POPULARITY
Broadcast from KSQD, Santa Cruz on 4-16-2026: Dr. Dawn opens with a follow-up from an email from Maryland about a friend in Switzerland, who has ongoing neurological and gastrointestinal symptoms. She reviews the earlier effort to connect him with functional-medicine resources in Switzerland, then focuses on a new observation that the patient may have had multiple parasitic infections during travel in Europe. Dawn agrees that this may have left a major gap in the workup and says that, in puzzling neurologic cases, a sleep-deprived EEG can sometimes reveal a “fingerprint” of brain-based dysfunction even if the patient is not actively having symptoms during the test. Dr. Dawn says that for people over 60 who have never had a heart attack or stroke, daily baby aspirin is no longer considered a good routine preventive measure because the bleeding risks, especially gastrointestinal bleeding, can outweigh the cardiovascular benefit. She makes the distinction that aspirin may still make sense for secondary prevention in people who already have established cardiovascular disease. She next reviews several medications that she thinks many older adults should reconsider. She explains that phenylephrine, which replaced easier access to pseudoephedrine in many cold remedies, has been found to work no better than placebo . She also says Colace is not very effective, and she strongly advises older adults to avoid Benadryl because it accumulates with age, increases fall risk, and may be associated with cognitive decline. She adds that beta blockers are no longer preferred first-line treatment for uncomplicated hypertension in many older patients, and that medications targeting the angiotensin pathway are generally favored instead. Dr. Dawn introduces Mira Achilles in the studio, describing her as her excellent administrative assistant. Mira explains that she gathered health questions from peers from her college world. Mira asks what best supports focus for someone with ADHD working at a desk job. Dr. Dawn says the two evidence-based pillars are cognitive behavioral therapy and exercise. She walks through practical strategies including using calendars, reminders, index cards, and to-do lists; sorting tasks by urgency and importance; breaking large projects into smaller steps; creating small reward loops by checking off progress; and deliberately reducing distractions in the work environment.. She emphasizes that movement and exercise improve attention and executive function, and that ADHD management often improves when sleep timing is stabilized. Another of Mira's peers asks whether women should avoid very cold showers or ice baths during the luteal phase or around menstruation. Dr. Dawn says the answer is not absolute, but she cautions that cold exposure can hit women differently depending on hormonal state. She notes that the luteal phase may make vasoconstriction and cold sensitivity more pronounced, and she raises concerns about the physiologic stress of cold immersion, including possible adverse effects on circulation and rewarming. Her overall tone is cautious rather than enthusiastic, especially for people who are already prone to feeling chilled or reactive. Another contributor asks why some people faint when seeing needles, blood, or medical procedures. Dr. Dawn explains the vasovagal response: a reflex in which blood pressure and heart rate suddenly drop, reducing blood flow to the brain. She offers simple countermeasures such as crossing the legs, tightening muscles, squatting, or using hand-grip tension to help push blood back toward the brain and prevent passing out. Dr. Dawn closes by asking whether cortisol is a “good” or a “bad” hormone. Dr. She answers that cortisol is essential: it helps regulate daily rhythms, energy balance, and the broader hormonal system, so it is not something to think of as inherently harmful. At the same time, she says problems arise when cortisol is chronically dysregulated or excessive, so the goal is to maintain a healthy rhythm and avoid overwhelming the adrenal system. Please go to KSQD.org and donate to support Ask Dr. Dawn on KSQD.
Welcome to the emDOCs.net podcast! Join us as we review our high-yield posts from our website emDOCs.net. Today on the emDOCs cast with Brit Long, MD (@long_brit), we're back with Part 2 on upper GI bleeding. Today we cover endoscopy, other interventions for bleeding cessation, intubation, and risk scores. Please see Part 1 for some background, NG tube lavage, blood product transfusion, proton pump inhibitors (PPIs), prokinetic agents, somatostatin analogues, and antibiotics. To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play
Welcome to the emDOCs.net podcast! Join us as we review our high-yield posts from our website emDOCs.net.Today on the emDOCs cast with Brit Long, MD (@long_brit), we cover part 1 on upper GI bleeding, specifically some background, NG tube lavage, blood product transfusion, proton pump inhibitors (PPIs), prokinetic agents, somatostatin analogues, and antibiotics. To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play
Dr JP Stevens shares the mystery of a 5-year-old boy presenting with severe gastrointestinal bleeding and cholestasis. Inpatient investigation reveals gallbladder polyps and, on assessment after recovery he is found to have signs of developmental delay. Can you recognise the clues in the presentation? https://onlinelibrary.wiley.com/doi/10.1097/PG9.0000000000000122
Ian Gralnek this time discusses endoscopic findings and classifications during emergency endoscopy for upper GI bleeding.
Ian Gralnek from Israel discusses his specialty — GI bleeding. He covers patient factors, indications, and preparation for emergency endoscopy — a must for every endoscopist!
In the November 2024 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss investigating lower GI bleeding in the emergency department and testicular torsion presentations. As always, you'll also hear about the hot topics covered in CDEM's regular features, including pediatric facial nerve palsy in Clinical Pediatrics, a distal triceps tendon tear in Orthopedics and Trauma, reverse Valsalva maneuver in The Critical Procedure, high-risk airway management in The LLSA Literature Review, and a patient with foot drop in The Critical Image.
