Patients should be made NPO.
Have stable IV access.
Obtain blood type, and cross-match RBCs.
Stabilize the patient with IV fluids and blood products if necess...
Monitor hemoglobin in the hospital until patient’s condition is stable.
If bleeding has stopped, endoscopy should still be strongly considered to diagnose source of bleeding.
Once patient i...
Chawla S, Seth D, Mahajan P, et al. Upper gastrointestinal bleeding in children. Clin Pediatr (Phila). 2007;46(1):16–21. [View Abstract on OvidInsights]
Kato S, Sherman PM. Wha...
578.9 Hemorrhage of gastrointestinal tract, unspecified
578.1 Blood in stool
K92.2 Gastrointestinal hemorrhage, unspecified
Q: When do you refer a patient with suspected active upper GI bleeding?
A: Immediately, especially if the patient is hemodynamically unstable; urgently, in patients with evidence of chronic iron-de...
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