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🌱 來自: initial management of gastrointestinal bleeding

Triage of initial management of gastrointestinal bleeding

• alert endoscopist
• Consider ICU if unstable VS or poor end organ perfusion.
• Intubation for: emergent EGD, ongoing hematemesis, shock, poor resp status, Δ MS

OutPt management

if SBP ≥110, HR <100, Hb ≥13 (♂) or ≥12 (♀), BUN <18, Ø melena, syncope, heart failure, liver disease

Manage OutPt if the following criteria are met: SBP ≥110, HR <100, Hb ≥13 for males and ≥12 for females, BUN <18, no melena, no syncope, no heart failure, and no liver disease.

Performance of new thresholds of the Glasgow Blatchford score in managing patients with upper gastrointestinal bleeding - PubMed