The Internet Book of Critical Care Podcast IBCC Episode 3 - Approach to the GI Bleed
30 snips
Sep 19, 2018 AI Snips
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Transcript
Episode notes
GI Bleed Mimickers
- Consider posterior epistaxis and bloody diarrhea as alternative diagnoses mimicking GI bleeds.
- These conditions require different treatments and shouldn't be missed.
Hemoglobin Levels
- Counterintuitively, a lower hemoglobin can be less concerning than a normal one in acute bleeds. This suggests a chronic, compensated bleed rather than an imminent catastrophic event.
Hemodynamic Assessment
- Prioritize hemodynamics over hemoglobin in assessing GI bleed severity. Look for syncope, vasopressor dependence, and elevated shock index as red flags.