Neurodegenerative

Diagnosis of Dementia with Lewy Bodies (DLB)Diagnose patients with dementia with Lewy Bodies based on the 2017 criteria Diagnosis of Multiple System Atrophy (MSA)Diagnose Multiple Systems Atrophy based on the 2008 criteria

Dermatome Map

Anterior Dermatome Map Head and Neck Dermatome Map Posterior Dermatome Map Top View Dermatome Map

Functional Outcome

Modified Rankin Scale (mRS)Erasmus GBS Respiratory Insufficiency Score (EGRIS)Predict the probability of respiratory insufficiency within the first week of admission, in individual patients with Guillain-Barré syndrome. Modified Erasmus GBS Outcome Score (EGOS) at hospital admissionPredict probability of being unable to walk independently during follow up in patients with Guillain-Barré syndrome. Score taken at hospital admission.Modified Erasmus GBS Outcome Score (EGOS) at day 7 of admissionPredict the probability of being unable to walk independently during follow up in patients with Guillain-Barré syndrome. Score taken after 7 days of hospital admission.Dutch Meningitis Risk ScoreThe Dutch Meningitis Risk Score is a bedside risk score for unfavorable outcome in adults with bacterial meningitis.

Head & Neck Trauma

Canadian CT Head RuleDetermine which minor head injury patients need head CT imaging Canadian C-Spine RuleDetermine whether cervical spine imaging can be safely avoided NEXUS C-Spine CriteriaDetermine whether cervical spine imaging can be safely avoided Glasgow Outcome Scale Extended [GOS-E]Stratifies patient’s functional outcome after acute brain injury

Headache

MIDAS (Migraine Disability Assessment)Measure level of disability in patients with migraines

Intracerebral Hemorrhage

ICH FUNC ScorePredict likelihood of functional independence after intracranial hemorrhage ICH ScoreEstimate mortality after intracerebral hemorrhage ICH Volume Blood on MRI

Ischemic Stroke

ABCD² ScoreGuide admission in TIA based on ABCD² Score CHADS2 Score for AFAssess risk of stroke in atrial fibrillation CHA2DS2-VASc Score for AFReplacement for CHADS2 for stroke prediction in atrial fibrillation t-PA Dosing in Acute Stroke TICI Score Asymptomatic ICA (Internal Carotid Artery) Stenosis Surgical Risk Stratification DRAGON Score for Post-TPA Stroke OutcomeThe DRAGON Score predicts outcome at 3 months in ischemic stroke patients receiving tPA.NIH Stroke Scale/Score (NIHSS)NIH Stroke Scale provides an assessment for stroke severity.Vascular Quality Initiative (VQI) 30-Day Stroke Risk Index for CEAEstimate risk of stroke within 30 days after carotid endarterectomy Vascular Quality Initiative (VQI) 1-Year Mortality Risk Index for CEAEstimate probability of death within 1 year after carotid endarterectomy ROSIER scaleDetermine which patients are likely to have true stroke vs stroke mimics ASPECTS: Alberta Stroke Programme Early CT Score for Predicting Outcome of Hyperacute StrokePredict outcome and risk of hemorrhage in acute ischemic stroke patients eligible for IV thrombolysis TIA Prognosis: Risk of Stroke by 90 Days After PresentationRisk stratify stroke risk within 90 days of TIA presentation

Movement Disorder

Abnormal Involuntary Movement Scale (AIMS)12-item scale to assess severity of dyskinesias

Multiple Sclerosis & Demyelinating Disease

Neuromyelitis Optica (NMO) CriteriaDiagnose neuromyelitis optica
Supported by Alexion Canada Multiple Sclerosis: DiagnosisDiagnose MS using the 2017 McDonald Criteria PML Risk Stratification in Multiple Sclerosis Patients on NatalizumabStratify risk of developing PML in patients with Multiple Sclerosis who are on natalizumab Primary Progressive Multiple Sclerosis: DiagnosisDiagnose Primary Progressive MS using the 2017 McDonald Criteria

Neuromuscular Diseases

Myasthenia Gravis Activities of Daily Living (MG-ADL) ScoreTrack Impact of Myasthenia Gravis on Activities of Daily Living
Supported by Alexion Canada Myasthenia Gravis Quality of Life 15 Revised (MG-QoL15r) ScoreTrack Impact of MG on Quality of Life
Supported by Alexion Canada

Neuromyelitis Optica Spectrum Disorder

Neuromyelitis Optica (NMO) CriteriaDiagnose neuromyelitis optica
Supported by Alexion Canada

Neurophysiology

Cerebral Perfusion PressureCalculate net pressure gradient causing cerebral blood flow to the brain

Seizure

Fosphenytoin Load Phenytoin Adjustment in Renal Failure Seizure vs SyncopeDetermine which patients are likely to have seizure versus syncope as the cause of loss of consciousness 2HELPS2B ScoreEstimate duration of EEG monitoring needed to detect 95% of seizures

Subarachnoid Hemorrhage

SAH Fisher Grade SAH Hunt & Hess Scale Modified Fisher Scale WFNS SAH Scale Ottawa SAH RuleUse the Ottawa SAH Rule to rule out subarachnoid hemorrhage PHASES ScorePredict risk of rupture for asymptomatic intracranial aneurysms

Thrombotic Microangiopathy

Recognize Thrombotic Microangiopathy
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Obstetrics & Gynecology

