Acute Pancreatitis

GET SMASHED causes

First 30 seconds

  1. 1IV fluids aggressively (Hartmann's 10 mL/kg/h initially)
  2. 2Analgesia (morphine)
  3. 3Antiemetic
  4. 4NBM, NG if vomiting

Acute inflammation of pancreas — lipase >3× ULN + typical pain + imaging.

A

Airway

  • Patent? Talking? Stridor?
  • Suction, jaw-thrust, adjuncts, definitive airway if needed
B

Breathing

  • RR, SpO₂, auscultate, percuss
  • O₂ to target sats, NIV / intubate as required
C

Circulation

  • HR, BP, cap refill, JVP
  • 2× large-bore IV, bloods, monitor, ECG
D

Disability

  • AVPU/GCS, pupils, glucose, temp
E

Exposure

  • Full exposure, skin, rash, bleeding, lines, infection source
View flowchart algorithm
WardRound

WardRound

Clinical Decisions in Seconds