Early management for Upper GI BleeedingCreated by:
Patient presented with upper GI bleeding (haematemesis / malaena), can be very sick or unstable. When patient is having a large GI (gastrointestinal) bleeding, 2 wide bore intravenous catheter into the veins are required, so that patient can receive fluid resuscitation or blood trasnfusion as soo as possible ,and as fast as posssible. All the blood tests investigation like full blood count, coagulation screen, blood group and crossmatch, renal profile, liver profile are needed to be done urgently. When patient has unstable upper GI bleeding (means when hypotension and tachycardia), rapid volume resuscitation is important, if failed then will require vasopressors support. Once patient is stabilised, then treamtent like proton pump inhibitor infusion, antibiotic, terlipressin (depend on likely aetiology), should be given, depending on underlying aetiology. Referral to gastroenterolgy or surgery service will be the next step.