6 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... Ulcer Disease • Variceal ... #UGIB #GIBleed ... Differential #Diagnosis #management ... gastrointestinal #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... • Rescope if bleed ... NonVariceal #Upper #GIBleed ... #management #gastroenterology ... #UGIB
GI Bleed - Rapid Response Management

1) Ask for en route: Vitals, categorization, volume of blood loss,
Response Management ... after assessing ABCs ... #GIB #Gastrointestinal ... #gastroenterology ... #Management #criticalcare
ABCs of Endoscopic Perforation Management
A - Air by itself, not an adverse event. Control insufflation, ALWAYS
ABCs of Endoscopic ... Perforation Management ... Follow with CT/UGI ... - Sepsis #ABCs ... #treatment #gastroenterology
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
PMN count for RBCs ... Active upper GI bleed ... Any etiology (variceal ... SBP #diagnosis #management ... #prophylaxis #treatment
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... Acute Esophageal Variceal ... bleed (given empirically ... Bleeding #varices #management ... ebm #evidence #gastroenterology