David T. Dulaney

In this discussion, Dr. David T. Dulaney, a distinguished gastroenterologist and fellowship program director in San Antonio, delves into the intricacies of non-variceal GI bleeds. He explains the crucial role of patient stabilization before interventions, highlights the effectiveness of the Glasgow Blatchford score for assessment, and underscores the importance of teamwork among healthcare professionals during crises. The episode also explores unique challenges in managing elderly patients and emphasizes the value of timely interventions and personalized care strategies in achieving optimal outcomes.

Dr. David Dulaney, a Gastroenterologist and program director at a GI fellowship in San Antonio, shares insights into managing cirrhosis and variceal bleeds. He discusses the challenges of coagulopathy in advanced liver disease and the importance of nuanced treatments like TXA in variceal bleeding. Through clinical case studies, he emphasizes the need for multidisciplinary care and tailored approaches in critical situations. With a dash of humor, Dulaney navigates complex anesthesia considerations and highlights best practices for intubation and vascular access.