Bishop ScorePredict whether induction of labor will be required.Due Date by LMPPregnancy due date calculator Due Date by UltrasoundDetermine pregnancy due date using ultrasound results Gestational Age Postoperative Respiratory Failure Risk CalculatorEstimate risk of postoperative respiratory failure Postoperative Respiratory Failure Risk CalculatorEstimate risk of postoperative respiratory failure Edinburgh Postnatal Depression Scale (EPDS)10 question screener for postpartum depression Pregnancy Gestation by LMP and Ultrasound BiometryPredicts estimated delivery dates and gestational age using LMP and biometry Cerivcal Cancer TNM StagingTNM Staging | AJCC 2017

Sexual Health

Sexual Desire Inventory-2 (SDI-2)14-item scale for sexual desire

Oncology

Body Surface Area, BMI and Lean Body Weight

BMI and BSA (Mosteller)Calculate BMI and Body Surface Area using Mosteller formula BMI and BSA (Du Bois)Determine body mass index and body surface area using Du Bois method Body Surface Area Based Dosing Medication dose adjustment based on body surface area (BSA) Lean Body Weight (Female)Calculates estimated patient fat-free body mass in females Lean Body Weight (Male)Calculates estimated patient fat-free body mass in males

Breast Cancer

Breast Cancer (Clinical) TNM StagingcTNM Staging | AJCC 2017 Breast Cancer (Pathological) TNM StagingpTNM Staging | AJCC 2017

REFERENCE BOOK

Screening for Breast Cancer | CTFPHC

Genitourinary Cancers

Prognosis in Renal Cell Carcinoma (UISS)Estimate survival in renal cell carcinoma Renal Cell Carcinoma TNM StagingTNM Staging | AJCC 2017 Bladder Cancer TNM StagingTNM Staging | AJCC 2017

Head & Neck Cancer Staging

Mucosal Melanoma Lip and Oral Cavity Cancer (Clinical) TNM StagingcTNM Staging | AJCC 2017 Lip and Oral Cavity Cancer TNM Staging (Pathological)pTNM Staging | AJCC 2017 Major Salivary Gland Cancer (Clinical)cTNM Staging | AJCC 2017 Major Salivary Gland Cancer TNM Staging (Pathological)pTNM Staging | AJCC 2017 Nasopharyngeal Cancer TNM StagingTNM Staging | AJCC 2017 Hypopharyngeal Cancer (Clinical)cTNM Staging | AJCC 2017 Hypopharyngeal Cancer (Pathological)pTNM Staging | AJCC 2017 Maxillary Sinus Cancer (Clinical)cTNM Staging | AJCC 2017 Maxillary Sinus Cancer (Pathological)pTNM Staging | AJCC 2017 Nasal Cavity and Ethmoid Sinus Cancer (Pathological)pTNM Staging | AJCC 2017 Nasal Cavity and Ethmoid Sinus Cancer (Clinical)cTNM Staging | AJCC 2017 Laryngeal Cancer: Supraglottis (Pathological)pTNM Staging | AJCC 2017 Laryngeal Cancer: Supraglottis (Clinical)cTNM Staging | AJCC 2017 Oropharyngeal (p16-) Cancer TNM Staging (Pathological)pTNM Staging | AJCC 2017 Oropharyngeal (p16-) Cancer TNM Staging (Clinical)cTNM Staging | AJCC 2017 Laryngeal Cancer: Glottis (Clinical)cTNM Staging | AJCC 2017 Laryngeal Cancer: Glottis (Pathological)pTNM Staging | AJCC 2017 Laryngeal Cancer: Subglottis (Clinical)cTNM Staging | AJCC 2017 Laryngeal Cancer: Subglottis (Pathological)pTNM Staging | AJCC 2017 Differentiated Thyroid Cancer TNM StagingTNM Staging | AJCC 2017 Anaplastic Thyroid Cancer TNM StagingTNM Staging | AJCC 2017 Medullary Thyroid Cancer TNM StagingTNM Staging | AJCC 2017

