10 results
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal Bleeding ... Coagulopathy -> Don't reverse ... - Refractory Bleeding ... Variceal #Varices #Bleeding ... diagnosis #management #algorithm
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Bleed - Management Algorithm ... Consult GI ± EGD ... Disease • Variceal Bleeding ... GAVE (idiopathic, liver ... Diagnosis #management #Algorithm
Procedure Risks and Platelet Targets for Transfusion
LOW RISK - Transfuse ≥ 20,000/uL
 • Paracentesis, EGD or
Paracentesis, EGD ... Prophylactic variceal bleeding ... polypectomy, Capsule endoscopy ... , Transjugular liver ... • Percutaneous liver
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Upper GI Bleeding ... Prokinetics dec. repeat EGD ... • Start with EGD ... NonVariceal #UpperGI #Bleeding ... diagnosis #management #algorithm
What was the 6 Hour EGDT Protocol from the 2001 Rivers Study?
#Management #SepsisBundle #EarlyGoalDirectedTherapy #EGDT #Rivers
was the 6 Hour EGDT ... Protocol from the ... 2001 Rivers Study ... #Rivers #Protocol ... #Algorithm #RebelEM
Paucis Verbis card: Early goal directed therapy
April 16th, 2010 | ALiEM Cards, Infectious Disease 
By: Michelle
Emanuel Rivers ( ... EarlyGoalDirectedTherapy #EGDT ... #Rivers #Protocol ... #Algorithm #ALiEM
Protocol for Early Goal-Directed Therapy.
#Management #Sepsis #EarlyGoalDirectedTherapy #EGDT #Rivers #Protocol #Algorithm #NEJM
Protocol for Early ... EarlyGoalDirectedTherapy #EGDT ... #Rivers #Protocol ... #Algorithm #NEJM
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... Cirrhosis & GI bleeding ... - Patient s/p liver ... #Prophylaxis #Endoscopy ... #EGD #Indications
Basics of Waveform Capnography
Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide
Can use measurement and morphology
Basics of Waveform ... Transition as CO2 rises ... ETCO2: Peak CO2 at end ... early peak, not end-tidal ... Critical event needing
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
sphincter to relax EGD ... secondary causes leading ... evaluated with CT, endoscopy ... , or endoscopic ... of the muscle fibers