Deep Dive MW R7
EM Clerkship - A podcast by Zack Olson, MD and Michael Estephan, MD
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Obtain IV Access – get two large bore IVs (18g or larger) Resuscitate – un-crossmatched blood at first, don’t forget type and screen! Medicate – Give Pantoprazole always, Octreotide and Ceftriaxone if hx liver disease, reverse anticoagulation if indicated Imaging – Upright CXR to assess for perforation, CTA if concerned for lower GIB Consult – GI if unstable / if variceal bleeding Disposition – based on amount of bleeding and hemodynamic stability
