DVT Clinical Probability (Well's)

REFERENCE BOOK

Access Care and Complications Management

REFERENCE BOOK

CSN PD Adequacy Guidelines and Recommendations 2011

REFERENCE BOOK

PD Prescription Guide

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

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

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

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

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

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.

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

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

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)

REFERENCE BOOK

KDIGO Clinical Practice Guideline for Acute Kidney Injury

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

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 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

Burns

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

General Medicine

ECG: Heart Rate A-a GradientUsed to determine cause of hypoxemia Infarct Size - Anterior Infarct Size - Inferior Anion GapCalculate anion gap for use in acid-base disorders.HEART Score | Chest pain in the ERRisk stratify patients with chest pain in the ER 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.Killip ClassEstimate mortality in myocardial infarction MDRD eGFRCalculate eGFR using the MDRD formula Prognosis after TIPSS using MELD Score TIMI Risk Score (NSTEMI)Guide therapeutic decisions in non-ST elevation MI. 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. TIMI Risk Score (STEMI)Water Deficit in HypernatremiaDetermine water replacement in hypernatremia 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.Canadian Syncope Risk Score (CSRS)Estimate prognosis among patients presenting to emergency with syncope

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 Alberta Croup Severity

Psychiatry

Modified SAD PERSONS ScaleAssess depression with the modified SAD PERSONS Scale CIWA-ArOptimize benzodiazepine treatment of patients alcohol 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 Lipid Lowering Guidelines using Framingham (2008)Lipid Lowering Guidelines using Framingham (ATP-III)FINDRISC Diabetes Risk CalculatorEstimate risk of developing diabetes and frequency of screening required.Calcium Correction for HypoalbuminemiaAdjust serum calcium in the setting of low albumin.

REFERENCE BOOK

Screening for Type 2 Diabetes (CTFPHC)

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

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 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

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%.

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.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 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 Alberta Croup Severity

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)

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

Hamilton Depression Rating Scale (HAM-D or HDRS)Determine severity of depression SNAP-IV 26 - Teacher & Parent Rating ScaleAssess children for attention deficit hyperactivity disorder (ADHD)Modified SAD PERSONS ScaleAssess depression with the modified SAD PERSONS Scale CIWA-ArOptimize benzodiazepine treatment of patients alcohol withdrawal 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 GAD-7 Anxiety ScaleScreen for generalized anxiety disorder

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 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

Fluids & Electrolytes

Anion GapCalculate anion gap for use in 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

Glomerulonephritis

Membranous PrognosisEstimate risk of progressive renal dysfunction in membranous nephropathy SLEDAI-2KAssess disease activity in lupus

Hemodialysis

Access Recirculation Kt/V from PRU Kt/V Daugirdas 6-Month Mortality on HDEstimate 6 month mortality on dialysis Home HD Candidacy (MATCH-D)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

Hypertension

REFERENCE BOOK

Screening for Hypertension (CTFPHC)

Nephrolithiasis

ROKS - Recurrence Of Kidney Stone (2014)Predict risk of recurrent kidney stones

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

REFERENCE BOOK

Access Care and Complications Management

ISPD Guidelines for Peritoneal Access

REFERENCE BOOK

CSN PD Adequacy Guidelines and Recommendations 2011

REFERENCE BOOK

PD Prescription Guide

Pathology

Glomerulosclerosis on Biopsy (2015)Differentiate glomerulosclerosis from kidney disease rather than aging

Thrombotic Microangiopathy

Recognize Thrombotic Microangiopathy
Sponsored Content Identify Type of Thrombotic Microangiopathy
Sponsored Content

Transplant

Risk of Graft Failure at 5-Years, Predicted 1 Year Post Transplant Risk of Graft Failure at 5-Years, Predicted 7 Days Post Transplant Risk of Graft Failure at 5-Years, Predicted at Time of Transplant Predicting 3 Year Survival for Incident Elderly ESRD PatientsDetermine appropriateness for transplant referral in elderly patients starting dialysis

eGFR

CrCl Cockroft-Gault 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 Risk Spetzler-Martin Score

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.

Dermatome Map

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

Functional Outcome

Modified Rankin Scale (mRS)

Head & Neck Trauma

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

Neurophysiology

Cerebral Perfusion Pressure

Seizure

Fosphenytoin Load Phenytoin Adjustment in Renal Failure

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

Thrombotic Microangiopathy

Recognize Thrombotic Microangiopathy
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Obstetrics

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

Oncology

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

Head & Neck Cancer Staging

Ethmoid Sinus Carcinoma Hypopharyngeal Carcinoma Maxillary Sinus Carcinoma Mucosal Melanoma Nasopharyngeal Carcinoma Oral Cavity Carcinoma Oropharyngeal Carcinoma Salivary Gland Carcinoma Thyroid Carcinoma: Anaplastic Thyroid Carcinoma: Medullary Thyroid Carcinoma: Well-Differentiated Laryngeal Carcinoma: Glottic Laryngeal Carcinoma: Subglottic Laryngeal Carcinoma: Supraglottic

Malignant Hematology

Solid Tumor

NSCLC Stage Carboplatin AUC Dosing (Calvert)Prognosis in Renal Cell Carcinoma (UISS)Estimate survival in renal cell carcinoma Brain Metastases Prognostic IndexEstimate prognosis in patients with brain metastases Serious Illness Conversation GuideSteps to elicit important information from your patients about their goals and values

REFERENCE BOOK

Screening for Breast 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

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 Bellucci Classification House Brackmann

Head & Neck Cancer Staging

Pediatrics

APGARNewborn assessment SNAP-IV 26 - Teacher & Parent Rating ScaleAssess children for attention deficit hyperactivity disorder (ADHD)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 PIM2Paediatric Index of Mortality, revised version PCDAIPediatric Crohn's Disease Activity Index Alberta Croup Severity

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.

Preventive Medicine

ACC/AHA CV Risk Calculator (2013)Estimate 10-year risk for atherosclerotic cardiovascular disease

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)

Respirology

Asthma & COPD

BODE Index for COPDEstimate prognosis in COPD Corticosteroid Equivalence Peak Expiratory Flow Prediction

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%.

General Respirology

A-a GradientUsed to determine cause of hypoxemia Epworth Sleepiness ScaleScreen for excessive sleepiness or follow response to treatment for a sleep disorder.Mortality in IPF (GAP Index)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

Lung Cancer

Solitary Pulmonary Nodule Malignancy Risk NSCLC Stage

Pneumonia

Pneumonia risk (CURB-65)Estimate prognosis and determine disposition in community-acquired pneumonia.Pneumonia Severity Index (PORT Score)Determine need for admission in pneumonia

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.

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

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 array of surgeries.Postoperative Respiratory Failure Risk CalculatorEstimate risk of postoperative respiratory failure

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

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

Urology

Nephrolithiasis

ROKS - Recurrence Of Kidney Stone (2014)Predict risk of recurrent kidney stones

Preoperative Assessment

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

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

Prognosis in Renal Cell Carcinoma (UISS)Estimate survival in renal cell carcinoma International Prostate Symptom Score (IPSS)Assess severity of symptoms in benign prostatic hypertrophy International Index of Erectile Function (IIEF-5)Assess erectile dysfunction

WHO Surgical Safety Checklist

Vascular Surgery

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.

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