• Emerg. Med. Clin. North Am. · May 2016

    Review

    Gastrointestinal Bleeding.

    • Jose V Nable and Autumn C Graham.
    • Department of Emergency Medicine, MedStar Georgetown University Hospital, Georgetown University School of Medicine, 3800 Reservoir Road, Northwest, G-CCC, Washington, DC 20007, USA. Electronic address: JoseVictor.L.Nable@medstar.net.
    • Emerg. Med. Clin. North Am. 2016 May 1; 34 (2): 309-25.

    AbstractAcute gastrointestinal bleeding is a commonly encountered chief complaint with a high morbidity and mortality. The emergency physician is challenged with prompt diagnosis, accurate risk assessment, and appropriate resuscitation of patients with gastrointestinal bleeding. Goals of care aim to prevent end-organ injury, manage comorbid illnesses, identify the source of bleeding, stop continued bleeding, support oxygen carrying capacity, and prevent rebleeding. This article reviews current strategies for risk stratification, diagnostic modalities, localization of bleeding, transfusion strategies, adjunct therapies, and reversal of anticoagulation.Copyright © 2016 Elsevier Inc. All rights reserved.

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