Management of the Massive GI Bleed

A brief summary of the initial emergency department resuscitation of a patient with massive gastrointestinal bleeding

Case

You are called urgently to resuscitation. Walking into the room, you recognize a familiar face. In fact, didn’t you discharge him home yesterday with epigastric pain that you attributed to his chronic alcohol use? Today’s diagnosis is not a mystery. There is already a puddle of blood on the floor, and he is quickly filling another emesis basin with bright red blood. A glance at the monitor reveals a heart rate of 135 and a blood pressure of 74/34…

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Balloon tamponade of massive GI bleeding

A brief summary of the procedure of balloon tamponade in massive upper gastrointestinal haemorrhage

Case

You have been resuscitating the 62 year old man with a massive GI bleed from the previous post. You started your massive transfusion protocol and have him safely intubated. However, he continues to bleed, and you need to transfer him out of your small community hospital…

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