Malignant Hematology

CMML Prognostic Scoring Systems (from Spain and Dusseldorf)Assess risk of progression to AML and early mortality in CMML Diffuse Large B-Cell Lymphoma Prognosis (R-IPI)Determine prognosis in diffuse large B-cell lymphoma Follicular Lymphoma prognosisDetermine prognosis in follicular lymphoma (FLIPI)Acute GVHD GradingDetermine severity in acute graft versus host disease.Hodgkin's Disease | PrognosisEstimate prognosis in Hodgkin's disease.Hematopoietic cell transplantation - specific comorbidity index (HCT-CI)MDS Revised - International Prognostic Scoring System (IPSS-R)Assess mortality and progression to acute myeloid leukemia in myelodysplastic syndrome Hodgkin's Marrow InvolvementEstimate likelihood of bone marrow involvement in Hodgkin's lymphoma.MDS International Prognostic Scoring System (IPSS)Determine prognosis in myelodysplastic sydnrome Multiple Myeloma Prognosis (ISS)MASCC Febrile Neutropenia RiskAssess risk in febrile neutropenia and appropriateness for outpatient management MDS Anemia - EPO/GCSF ResponseIdentify those with MDS likely to respond to stem-cell factors.MDS WHO Classification-based Prognostic Scoring System (WPSS)Estimate survival and risk of transformation to AML in myelodysplastic syndrome.MGUS PrognosisDetermine risk of malignant progression to myleoma or lymphoproliferative disorder.MIPI - Mantle Cell Lymphoma PrognosisEstimate prognosis in mantle cell lymphoma.DIPSS Prognosis in MyelofibrosisEstimate prognosis in myelofibrosis.Smoldering Multiple Myeloma PrognosisDetermine risk of progression to symptomatic multiple myeloma.Diffuse Large B-cell Lymphoma Prognosis (IPI24)Determine prognosis in diffuse large B-cell lymphoma.Diffuse Large B-cell Lymphoma Prognosis (NCCN-IPI)Estimate prognosis in diffuse large B-cell lymphoma DIPSS Plus Score for Prognosis in MyelofibrosisEstimate prognosis in myelofibrosis.Multiple Myeloma Prognosis (R-ISS)Revised international staging system for myeloma CLL-IPIThe International Prognostic Index for patients with chronic lymphocytic leukemia MDS Revised - International Prognostic Scoring System (IPSS-R) Non-Age AdjustedAssess mortality and progression to acute myeloid leukemia in myelodysplastic syndrome using the non-age adjusted model
Sponsored CNS International Prognostic Index in Diffuse Large B-Cell Lymphoma (CNS-IPI)Estimate risk of CNS relapse/progression in diffuse large B-cell lymphoma MALT Lymphoma prognosis (MALT-IPI)Estimate prognosis in MALT lymphoma Khorana risk scoreEstimate risk of chemotherapy-associated thrombosis CLL BALL Score for Relapsed/Refractory CLL Sokal Score for CMLEstimate survival in CML EUTOS Score for Chronic Myelogenous Leukemia (CML)Predict outcomes after CML treatment, adjusted for tyrosine kinase treatments CMML CPSS-MolEstimate risk of progression to AML in those with CMML using molecular genetics data International Prognostic Scoring System for Waldenstrom MacroglobulinemiaEstimate prognosis with the IPPSWM Absolute Neutrophil Count (ANC)Determine ANC to assess risk of opportunistic infection Karnofsky Score / Performance StatusAssess quality of life and degree of well-being in patients with cancer ECOG ScoreAssess quality of life and degree of well-being in patients with cancer

Solid Tumor

Carboplatin AUC Dosing (Calvert)Brain Metastases Prognostic IndexEstimate prognosis in patients with brain metastases using the graded prognostic assessment Serious Illness Conversation GuideSteps to elicit important information from your patients about their goals and values Khorana risk scoreEstimate risk of chemotherapy-associated thrombosis Lung Cancer TNM StagingTNM Staging | AJCC 2017 Lip and Oral Cavity Cancer TNM Staging (Pathological)pTNM Staging | AJCC 2017 HPV-Mediated (p16+) Oropharyngeal Cancer (Clinical)cTNM Staging | AJCC 2017 HPV-Mediated (p16+) Oropharyngeal Cancer (Pathological)pTNM Staging | AJCC 2017 Absolute Neutrophil Count (ANC)Determine ANC to assess risk of opportunistic infection Colorectal CancerTNM Staging | AJCC 2017 Gastric Cancer TNM StagingTNM Staging | AJCC 2017 Cerivcal Cancer TNM StagingTNM Staging | AJCC 2017 Hepatocellular Carcinoma TNM StagingTNM Staging | AJCC 2017 Esophagus and Esophagogastric Junction Cancers (Squamous Cell Carcinoma)TNM Staging | AJCC 2017 Esophagus and Esophagogastric Junction Cancers (Adenocarcinoma)TNM Staging | AJCC 2017 ECOG ScoreAssess quality of life and degree of well-being in patients with cancer Karnofsky Score / Performance StatusAssess quality of life and degree of well-being in patients with cancer Lansky scorePerformance score in pediatric patients with cancer

REFERENCE BOOK

Screening for Breast Cancer | CTFPHC

REFERENCE BOOK

Screening for Colorectal Cancer | CTFPHC

REFERENCE BOOK

Screening for Lung Cancer | CTFPHC

REFERENCE BOOK

Screening for Prostate Cancer | CTFPHC

REFERENCE BOOK

Screening for Cervical Cancer | CTFPHC

Orthopedics

Canadian CT Head RuleDetermine which minor head injury patients need head CT imaging Canadian C-Spine RuleDetermine whether cervical spine imaging can be safely avoided DVT Clinical Probability (Well's)Determine pretest probability of DVT to guide workup Pulmonary Embolism Severity Index (PESI)Predict outcome in patients with pulmonary embolism NEXUS C-Spine CriteriaDetermine whether cervical spine imaging can be safely avoided Ottawa Ankle RulesDoes this ankle injury require an x-ray?Ottawa Knee RulesDoes this knee injury require an x-ray?PE Clinical ProbabilityDetermine pretest probability of PE to guide workup Mangled Extremity Severity Score (MESS)Assess limb-salvage potential in trauma to the extremity.Postoperative Respiratory Failure Risk CalculatorEstimate risk of postoperative respiratory failure Injury Severity ScoreDescribe severity of traumatic injury Postoperative Respiratory Failure Risk CalculatorEstimate risk of postoperative respiratory failure Mayo AKI Risk after Primary Total Hip ArthroplastyEstimate perioperative risk of acute kidney injury Pittsburgh Knee RuleAssist with detection of knee fractures and decision to x-ray McMahon Rhabdomyolysis Risk ScorePredict the risk of severe acute kidney injury or mortality in patients with rhabdomyolysis Kocher Criteria for Septic ArthritisDetermine risk of septic arthritis in a child with an inflamed hip

Otolaryngology (ENT)

