18 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Upper GI bleed ... of Upper GI Bleed ... #GI #Bleed #UGIB ... #Diagnosis #management
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
(GIB, RP bleed) ... pancreatitis), GI ... Classification #diagnosis ... #differential # ... criticalcare
GI Bleed Checklist

History, 
Exam, Labs, Access, Coagulation status, 
Medications, 
Interventions

#Diagnosis #Management #Gastrointestinal #GIBleed #Checklist #CriticalCare
GI Bleed Checklist ... Interventions #Diagnosis ... #Management #Gastrointestinal ... GIBleed #Checklist #CriticalCare
Evaluation and Management of Gastrointestinal Bleeding #Diagnosis #Management #EM #GI #Bleed #UpperGI #LowerGI #Resuscitation #Differential #Algorithm
of Gastrointestinal ... Bleeding #Diagnosis ... #Management #EM ... #GI #Bleed #UpperGI ... Resuscitation #Differential
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Lower GI Bleeding ... Upper GI Bleed ... Lower GI Bleed ( ... Lower #GIBleed #comparison ... #versus #diagnosis
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Trauma • GI ... Retroperitoneal bleed ... exacerbation (any cause ... #Table #CriticalCare
GI Bleed - Rapid Response Management

1) Ask for en route: Vitals, categorization, volume of blood loss,
GI Bleed - Rapid ... the underlying cause ... NatalieRosen_MD #GI ... #Bleed #GIB #Gastrointestinal ... #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Decompensated CHF ... Hypovolemic: Blood Loss, GI ... Diagnosis #criticalcare ... algorithm #treatment #management
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower ... Causes of GI Bleed ... Upper: • Esophagus ... Lower #GIBleed #differential ... #diagnosis #Causes
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
and Differential ... Diagnosis SHOCK ... Decompensated CHF ... • Blood Loss, GI ... #criticalcare