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Shaikhani.
Shaikhani.

The document discusses the management of upper gastrointestinal bleeding (UGIB) in the emergency room. It recommends initial resuscitation including IV access and fluid resuscitation. Patients should be risk stratified using scoring systems like Rockall or Blatchford to determine need for endoscopy. Early endoscopy within 24 hours is recommended to identify risk level and manage high risk lesions. Post-endoscopy, high-dose PPIs should be given and H. pylori testing and treatment initiated if positive to prevent rebleeding.

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The Overall Approach to the Management of UGIB: Dr.Mohamed Al-Shekhani
RESUSCITATION IN THE ER: Initial Assessment &Fluid Resuscitation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RESUSCITATION IN THE ER: Use of Blood Components ,[object Object],[object Object],[object Object],[object Object],[object Object]
RESUSCITATION IN THE ER: Correction of Coagulopathy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RESUSCITATION IN THE ER: NGT ,[object Object],[object Object],[object Object],[object Object],[object Object]
RESUSCITATION IN THE ER: Risk stratification scoring: ,[object Object],[object Object],[object Object],[object Object],[object Object]
RESUSCITATION IN THE ER: Risk stratification scoring: ,[object Object],[object Object],[object Object]
RESUSCITATION IN THE ER: Risk stratification scoring:
RESUSCITATION IN THE ER: Risk stratification scoring:
RESUSCITATION IN THE ER: Risk stratification scoring:
RESUSCITATION IN THE ER: Risk stratification: other than scoring systems ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RESUSCITATION IN THE ER: Risk stratification: other than scoring systems
RESUSCITATION IN THE ER: USE OF PHARMACOLOGIC AGENTS PREENDOSCOPY:PPI ,[object Object],[object Object],[object Object]
RESUSCITATION IN THE ER: USE OF PHARMACOLOGIC AGENTS PREENDOSCOPY:PPI ,[object Object],[object Object],[object Object],[object Object]
RESUSCITATION IN THE ER: USE OF PHARMACO AGENTS PREENDOSCOPY: Prokinetics ,[object Object],[object Object],[object Object]
RESUSCITATION IN THE ER: PHARMACO AGENTS PREENDOSCOPY: ANTIFIBRINOLTYICS ,[object Object]
RESUSCITATION IN THE ER: PHARMACO AGENTS PREENDOSCOPY: SMST/OCTT ,[object Object],[object Object],[object Object]
RESUSCITATION IN THE ER: PREENDOSCOPY: Optimal time to endoscope ,[object Object],[object Object]
RESUSCITATION IN THE ER: PREENDOSCOPY: Optimal time to endoscope ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RESUSCITATION IN THE ER: POSTENDOSCOPY MANAGEMENT: PPI ,[object Object],[object Object],[object Object]
RESUSCITATION IN THE ER: POSTENDOSCOPY MANAGEMENT: Test&treat H Pylori ,[object Object],[object Object],[object Object],[object Object]
RESUSCITATION IN THE ER: POSTENDOSCOPY MANAGEMENT: General in-hospital management. ,[object Object],[object Object],[object Object],[object Object]
RESUSCITATION IN THE ER: POSTENDOSCOPY MANAGEMENT: subsequent pharma management. ,[object Object],[object Object]
 
 
Summary: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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