General Otolaryngology

Lund-Mackay Sinusitis StageAssess severity of chronic rhinosinusitis and assess response to therapy Modified Strep Score Postoperative Respiratory Failure Risk CalculatorEstimate risk of postoperative respiratory failure Postoperative Respiratory Failure Risk CalculatorEstimate risk of postoperative respiratory failure Attia Criteria for Evaluation of PharyngitisEstimate likelihood of Streptococcal pharyngitis as the etiology for sore throat Wullstein Classification of Tympanoplasty Sadé Grading System of Atelectasis Bellucci Classification House Brackmann

Head & Neck Cancer Staging

Mucosal Melanoma Lip and Oral Cavity Cancer (Clinical) TNM StagingcTNM Staging | AJCC 2017 Lip and Oral Cavity Cancer TNM Staging (Pathological)pTNM Staging | AJCC 2017 Major Salivary Gland Cancer (Clinical)cTNM Staging | AJCC 2017 Major Salivary Gland Cancer TNM Staging (Pathological)pTNM Staging | AJCC 2017 Nasopharyngeal Cancer TNM StagingTNM Staging | AJCC 2017 HPV-Mediated (p16+) Oropharyngeal Cancer (Clinical)cTNM Staging | AJCC 2017 HPV-Mediated (p16+) Oropharyngeal Cancer (Pathological)pTNM Staging | AJCC 2017 Hypopharyngeal Cancer (Clinical)cTNM Staging | AJCC 2017 Hypopharyngeal Cancer (Pathological)pTNM Staging | AJCC 2017 Maxillary Sinus Cancer (Clinical)cTNM Staging | AJCC 2017 Maxillary Sinus Cancer (Pathological)pTNM Staging | AJCC 2017 Nasal Cavity and Ethmoid Sinus Cancer (Pathological)pTNM Staging | AJCC 2017 Nasal Cavity and Ethmoid Sinus Cancer (Clinical)cTNM Staging | AJCC 2017 Laryngeal Cancer: Supraglottis (Pathological)pTNM Staging | AJCC 2017 Laryngeal Cancer: Supraglottis (Clinical)cTNM Staging | AJCC 2017 Oropharyngeal (p16-) Cancer TNM Staging (Pathological)pTNM Staging | AJCC 2017 Oropharyngeal (p16-) Cancer TNM Staging (Clinical)cTNM Staging | AJCC 2017 Laryngeal Cancer: Glottis (Clinical)cTNM Staging | AJCC 2017 Laryngeal Cancer: Glottis (Pathological)pTNM Staging | AJCC 2017 Laryngeal Cancer: Subglottis (Clinical)cTNM Staging | AJCC 2017 Laryngeal Cancer: Subglottis (Pathological)pTNM Staging | AJCC 2017 Differentiated Thyroid Cancer TNM StagingTNM Staging | AJCC 2017 Anaplastic Thyroid Cancer TNM StagingTNM Staging | AJCC 2017 Medullary Thyroid Cancer TNM StagingTNM Staging | AJCC 2017

Pathology & Lab Medicine

Glomerulosclerosis on Biopsy (2015)Differentiate glomerulosclerosis from kidney disease rather than aging eGFR using CKD-EPICalculate eGFR using the CKD-EPI formula Calcium Correction for HypoalbuminemiaAdjust serum calcium in the setting of low albumin Expected spleen size Provides upper limit of normal for spleen length and volume by ultrasound relative to body height and gender.

REFERENCE BOOK

Guidance on Autopsy in COVID-19 with FAQ

Pediatrics

PELD Score - Age Younger Than 12 yearsPELD (Pediatric End-Stage Liver Disease) is used for liver allocation in the OPTN match system

General Pediatrics

PELD Score - Age Younger Than 12 yearsPELD (Pediatric End-Stage Liver Disease) is used for liver allocation in the OPTN match system Schwartz Pediatric Bedside eGFR (2009)The revised "bedside" pediatric eGFR requires only serum creatinine and height.Schwartz Pediatric eGFR, Full Model (2009)The full Schwartz pediatric eGFR calculation requires height, serum creatinine, cystatin C, blood urea nitrogen and gender.Car, Relax, Alone, Forget, Friends, Trouble (CRAFFT 2.1)9 question screener for substance use in adolescents PRAM Score for Pediatric Asthma Exacerbation SeverityAssess asthma severity in pediatric patients PEN-FAST - Penicillin Allergy Risk ToolClinical decision rule for point-of-care risk assessment of patient-reported penicillin allergies.Alberta Croup Severity Lansky scorePerformance score in pediatric patients with cancer

REFERENCE BOOK

Tobacco Smoking in Children and Adolescents | CTFPHC

REFERENCE BOOK

Screening for Developmental Delay | CTFPHCReview Canadian Task Force on Preventive Health Care guideline on screening for developmental delay

REFERENCE BOOK

Obesity in Children | CTFPHC

REFERENCE BOOK

Diagnosis and Management of Congenital Diaphragmatic Hernia (CDH): A Clinical Practice Guideline

