{
  "schema_version": 1,
  "kind": "condition",
  "id": "acute-pancreatitis",
  "name": "Acute Pancreatitis (Emergency Referral)",
  "category": "emergency",
  "sources": "Acute Pancreatitis - StatPearls, updated 2 August 2025 - https://www.ncbi.nlm.nih.gov/books/NBK482468/ · No dose - referral pathway, no medicine given in primary care",
  "review_status": "reviewed",
  "verified_against": "Acute Pancreatitis - StatPearls, updated 2 August 2025 - https://www.ncbi.nlm.nih.gov/books/NBK482468/ · No dose - referral pathway, no medicine given in primary care",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 69,
      "generic": "No drug therapy in primary care (Recognition & Referral)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "Emergency admission. Sudden, severe epigastric pain radiating through to the back, with nausea and vomiting. Diagnosis needs two of three: that pain, a serum amylase or lipase three or more times the upper limit of normal, or imaging. Gallstones and alcohol account for most of it. Do not manage this in the community and do not wait for a lipase result before referring a patient who looks unwell.",
      "adult_duration": "Refer, with advice",
      "dose_source": "No dose - referral pathway, no medicine given in primary care",
      "rationale": null,
      "cautions": [
        "Fluid resuscitation in the first hours is what changes the outcome, and it happens in hospital.",
        "StatPearls is explicit that prophylactic antibiotics are avoided in sterile necrosis - do not start an antibiotic on suspicion before transfer.",
        "A normal amylase does not exclude it, particularly late in the illness or in hypertriglyceridaemic pancreatitis.",
        "Ask about alcohol and about gallstones: the cause changes what happens after discharge, including whether the gallbladder comes out."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Uncommon in children; trauma, viral infection and drugs are the usual causes. Refer as an emergency.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "acute-pancreatitis"
    }
  ]
}