Bogus expensive tests in the ED that just prove your CR(A)P is bigger than your ESR…

CRP and ESR in acute diagnoses have limited use. I think the common sense blow torch should be applied when you order it – “Will it change my management?” If you are uncertain and think a high CRP may sway you to consider sending a patient to hospital then this could be appropriate use. If you are doing it ‘just to be safe’ then I would rethink your diagnosis and management and be more certain of your own skills – rather than relying on a possibly unhelpful test. Also, finally before ordering the test think to yourself “What if the result is NOT what I am expecting. What will I do then?”


Emergency Medicine Kenya Foundation (EMKF) is an NGO supporting emergency healthcare providers across Kenya to save lives by strengthening the emergency healthcare system through capacity building, knowledge development, advocacy and research.