23 results
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... guideline Low Risk Procedures ... #Risks #Gastroenterology ... #EGD #LowRisk # ... HighRisk #Diagnosis #Management
Esophagogastroduodenoscopy (EGD) Basics
 - EGD Timing
 - EGD Complications
 - Review of Gastric Anatomy
 - EGD
) Basics - EGD ... Gastric Anatomy - EGD ... Accessories - Pre-Procedure ... #Basics #gastroenterology ... #endoscopy #managmenet
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... Consult GI ± EGD ... Disease • Variceal Bleeding ... Differential #Diagnosis #management ... gastrointestinal #gastroenterology
Procedure Risks and Platelet Targets for Transfusion
LOW RISK - Transfuse ≥ 20,000/uL
 • Paracentesis, EGD or
Procedure Risks ... Paracentesis, EGD ... Prophylactic variceal bleeding ... polypectomy, EMR or ESD ... thresholds #targets #management
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal Bleeding ... Diagnosis and Management ... variceal ligation - EGD ... Surveillance EGD ... weeks after index procedure
ED Thoracotomy Instructions

Getting Into the Chest:
1. Bilateral finger thoracotomies
  • 4th or 5th intercostal space
ED Thoracotomy Instructions ... clamp/pressure to bleeding ... • Ex: visible bleeding ... along ribs until feel ... #Instructions #procedure
Intern Pocket Cards - Daily Rounding and Disposition Checklist
Daily Checklist:
 • FEN/GI:
[ ] Upcoming procedure ... fluids (always put end-time ... Contraindications: active bleeding ... count, upcoming procedures ... Disposition #Checklist #management
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... EGD and the Banding ... Procedure: - ... #gastroenterology ... fellows #endoscopy #egd
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
, resulting in end-organ ... warm vs. cold (feel ... • Hemorrhagic: bleeding ... , post-partum) bleeding ... Classification #diagnosis #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
, resulting in end-organ ... warm vs. cold (feel ... • Hemorrhagic: bleeding ... , post-partum) bleeding ... Classification #diagnosis #management