PERC Rule for Pulmonary Embolism

REFERENCE BOOK

CSN PD Adequacy Guidelines and Recommendations 2011

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

KDIGO Clinical Practice Guideline for Acute Kidney Injury

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

ADPKD Canadian Expert Consensus
Sponsored

REFERENCE BOOK

PD Prescription Quick Reference Guide
Sponsored

REFERENCE BOOK

PD Prescription Management Guide
Sponsored

REFERENCE BOOK

Access Care and Complications Management
Sponsored

REFERENCE BOOK

Screening for Abdominal Aortic Aneurysm | CTFPHC

REFERENCE BOOK

Impaired Vision | CTFPHC

REFERENCE BOOK

Screening for Asymptomatic Bacteriuria in Pregnancy | CTFPHC

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

Addictions

Alcohol Use Disorders Identification Test-Concise (AUDIT-C)Brief screen to detecting heavy alcohol use

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 COWS Score for Opiate Withdrawal

Addictions

Car, Relax, Alone, Forget, Friends, Trouble (CRAFFT)9 question screener for substance use in adolescents

Pediatrics

Car, Relax, Alone, Forget, Friends, Trouble (CRAFFT)9 question screener for substance use in adolescents

Anesthesiology

APACHE IIEstimate mortality in the critically ill 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 ACC/AHA CV Risk Calculator (2013)Estimate 10-year risk for atherosclerotic cardiovascular disease Glasgow Coma Scale (GCS)Document level of consciousness.Cardiac Output - FickCalculate cardiac output, cardiac index, stroke volume and stroke volume index Pediatric Endotracheal Tube Size 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 Due Date by LMPPregnancy due date calculator Due Date by UltrasoundDetermine pregnancy due date using ultrasound results Gupta Perioperative Cardiac RiskDetermine peri-operative risk for a wide array of surgeries.Postoperative Respiratory Failure Risk CalculatorEstimate risk of postoperative respiratory failure Sequential Organ Failure Assessment (SOFA)Document clinical severity in the ICU and predict mortality 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 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 Geriatric-Sensitive Perioperative Cardiac Risk Index | GSCRIEstimate risk of perioperative myocardial infarction or cardiac arrest in patients over 65 STOP-BANG Score for Obstructive Sleep ApneaScreen for obstructive sleep apnea

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

Cardiology

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

Aortic disease

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

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.

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

Coronary Artery Disease

Infarct Size - Anterior Infarct Size - Inferior 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

ECG

ECG: Heart Rate ECG: Corrected QT ECG: Cycle Length

Echocardiography

AR: Quantification (Volumetric)AR: Regurgitant Orifice (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)

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 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

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

PCI mortality - Canada Score 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 array 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 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

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

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

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.

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

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

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

Medical ICU

Child Pugh ScoreDetermine severity of 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 Rule of NinesEstimate surface area of burns

Neurologic ICU

Cerebral Perfusion Pressure 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.Pulmonary Resistance Pneumonia Severity Index (PORT Score)Determine need for admission in pneumonia Postoperative Respiratory Failure Risk CalculatorEstimate risk of postoperative respiratory failure

Emergency

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)

Burns

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

Chest pain & Cardiac

Infarct Size - Anterior Infarct Size - Inferior 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

General Medicine

ECG: Heart Rate A-a GradientUsed to determine cause of hypoxemia Anion GapCalculate anion gap for use in 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 of cirrhosis.ECG: Corrected QT 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.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

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

Pediatrics ER

APGARNewborn 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 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

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

Dubbo Osteoporotic Fracture RiskAssess risk of osteoporotic fracture Thyroid Carcinoma: AnaplasticTNM Staging for Anaplastic Thyroid Carcinoma Thyroid Carcinoma: MedullaryTNM Staging for Medullary Thyroid Carcinoma Thyroid Carcinoma: Well-DifferentiatedTNM Staging for Well-Differentiated Thyroid Carcinoma Lipid Lowering Guidelines using Framingham (2008)Lipid Lowering Guidelines using Framingham (ATP-III)Calcium Correction for HypoalbuminemiaAdjust serum calcium in the setting of low albumin.

REFERENCE BOOK

Screening for Type 2 Diabetes | CTFPHC

REFERENCE BOOK

Obesity in Adults | CTFPHC

Diabetes

Gastroenterology

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.

