Abstract
Abstract Background The acute abdomen is classified as a surgical emergency which requires prompt intervention or could otherwise result in mortality. A variety of surgical and medical conditions can cause the acute abdomen ranging from appendicitis to diabetic ketoacidosis. Due to the serious consequences of this condition, surgeons need to be efficient and systematic in their initial principle management. The Royal College of Surgeons, last provided a commissioning guide to Emergency General Surgery (acute abdominal pain) in 2014. These are the most up to date guidelines surgical trainees can refer back too. Methods We decided to create and advise an easy to follow ‘A to E’ method that trainees can follow. A includes - A to E (airway, breathing, circulation, disability, exposure/examination), Analgesia, Antibiotics and Amylase B focuses on blood tests C discusses radiographic imaging (chest x-ray) and Computerised Tomography (CT) scanning. D debates when it is appropriate to diagnose and discharge the patient E discusses when to explore the surgical option Conclusions This review aims to provide a concise, memorable A to E approach whilst discussing specific aspects of diagnosis and management in the acute abdomen.
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