
2
Sep
2020
September 2, 2020
REBEL Core Cast 39.0 – Upper GI Bleed

- Focus on resuscitating well by focusing on the basics
- Recognize Massive GIB (MGIB) with a thorough exam of the patient and vital signs (Shock index >0.7 is ABNORMAL and signals impending shock)
- Obtain large bore PIV access and prioritize transfusion over crystalloids for MGIB
- Get consultants on board early
- Give adjunctive medications that impact mortality (ie A 3rd generation cephalosporin in patients with variceal bleeding or a history of cirrhosis)
Medical Categories:
Abdominal and Gastroinstestinal