Using the shock index, CTA, DOAC reversal… The British Society of Gastroenterology recently released their guidelines on LGIB bleeding evaluation and management. This post will provide you with the key takeaways.
Lower GI Bleeding Guidelines Update Read More »
The ultimate question however is does initiation of PPIs reduce clinically relevant outcomes (i.e. mortality, rebleeding, need for surgical intervention) in upper gastrointestinal bleeds (UGIB)?
R.E.B.E.L. EM – The Good, The Bad, and The Ugly of Proton Pump Inhibitors in UGIB Read More »
What do you know about portal vein thrombosis? This post provides you with a comprehensive review of this potentially dangerous condition.
Portal Vein Thrombosis: A Primer for Emergency Medicine Physicians Read More »
A 52-year-old male with a history of severe liver disease, cirrhosis, and hepatitis C presents with altered mental status. His vital signs are normal, and he displays asterixis on exam, with otherwise normal neurologic exam. His ECG, head CT, and labs are normal. What should you consider, and what are your next steps?
EM@3AM: Hepatic Encephalopathy Read More »
Welcome to Quality Corner, an emDocs series evaluating tough cases and potential areas for improvement. Today we look at Crohn’s Disease, tachycardia, thrombocytosis, and angioedema treatment and disposition.
A patient walks into your ED with a shirt covered in blood. He’s actively vomiting. Your triage nurses quickly get him into a wheelchair and roll him back to one of your critical care booths. You have little time to act to stabilize this critically ill patient. What are your next steps?
Blood in the vomit.
Blood in the stool.
Blood in the diaper.
How far do I go in my investigation?
What do I really have to worry about?
The differential diagnosis of GI bleeding in children is broad.
PEM Playbook – GI Bleeding in Children Read More »
A 46-year-old female presents to your ED with a complaint of abdominal pain and fullness for several weeks and a family history of “blood clots”. Could this be Budd Chiari syndrome?
Budd Chiari Syndrome: ED Presentation, Evaluation, and Management Read More »
A bowel obstruction can be due to a variety of causes, and these patients can present with a wide variation in severity. These patients may appear toxic, and this post is full of pearls for the diagnosis and management of bowel obstruction.
The Sick Bowel Obstruction Patient Read More »
Having difficulty determining whether or not your GI bleeder is stable for the floor? Read on as we discuss risk stratification tools and risk factors for severe GI bleeds.
GI Bleeds: Who Needs ICU Level Care? Read More »