- Secure the airway early
- Administer blood products early
- Do not forget to administer all components of blood including FFP and platelets; know your institution's massive transfusion protocol if you have one
- Chronic conditions such as liver failure and renal failure can cause coagulopathy; consider reversal with vitamin K and/or vasopressin
- PPI's help reduce risk of rebleeding and reduce need for transfusion
- Most common causes of exsanguination from GI bleed are:
4. Diverticular disease
- Upper GI bleeds are much more likely to cause exsanguination than Lower causes
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Department of Emergency Medicine
Medical Education Building., Third floor
1000 Blythe Blvd.
Charlotte, NC 28203