Growth

CDC Height for Age Percentiles for Boys (2 - 20 years)Calculate Z-score and percentile CDC Height for Age Percentiles for Girls (2 - 20 years)Calculate Z-score and percentile CDC Weight for Age Percentiles for Boys (2-20 years)Calculate Z-score and percentile CDC Weight for Age Percentiles for Girls (2 - 20 years)Calculate Z-score and percentile CDC Weight for Height Percentiles for Girls (77-121 cm tall)Calculate Z-score and percentile CDC/NCHS Infant Weight for Age Percentiles (<36 months)Calculate Z-score and percentile CDC Weight for Height Percentiles for Boys (77-121 cm tall)Calculate Z-score and percentile CDC/NCHS Infant Length for Age Percentiles (<36 months)Calculate Z-score and percentile CDC/NCHS Infant Weight for Length Percentiles (< 36 months)Calculate Z-score and percentile CDC/NCHS Infant Head Circumference for Age Percentiles (<36 months)Calculate Z-score and percentile

Infectious Disease

Modified Strep Score Pediatric Strep Score Westley Croup ScoreAssess croup severity Centor Score (modified) for GAS PharyngitisEstimate likelihood of GAS pharyngitis Philadelphia Criteria in Febrile Infants Identify febrile infants aged 29 – 56 days old who are lower risk for serious bacterial infection Boston Criteria for Febrile InfantsIdentify febrile infants aged 28 – 89 days old who are lower risk for serious bacterial infection Rochester Criteria for Febrile InfantsIdentify febrile infants aged ≤ 60 days old who are low-risk for serious bacterial infection Kocher Criteria for Septic ArthritisDetermine risk of septic arthritis in a child with an inflamed hip PEN-FAST - Penicillin Allergy Risk ToolClinical decision rule for point-of-care risk assessment of patient-reported penicillin allergies.

Mental Health

SNAP-IV 26 - Teacher & Parent Rating ScaleAssess children for attention deficit hyperactivity disorder (ADHD)

Trauma/Critical Care

APGARRapid newborn clinical assessment Pediatric Endotracheal Tube Size Pediatric Glasgow Coma Scale PIM2Paediatric Index of Mortality, revised version PCDAIPediatric Crohn's Disease Activity Index PECARN Rule for Pediatric Head Injury < 2 years oldAssess the need for neuroimaging in pediatric head trauma PECARN Rule for Pediatric Head Injury ≥ 2 years oldAssess the need for neuroimaging in pediatric head trauma

Physical Medicine and Rehabilitation

ICH FUNC ScorePredict likelihood of functional independence after intracranial hemorrhage Disability Rating Scale (DRS)Modified Ashworth Scale (MAS)National Pressure Ulcer Advisory Panel Staging System (NPUAP)DRAGON Score for Post-TPA Stroke OutcomeThe DRAGON Score predicts outcome at 3 months in ischemic stroke patients receiving tPA.Mobilization of Hospitalized Patients with COPD Exacerbation (AECOPD-MOB)

Physiotherapy

Mobilization of Hospitalized Patients with COPD Exacerbation (AECOPD-MOB)

Preventive Medicine

ACC/AHA CV Risk Calculator (2013)Estimate 10-year risk for atherosclerotic cardiovascular disease Adverse Childhood Experience (ACE)10 question screener for numerous health, social, and behavioral problems.

REFERENCE BOOK

Screening for Breast Cancer | CTFPHC

REFERENCE BOOK

Screening for Cervical Cancer | CTFPHC

REFERENCE BOOK

Screening for Hypertension | CTFPHC

REFERENCE BOOK

Screening for Type 2 Diabetes | CTFPHC

REFERENCE BOOK

Tobacco Smoking in Children and Adolescents | CTFPHC

REFERENCE BOOK

Screening for Colorectal Cancer | CTFPHC

REFERENCE BOOK

Screening for Cognitive Impairment | CTFPHC

REFERENCE BOOK

Screening for Depression | CTFPHC

REFERENCE BOOK

Screening for Developmental Delay | CTFPHCReview Canadian Task Force on Preventive Health Care guideline on screening for developmental delay

REFERENCE BOOK

Screening for Lung Cancer | CTFPHC

REFERENCE BOOK

Obesity in Adults | CTFPHC

REFERENCE BOOK

Obesity in Children | CTFPHC

REFERENCE BOOK

Pelvic Exam | CTFPHC

REFERENCE BOOK

Screening for Prostate Cancer | CTFPHC

REFERENCE BOOK

Screening for Hepatitis C | CTFPHCReview Canadian Task Force on Preventive Health Care guideline on Hepatitis C screening

REFERENCE BOOK

Screening for Abdominal Aortic Aneurysm | CTFPHC

REFERENCE BOOK

Impaired Vision | CTFPHC

REFERENCE BOOK

Screening for Asymptomatic Bacteriuria in Pregnancy | CTFPHC

REFERENCE BOOK

Screening Adults for Asymptomatic Thyroid Dysfunction in Primary Care | CTFPHC

REFERENCE BOOK

Screening for Esophageal Adenocarcinoma in Patients with Chronic Rastroesophageal Reflux Disease | CTFPHC

Respirology

Asthma & COPD

BODE Index for COPDEstimate prognosis in COPD Corticosteroid EquivalenceDetermine equivalent dosage of corticosteroid Peak Expiratory Flow Prediction Ottawa chronic obstructive pulmonary disease risk scale (OCRS)Guide admission vs discharge in COPD exacerbation Risk of Occupational Asthma due to High-Molecular Weight AgentsEstimate the likelihood of occupational asthma in subjects exposed to high-molecular weight agents

DVT/PE

DVT Clinical Probability (Well's)Determine pretest probability of DVT to guide workup Pulmonary Embolism Severity Index (PESI)Predict outcome in patients with pulmonary embolism PE Clinical ProbabilityDetermine pretest probability of PE to guide workup PERC Rule for Pulmonary EmbolismUse the PERC rule to rule out PE if no criteria are present and pre-test probability is <15%.sPESI | simplified Pulmonary Embolism Severity IndexEstimate risk of 30-day mortality in patients with acute PE

