Bleeding from GI tract:
Upper GI tract: Proximal to ligament of Treitz
Lower GI tract: Distal to ligament of Treitz to anus
10% overall; from <5% in children up to 25%...
Both UGIB and LGIB may present with signs/symptoms of hypovolemia
UGIB classic presentation:
Hematemesis or coffee ground emesis
Melena: Black tarry stool
LGIB classic presenta...
Intubate for massive UGIB, if patient unable to protect airway
Insert large-bore IV (16–18g) and administer crystalloid to keep SBP >90 mm Hg
Age >65 or comorbid conditions
Unstable vital signs at any time
Resolution of UGIB with negativ...
10–15% of UGIB present with hematochezia
Consider GIB in patients presenting with signs of hypovolemia or hypovolemic shock
Common pitfall: Failure to adequately resuscitate with cry...
Das AM, Sood N, Hodgin K, et al. Development of a triage protocol for patients presenting with gastrointestinal hemorrhage: A prospective cohort study. Crit Care. 2008;12:R...
533.40 Chronic or unspecified peptic ulcer of unspecified site with hemorrhage, without mention of obstruction
535.51 Unspecified gastritis and gastroduodenitis, with hemorrhage
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