Lightning Learning: GI Bleeds

Lightning Learning: GI Bleeds

Jamie Sillett
Lightning Learning
““Varices account for 5-12% of acute upper GI bleeds and increase the risk of mortality of patients.””
— advice is based on local guidelines & procedures
 
 

What?

 

Is it a Variceal Bleed?

  • Known Varices

  • Known Cirrhosis

  • Jaundice

  • Ascites

  • Spider Nevi

  • Splenomegaly

  • Platelets <100

If YES, give:

  • Terlipressin 2mg IV Stat

  • Co-amoxiclav 1.2g

  • INR correction if INR >1.5 (D/w haematology or ED senior)

In children always consider… Button Battery Ingestion!
 

Why?

  • Varices are the cause of 5-12% of AUGIBs

  • Mortality for all bleeds is 10-14% (varices increase the risk of mortality)

  • Early endoscopy (in appropriate patients) provides diagnosis, prognosis and allows immediate therapy

Reference:

http://lifeinthefastlane.com/aftb-lecture-series-ii/

How?

  1. Review the ED Acute Upper GI Bleed (AUGIB) management tool

  2. Participate in simulation and review related #SimBlog feedback

  3. Can you find where the Linton Tubes are kept in your department?

 
 
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