General Respirology

A-a GradientUsed to determine cause of hypoxemia Mortality in IPF (GAP Index)Estimate mortality in idiopathic pulmonary fibrosis In-flight PaO₂ (based on ABG)In-flight PaO₂ (ABG & PFT)Nasal Cannula FiO₂ Estimation PaO₂:FiO₂ Ratio Postoperative Respiratory Failure Risk CalculatorEstimate risk of postoperative respiratory failure VQI: Respiratory Adverse Event Risk Post Vascular SurgeryEstimate the risk of pneumonia or respiratory failure after vascular surgery Postoperative Respiratory Failure Risk CalculatorEstimate risk of postoperative respiratory failure TB Skin Test InterpretationDetermine likelihood of TB based on tuberculin skin test Erasmus GBS Respiratory Insufficiency Score (EGRIS)Predict the probability of respiratory insufficiency within the first week of admission, in individual patients with Guillain-Barré syndrome. Light's CriteriaDetermine whether a pleural effusion is exudative or transudative ROX Index to Predict Risk of IntubationPredict risk of intubation at 2, 6 and 12 hours in hypoxemic respiratory failure. Not yet validated for COVID-19 ProVent 14 Score for prolonged mechanical ventilationDetermine risk of 1-year mortality after prolonged mechanical ventilation PEN-FAST - Penicillin Allergy Risk ToolClinical decision rule for point-of-care risk assessment of patient-reported penicillin allergies.

Lung Cancer

Solitary Pulmonary Nodule Malignancy RiskWorkup a solitary pulmonary nodule Lung Cancer TNM StagingTNM Staging | AJCC 2017

Pneumonia

Pneumonia risk (CURB-65)Estimate prognosis and determine disposition in community-acquired pneumonia. Not yet validated in COVID-19 Pneumonia Severity Index (PORT Score)Determine need for admission in pneumonia. Not yet validated in COVID-19.

Sleep

Epworth Sleepiness ScaleScreen for excessive sleepiness or follow response to treatment for a sleep disorder STOP-BANG Score for Obstructive Sleep ApneaScreen for obstructive sleep apnea Pittsburgh Sleep Quality Index (PSQI)Measure your patient's sleep quality

Rheumatology

Ankylosing Spondylitis

ASDAS-CRP (Ankylosing Spondylitis Disease Activity Score)Assess disease activity in Ankylosing Spondylitis.ASDAS-ESR (Ankylosing Spondylitis Disease Activity Score)Assess disease activity in Ankylosing Spondylitis.BASDAIAssess disease activity in Ankylosing Spondylitis

Diagnostic criteria

Adult Onset Still's Disease, Diagnostic CriteriaDiagnose Adult Onset Still's Disease.Jones Criteria for Diagnosis of Rheumatic FeverDiagnose acute rheumatic fever Polymyalgia Rheumatica (2012 EULAR/ACR Provisional Criteria)Review EULAR/ACR criteria for polymyalgia rheumatica Scleroderma/Systemic Sclerosis (2013 EULAR/ACR Criteria)Review EULAR/ACR criteria for scleroderma RPDAI (Relapsing Polychondritis Disease Activity Index)Assess disease activity in relapsing polychondritis.Kocher Criteria for Septic ArthritisDetermine risk of septic arthritis in a child with an inflamed hip Acute Gout Diagnosis RuleClinical decision tool to assist in the diagnosis of acute gout Behcet’s Syndrome International Study Group CriteriaDiagnose Behcet’s disease

Lupus

SLICC SLE CriteriaThe SLICC criteria are validated criteria for making the diagnosis of lupus.SLEDAI-2KAssess disease activity in lupus SLICC/ACR Damage IndexMeasure accumulated damage since onset of lupus

Rheumatoid Arthritis

Simplified Disease Activity Index for RA (SDAI)Assess disease activity in rheumatoid arthritis.DAS28-CRP for Rheumatoid Arthritis Assess disease activity in rheumatoid arthritis.DAS28-ESR for Rheumatoid Arthritis Assess disease activity in rheumatoid arthritis.Clinical Disease Activity Index for RA (CDAI)Assess disease activity in rheumatoid arthritis, without requiring lab work.

Vasculitis

Vasculitis Damage Index (VDI)Document any organ damage that has occurred in patients since the onset of vasculitis

Surgery

Breast Cancer

Breast Cancer (Clinical) TNM StagingcTNM Staging | AJCC 2017 Breast Cancer (Pathological) TNM StagingpTNM Staging | AJCC 2017

Inflammatory Bowel Disease

Crohn's Disease Activity Index (CDAI)Assess disease activity in Crohn's disease Mayo Score for Ulcerative Colitis ActivityAssess disease activity in ulcerative colitis

Preoperative Assessment

Gupta Perioperative Cardiac RiskDetermine peri-operative risk for a wide variety of surgeries Postoperative Respiratory Failure Risk CalculatorEstimate risk of postoperative respiratory failure Gupta Perioperative Cardiac RiskDetermine peri-operative risk for a wide array of surgeries.Postoperative Respiratory Failure Risk CalculatorEstimate risk of postoperative respiratory failure Geriatric-Sensitive Perioperative Cardiac Risk Index | GSCRIEstimate risk of perioperative myocardial infarction or cardiac arrest in patients over 65 ASA Physical StatusClassification system for assessing the fitness of patients before surgery PEN-FAST - Penicillin Allergy Risk ToolClinical decision rule for point-of-care risk assessment of patient-reported penicillin allergies.

