46 results
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... guideline Low Risk Procedures ... forceps biopsy (EGD ... #Risks #Gastroenterology ... 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
The management of hypoxia in a patient undergoing a procedure has a variety of etiologies, but
The management of ... patient undergoing a procedure ... have a general treatment ... diagnosis #algorithm #management ... #treatment #anesthesiology
Perioperative Management of DOACs
Problem:
 ✖ Each year approximately 250,000 patients on chronic anticoagulation in North America
Perioperative Management ... interruption per treatment ... bleeding risk ... a very low bleeding ... Perioperative #Management
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
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
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal Bleeding ... Diagnosis and Management ... Surveillance EGD ... weeks after index procedure ... #treatment #endoscopy
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
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
months without treatment ... Viral Hepatitis Procedures ... Management ... Cirrhosis #Hepatology #gastroenterology ... #management #diagnosis
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