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Podcast: Play in new window | Download
Podcast: Play in new window | Download
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