Gastrointestinal Bleeding. [Review] - 2016

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. Copyright © 2016 Elsevier Inc. All rights reserved.


English

0733-8627


*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]


MedStar Washington Hospital Center


Emergency Medicine


Journal Article
Review