15 results
Perioperative Management of DOACs
Problem:
 ✖ Each year approximately 250,000 patients on chronic anticoagulation in North America
Perioperative Management ... bleeding risk ... a very low bleeding ... Therapy • Low Bleed-Risk ... Perioperative #Management
Evaluation and Management of Gastrointestinal Bleeding #Diagnosis #Management #EM #GI #Bleed #UpperGI #LowerGI #Resuscitation #Differential #Algorithm
Evaluation and Management ... Gastrointestinal Bleeding ... #Diagnosis #Management ... #EM #GI #Bleed ... Resuscitation #Differential
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Management Algorithm ... Disease • Variceal Bleeding ... UGIB #GIBleed #Differential ... #Diagnosis #management
Intern Pocket Cards - Daily Rounding and Disposition Checklist
Daily Checklist:
 • FEN/GI:
[ ] Upcoming procedure ... Contraindications: active bleeding ... count, upcoming procedures ... [ ] Recent GI bleed ... Disposition #Checklist #management
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup
History:
 - Prior platelet count, family
Platelet Disorders - Differential ... - History of bleeding ... epistaxis, gingival bleeding ... menstrual - Recent procedures ... Causes #Workup #hematology
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
Diagnosis and Management ... • Should be on differential ... may be herald bleed ... Typical "herald bleed ... Management: SURGERY
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria - Differential ... of Glomerular Bleeding ... Fistula • Post-procedural ... Exercise induced bleeding ... Pseudohematuria: • GI bleed
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal Bleeding ... Diagnosis and Management ... weeks after index procedure ... Esophageal #Variceal #Bleeding ... #Diagnosis #Management
Algorithm for managing FVII deficiency.

*Mild bleeding history includes minor epistaxis, menorrhagia, gastrointestinal bleeding, joint and soft
*Mild bleeding history ... †Severe bleeding ... tissue and joint bleeds ... Factor7 #Algorithm #management ... #Hematology
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
• Hemorrhagic: bleeding ... , post-partum) bleeding ... RP bleed) • Hypovolemic ... Classification #diagnosis #management ... #criticalcare #differential