Surgical Diagnosis & Management

Alvarado Score for Acute AppendicitisDiagnose appendicitis Surgical Apgar ScoreAssess surgical risk of complications or death at 30 days, as assessed in the post-operative period.Modified Marshall ScoreA definition of organ failure in acute pancreatitis Modified Glasgow Imrie Severity Criteria for Acute PancreatitisPredict outcome in acute pancreatitis PEN-FAST - Penicillin Allergy Risk ToolClinical decision rule for point-of-care risk assessment of patient-reported penicillin allergies.

Trauma

Canadian CT Head RuleDetermine which minor head injury patients need head CT imaging Glasgow Coma Scale (GCS)Document level of consciousness.NEXUS C-Spine CriteriaDetermine whether cervical spine imaging can be safely avoided Ottawa Knee RulesDoes this knee injury require an x-ray?Parkland FormulaManage IV fluids required in burns Mangled Extremity Severity Score (MESS)Assess limb-salvage potential in trauma to the extremity.NEXUS Chest Decision Instrument for Blunt Chest TraumaAssess the need for chest imaging after blunt trauma Injury Severity ScoreDescribe severity of traumatic injury

WHO Surgical Safety Checklist

Before Induction of AnaesthesiaReduce peri-operative death with the WHO Surgical Safety Checklist - 1st step.Before Patient Leaves ORLast step in the surgical safety checklist Before Skin Incision2nd step in the surgical safety checklist

Transplant

Alcohol Relapse Risk after Liver Transplant Gupta Perioperative Cardiac RiskDetermine peri-operative risk for a wide array of surgeries.MELD Score - Age above 12 yearsScoring system used to rank prioritize candidates for liver transplantation, including MELD-Na used in the OPTN match system PELD Score - Age Younger Than 12 yearsPELD (Pediatric End-Stage Liver Disease) is used for liver allocation in the OPTN match system Postoperative Respiratory Failure Risk CalculatorEstimate risk of postoperative respiratory failure Predicting 3 Year Survival for Incident Elderly ESRD PatientsDetermine appropriateness for transplant referral in elderly patients starting dialysis Renal Graft Failure at 5-Years, Predicted 1 Year Post TransplantEstimate the risk of kidney transplant graft failure at 5 years Renal Graft Failure at 5-Years, Predicted 7 Days Post TransplantEstimate the risk of kidney transplant graft failure at 5 years Renal Graft Failure at 5-Years, Predicted at Time of TransplantEstimate the risk of kidney transplant graft failure at 5 years

Cardiac

Predicted Heart Mass Calculator (PHM)Estimate donor/recipient heart mass for optimal cardiac transplant sizing

Liver

PELD Score - Age Younger Than 12 yearsPELD (Pediatric End-Stage Liver Disease) is used for liver allocation in the OPTN match system Alcohol Relapse Risk after Liver Transplant MELD Score - Age above 12 yearsScoring system used to rank prioritize candidates for liver transplantation, including MELD-Na used in the OPTN match system UKELD ScoreThe United Kingdom Model for End-Stage Liver Disease (UKELD) predicts prognosis in chronic liver disease and can be used to prioritize for liver transplantation

Preoperative Assessment

Gupta Perioperative Cardiac RiskDetermine peri-operative risk for a wide variety of surgeries Postoperative Respiratory Failure Risk CalculatorEstimate risk of postoperative respiratory failure PEN-FAST - Penicillin Allergy Risk ToolClinical decision rule for point-of-care risk assessment of patient-reported penicillin allergies.

Renal

Renal Graft Failure at 5-Years, Predicted 1 Year Post TransplantEstimate the risk of kidney transplant graft failure at 5 years Renal Graft Failure at 5-Years, Predicted 7 Days Post TransplantEstimate the risk of kidney transplant graft failure at 5 years Renal Graft Failure at 5-Years, Predicted at Time of TransplantEstimate the risk of kidney transplant graft failure at 5 years Predicting 3 Year Survival for Incident Elderly ESRD PatientsDetermine appropriateness for transplant referral in elderly patients starting dialysis Predicting 6 and 12 Month Mortality in CKD patientsEstimate mortality in patients with stage IV or V chronic kidney disease.ESRD Risk Tool for Kidney Donor Candidates15-year and lifetime risk for kidney donors

Urology

Genitourinary Cancers

Prognosis in Renal Cell Carcinoma (UISS)Estimate survival in renal cell carcinoma Renal Cell Carcinoma TNM StagingTNM Staging | AJCC 2017 Bladder Cancer TNM StagingTNM Staging | AJCC 2017

Nephrolithiasis

ROKS - Recurrence Of Kidney Stone (2014)Predict risk of recurrent kidney stones ROKS – Recurrence Of Kidney Stone (2018)Predict the risk of a future symptomatic kidney stone after the last symptomatic stone.

Preoperative Assessment

Gupta Perioperative Cardiac RiskDetermine peri-operative risk for a wide variety of surgeries Postoperative Respiratory Failure Risk CalculatorEstimate risk of postoperative respiratory failure Gupta Perioperative Cardiac RiskDetermine peri-operative risk for a wide array of surgeries.Postoperative Respiratory Failure Risk CalculatorEstimate risk of postoperative respiratory failure Geriatric-Sensitive Perioperative Cardiac Risk Index | GSCRIEstimate risk of perioperative myocardial infarction or cardiac arrest in patients over 65 ASA Physical StatusClassification system for assessing the fitness of patients before surgery PEN-FAST - Penicillin Allergy Risk ToolClinical decision rule for point-of-care risk assessment of patient-reported penicillin allergies.

