Round 7 (MW) – Vomiting Blood

EM Clerkship - A podcast by Zack Olson, MD and Michael Estephan, MD

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You are working at Clerkship General when the charge nurse grabs you – “hey we got a real sick one, a 57yo Male who I just put in the resuscitation bay, he is vomiting blood”. Initial Vitals:BP: 77/34 HR: 135 RR: 24 O2%: 95% Temp: 98.8F Critical Actions: * Place two large bore IVs * Transfuse emergency uncross matched blood * Administer IV Pantoprazole * Administer IV Ceftriaxone and IV Octreotide * Consult GI Further Reading: EMDocs – GI Bleed