Hepatology

Autoimmune Hepatitis DiagnosisClarify the diagnose of autoimmune hepatitis Child Pugh ScoreDetermine severity of 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 Alcoholism - 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

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

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 Dubbo Osteoporotic Fracture RiskAssess risk of osteoporotic fracture 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 Hamilton Depression Rating Scale (HAM-D or HDRS)Determine severity of depression MGUS PrognosisDetermine risk of malignant progression to myleoma or lymphoproliferative disorder.Pneumonia risk (CURB-65)Estimate prognosis and determine disposition in community-acquired pneumonia.Warfarin Bleeding Risk - ElderlyEstimate 90 day risk of bleeding in patients on warfarin who are >65 years Water Deficit in HypernatremiaDetermine water replacement in hypernatremia Pneumonia Severity Index (PORT Score)Determine need for admission in pneumonia eGFR using CKD-EPICalculate eGFR using the CKD-EPI formula 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 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 GAD-7 Anxiety ScaleScreen for generalized anxiety disorder Polymyalgia Rheumatica (2012 EULAR/ACR Provisional Criteria)Review EULAR/ACR criteria for polymyalgia rheumatica San Francisco Syncope RuleIdentify those at low risk of adverse outcome after a syncopal episode International Prostate Symptom Score (IPSS)Assess severity of symptoms in benign prostatic hypertrophy Predicting 3 Year Survival for Incident Elderly ESRD PatientsDetermine appropriateness for transplant referral in elderly patients starting dialysis Short Michigan Alcoholism Screening Test-geriatric version The SMAST-GAssess for problem alcohol drinking in the elderly Geriatric-Sensitive Perioperative Cardiac Risk Index | GSCRIEstimate risk of perioperative myocardial infarction or cardiac arrest in patients over 65

REFERENCE BOOK

Screening for Cognitive Impairment | CTFPHC

Depression

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

Neurocognitive Disorder

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

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
Sponsored Content Identify Type of Thrombotic Microangiopathy
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 Recognise Thrombotic Microangiopathy
Sponsored by Alexion Pharma UK Identify Type of Thrombotic Microangiopathy
Sponsored by Alexion Pharma UK 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
Sponsored by Alexion Pharmaceuticals Recognise Thrombotic Microangiopathy
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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

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 Intnl Prognostic Scoring Sys (IPSS)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

Infectious Disease

Child Pugh ScoreDetermine severity of cirrhosis.Duke Criteria for EndocarditisDiagnose endocarditis Lund-Mackay Sinusitis StageAssess severity of chronic rhinosinusitis and assess response to therapy.MASCC Febrile Neutropenia RiskAssess risk in febrile neutropenia and appropriateness for outpatient management Prognosis after TIPSS using MELD Score Pediatric Strep Score Pneumonia risk (CURB-65)Estimate prognosis and determine disposition in community-acquired pneumonia.Westley Croup ScoreAssess croup severity Pneumonia Severity Index (PORT Score)Determine need for admission in pneumonia Jones Criteria for Diagnosis of Rheumatic FeverDiagnose acute rheumatic fever MELD Score - Age above 12 yearsScoring system used to rank prioritize candidates for liver transplantation, including MELD-Na used in the OPTN match system MELD Score - Age above 12 yearsScoring system used to rank prioritize candidates for liver transplantation, including MELD-Na used in the OPTN match system 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 Centor Score (modified) for GAS PharyngitisEstimate likelihood of GAS pharyngitis 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 BE3A ScoreWhen to treat HCV in decompensated cirrhosis TB Skin Test InterpretationDetermine likelihood of TB based on tuberculin skin test Canadian Influenza Immunization GuideAdapted from Immunize Canada Alberta Croup Severity

REFERENCE BOOK

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

Medical Administration

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

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.

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

REFERENCE BOOK

Screening for Cognitive Impairment | CTFPHC

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

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 Panic Disorder Severity Scale (PDSS)7 question scale to grade panic disorder severity Major Depression Inventory (MDI)12 question depression severity scale

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 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

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 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

REFERENCE BOOK

Screening for Depression | CTFPHC

Obsessive Compulsive Disorder

Who Five Well Being Index (WHO-5)5 questions to measure mental well-being

Pediatrics

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

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

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

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 KDIGO AKI StagingClassification in acute kidney injury (AKI)

REFERENCE BOOK

KDIGO Clinical Practice Guideline for Acute Kidney Injury

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

Fluids & Electrolytes