GRACE-2 Guidelines for Low-Risk, Recurrent Abdominal Pain in the ED 1) Should adult ED patients with low-risk, recurrent, and previously undifferentiated abdominal pain receive a repeat CT abdomen-pelvis [CTAP] after a negative CTAP within the last 12 months? Recommendation: There is insufficient evidence to accurately identify populations in whom repeat imaging can be safely avoided or routinely recommended in the ED. (No recommendation) [No evidence] 2) Should adult ED patients with low-risk, recurrent, and previously undifferentiated abdominal pain with a negative CTAP receive additional imaging with abdominal ultrasound? Recommendation: We suggest against routine ultrasound unless there is concern for pelvic or biliary pathology. (Conditional recommendation, against) [Very low certainty of evidence] 3) Should adult ED patients with low-risk, recurrent, and previously undifferentiated abdominal pain receive screening for depression/anxiety? Recommendation: We suggest screening for depression and/or anxiety may be performed during the ED evaluation. [Conditional recommendation, either) [Very low certainty of evidence] 4) Should adult ED patients with low-risk, recurrent, and previously undifferentiated abdominal pain receive non-opioid and/or non-pharmacologic analgesics? Recommendation: We suggest an opioid-minimizing strategy for pain control. (Conditional recommendation, for) [Consensus, no evidence] By @SAEMonline #GRACE2 #Guidelines #Low #Risk #Recurrent #Abdominal #Pain #Emergency #diagnosis #management
