This week we discuss upper GI bleeding pearls from a workshop we did in our weekly conference.


https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_72_0-UGIB_Final_Cut.m4a



Download


Leave a Comment





Tags: Aortoenteric Fistula, Gastric Ulcer, Gastrointestinal, GI, UGIB, Variceal Bleeding





Show Notes
Take Home Points

Respect the UGIB. These patients can bleed a lot. Even if they’re not actively hemorrhagic in front of you, realize that they can open up at any time and decompensate
Get your consultants on board early. A skilled endoscopist is your friend as they can get control of bleeding. Don’t forget IR for TIPS in variceal bleeds and general surgery in bleeding ulcers.
Activate your massive transfusion protocol if the patient is unstable and give the patient PRBCs, FFP and platelets as indicated. Reverse any anticoagulants as well.
Give all patients with confirmed or suspected variceal bleeding antibiotics - typically, ceftriaxone. This intervention saves lives and decreases morbidity.

Read More
LITFL: EBM Upper GI Haemorrhage
EMCrit: Episode 5: Upper GI Bleed Guidelines