Acute Upper GI Bleed
A – Clear & self maintaining.
B – Rate 25, SpO2 98%. Room air.
C – Pulse 130, BP 87/60.
D – E4 V5 M6 pupils equal
E – Temp 36.9°C
Cold, sweaty and pale
- Fresh blood visible around mouth and lips
Why We Simulated
Acute upper gastrointestinal bleeding is a common medical emergency that has a 10% hospital mortality rate. Despite changes in management, mortality has not significantly improved over the past 50 years.
Use local proformas where available - they provide useful prompts when assessing severity and initiating treatment
In patients presenting with Upper GI Bleeds consider recruitment to Halt-It trial
If a patient is bleeding and haemodynamically unstable despite appropriate resuscitation activate Massive Haemorrhage protocol
Good preparation pre-arrival, clear allocation of roles within team
Recognised massive GI bleed and resuscitated with blood
- Early institution of variceal bleed care bundle