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Gastrointestinal Bleeding. [Review]

MedStar author(s):

Citation: Emergency Medicine Clinics of North America. 34(2):309-25, 2016 MayPMID: 27133246Institution: MedStar Washington Hospital CenterDepartment: Emergency MedicineForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *Gastrointestinal Hemorrhage | Acute Disease | Anticoagulants/tu [Therapeutic Use] | Blood Transfusion/mt [Methods] | Decision Support Techniques | Disease Management | Emergency Service, Hospital | Gastrointestinal Hemorrhage/di [Diagnosis] | Gastrointestinal Hemorrhage/th [Therapy] | Hemostatics/tu [Therapeutic Use] | Humans | Proton Pump Inhibitors/tu [Therapeutic Use] | Resuscitation/mt [Methods] | Risk Assessment/mt [Methods]Year: 2016 Local holdings: Available online from MWHC library: 1996 - presentISSN:

0733-8627

Name of journal: Emergency medicine clinics of North AmericaAbstract: Acute 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.All authors: Graham AC, Nable JVFiscal year: FY2016Digital Object Identifier:

https://dx.doi.org/10.1016/j.emc.2015.12.001

Date added to catalog: 2017-03-17

Holdings ( 1 )
Title notes ( 4 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	27133246	Available		27133246

Available online from MWHC library: 1996 - present

Acute 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.

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