Sexual Function

Sexual Desire Inventory-2 (SDI-2)14-item scale for sexual desire

Thrombosis

DVT Clinical Probability (Well's)Determine pretest probability of DVT to guide workup Pulmonary Embolism Severity Index (PESI)Predict outcome in patients with pulmonary embolism PE Clinical ProbabilityDetermine pretest probability of PE to guide workup PERC Rule for Pulmonary EmbolismUse the PERC rule to rule out PE if no criteria are present and pre-test probability is <15%.

Urologic disease

International Prostate Symptom Score (IPSS)Assess severity of symptoms in benign prostatic hypertrophy International Index of Erectile Function (IIEF-5)Assess erectile dysfunction Anticholinergic Burden Assessment ToolA tool for finding the ACB Score of commonly prescribed medicines, and for calculating the Anticholinergic Burden for your patient.
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WHO Surgical Safety Checklist

Before Induction of AnaesthesiaReduce peri-operative death with the WHO Surgical Safety Checklist - 1st step.Before Patient Leaves ORLast step in the surgical safety checklist Before Skin Incision2nd step in the surgical safety checklist

Vascular Surgery

Preoperative Assessment

ASA Physical StatusClassification system for assessing the fitness of patients before surgery PEN-FAST - Penicillin Allergy Risk ToolClinical decision rule for point-of-care risk assessment of patient-reported penicillin allergies.

Surgical diagnosis & management

Surgical Apgar ScoreAssess surgical risk of complications or death at 30 days, as assessed in the post-operative period.Revised Venous Clinical Severity ScoreAssess severity of venous disease.ADviSED - Aortic Dissection Detection Risk Score Plus D-Dimer for Aortic SyndromesRule out aortic dissection and other aortic syndromes PEN-FAST - Penicillin Allergy Risk ToolClinical decision rule for point-of-care risk assessment of patient-reported penicillin allergies.

REFERENCE BOOK

Screening for Abdominal Aortic Aneurysm | CTFPHC

Vascular Quality Initiative Tools

Asymptomatic ICA (Internal Carotid Artery) Stenosis Surgical Risk Stratification VSGNE Ruptured Abdominal Aortic Aneurysm (RAAA) Risk ScoreEstimate mortality after open repair of ruptured AAA Vascular Quality Initiative (VQI) Cardiac Risk Index (CRI) | Carotid EndarterectomyEstimate risk of post-op myocardial infarction after carotid endarterectomy Vascular Quality Initiative (VQI) Cardiac Risk Index (CRI) | EVAREstimate risk of post-op myocardial infarction after EVAR Vascular Quality Initiative (VQI) Cardiac Risk Index (CRI) | Infra-inguinal BypassEstimate risk of post-op myocardial infarction after infra-inguinal bypass Vascular Quality Initiative (VQI) Cardiac Risk Index (CRI) | Open AAA RepairEstimate risk of post-op myocardial infarction after open AAA repair VQI: Respiratory Adverse Event Risk Post Vascular SurgeryEstimate the risk of pneumonia or respiratory failure after vascular surgery Vascular Quality Initiative (VQI) 30-Day Stroke Risk Index for CEAEstimate risk of stroke within 30 days after carotid endarterectomy Vascular Quality Initiative (VQI) 1-Year Mortality Risk Index for CEAEstimate probability of death within 1 year after carotid endarterectomy Vascular Quality Initiative (VQI) Cardiac Risk Index (CRI) | Suprainguinal BypassEstimate risk of post-op myocardial infarction after suprainguinal bypass Vascular Quality Initiative (VQI) Postoperative Mortality Rate After Elective AAAEstimate risk of mortality after elective AAA repair VQI Infrainguinal revascularization (open or PVI) for CLTI: 30 day and 2 year survivalThe Vascular Quality Initiative Prediction Model for survival after infrainguinal revascularization

WHO Surgical Safety Checklist

Before Induction of AnaesthesiaReduce peri-operative death with the WHO Surgical Safety Checklist - 1st step.Before Patient Leaves ORLast step in the surgical safety checklist Before Skin Incision2nd step in the surgical safety checklist

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REFERENCE BOOK

Reference book

Access Care and Complications Management
Key Activities

KEY ACTIVITIES

CLINICAL APPROACH TO HEMOPERITONEUM

For postcatheter insertion blood-tinged effluent:

500–1000 mL volume flush with heparinized dialysis fluid or saline until drain is clear
Add heparin 1000 units/L as long as the effluent has visible signs of blood or fibrin to maintain catheter patency
- Intraperitoneal instillation of heparin does not affect systemic coagulation parameters and does not increase the risk of bleeding.¹ However, it has been reported that heparin may still reach the systemic circulation potentially via lymphatic absorption or with increased peritoneal membrane permeability with peritonitis. Therefore, IP heparin is contraindicated in patients with heparin-induced thrombocytopenia (HIT)¹
Observe drain fluid color with dialysis exchanges
Document duration of blood-tinged exchanges and progression (increase/decrease)
Consider investigating for peritonitis or other acute abdominal issue if prolonged
Obtain imaging and surgical consultation as required

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