Dr Deborah Siegal joins us for a discussion on the recent paper, The Efficacy and Safety of Andexanet Alfa in Patients With Acute Gastrointestinal Bleeding While Taking Factor Xa Inhibitors: An ANNEXA-4 Sub-analysis. In this wide-ranging discussion she reviews the results of the sub-analysis and the need for anticoagulant reversal for acute GI bleeding. This discussion provides her perspective on the issue of bleeding with DOACs and the challenges in patient management.Dr. Deborah Siegal MD MSc FRCPC is a clinician-scientist hematologist (thrombosis medicine) at The Ottawa Hospital, Associate Professor of Medicine and School of Epidemiology and Public Health at the University of Ottawa, and Scientist at the Ottawa Hospital Research Institute. Her primary research interest is improving the safety of anticoagulant therapy including optimizing the management of anticoagulant-related bleeding complications, restarting anticoagulants after bleeding, perioperative management of anticoagulants, and antithrombotic therapies for ischemic stroke in patients with cancer. Dr Siegal is a member of the board of directors of Thrombosis Canada. Reference:Siegal DM, Forbes N, Eikelboom J, Beyer-Westendorf J, Cohen AT, Xu L, Connolly SJ, Crowther M. The Efficacy and Safety of Andexanet Alfa in Patients With Acute Gastrointestinal Bleeding While Taking Factor Xa Inhibitors: An ANNEXA-4 Subanalysis. Circulation. 2024 Apr 16;149(16):1315-8.https://www.ahajournals.org/doi/full/10.1161/CIRCULATIONAHA.123.066933Follow us on Twitter:@ThrombosisCan@debsiegalSupport the Show.https://thrombosiscanada.caTake a look at our healthcare professional and patient resources, videos and publications on thrombosis from the expert members of Thrombosis Canada
There are a lot of words associated with neonates... lethargic and bloody-stool should never be two of them. Let's cover this classic neonatal emergency diagnosis you can NEVER miss Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here. Cite this podcast as: Briggs, Blake; Husain, Iltifat. 221. Scary cause of neonatal GI bleeding. May 6th, 2024. Accessed [date].
Host: Peter Buch, MD, FACG, AGAF, FACP Guest: David Wan, MD Many patients with lower gastrointestinal (GI) bleeding are on anticoagulants, and they may need specific reversal agents depending on what antithrombotic they're on. Tune into this episode to learn more about the article that dives into the management and treatment of acute lower GI bleeding and the challenges along the way with Dr. Peter Buch as he speaks with Dr. David Wan, Associate Professor of Medicine at New York-Presbyterian/Weill Cornell Medical Center.
Host: Peter Buch, MD, FACG, AGAF, FACP Guest: David Wan, MD Many patients with lower gastrointestinal (GI) bleeding are on anticoagulants, and they may need specific reversal agents depending on what antithrombotic they're on. Tune into this episode to learn more about the article that dives into the management and treatment of acute lower GI bleeding and the challenges along the way with Dr. Peter Buch as he speaks with Dr. David Wan, Associate Professor of Medicine at New York-Presbyterian/Weill Cornell Medical Center.
Welcome to the emDOCs.net podcast! Join us as we review our high-yield posts from our website emDOCs.net. Today on the emDOCs cast we cover lower GI bleeding and what you need to know regarding diagnosis and treatment. To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play
CME credits: 1.25 Valid until: 09-10-2024 Claim your CME credit at https://reachmd.com/programs/cme/severe-gastrointestinal-bleeding-who-needs-reversal-or-repletion-for-upper-gi-and-lower-gi-bleeding/16237/ This program focuses on the management of life-threatening bleeds from a range of specialties: Emergency Medicine, Neurocritical Care, Trauma, and Gastroenterology. A panel of international Emergency Medicine experts will provide perspectives on each of the associated areas of bleeding and relevant clinical cases.
CME credits: 1.50 Valid until: 31-03-2024 Claim your CME credit at https://reachmd.com/programs/cme/gi-bleeding-and-doacs-consensus-panel-findings/14866/ Patients presenting to the hospital with severe bleeding and underlying treatment with Factor Xa (FXa) or Factor IIa inhibitors represent an enormous challenge to providers and clinicians since the approvals of apixaban, edoxaban, rivaroxaban, and dabigatran within the United States. Intracranial bleeding, intra-abdominal or thoracic trauma, gastrointestinal bleeding, and bleeding from any non-compressible source represent true life-threatening emergencies. Treatment of severe bleeding in patients receiving Factor Xa and Factor IIa inhibitors currently involves using non-specific therapy such as blood factor replacement - packed red blood cells (pRBCs), fresh frozen plasma, and platelets. With the development and approval of reversal agents, treatment of severe bleeding can now be specifically directed at the source of the coagulopathy combined with appropriate blood factor replacement. Nationally recognized guidelines have provided clear direction on how best to manage these types of major bleeding events. While published guidelines are an important resource in helping direct how to appropriately intervene, the inherent clinical and system challenge is as follows: How do I justify and juxtapose the clinical rationale for using a reversal agent with the inherent cost associated with it with a lack of comparative head-to-head studies? Our assessment of learners suggests that knowledge and …
In this podcast, Dr Piyush Manoria, one of the leading gastroenterologist, provides an insight in Gastrointestinal (GI) bleeding, its cause, risks and effects on patients and working with Cardiologists for therapy and medicine support.
Today we welcome special guest and fellow EBM lover Dr. Mita Hoppenfeld to talk about a new randomized controlled trial evaluating the best duration of antibiotics for febrile UTI in men. Is 7 days as good as 14 days? We also review the latest guidelines for lower GI bleeding and a new retrospective study on renal outcomes in patients with AKI who receive IV contrast. 7 vs 14 days of antibiotics for Febrile UTI in MenLower GI Bleeding GuidelinesIV Contrast in patients with AKI Music from Uppbeat (free for Creators!):https://uppbeat.io/t/soundroll/dopeLicense code: NP8HLP5WKGKXFW2R
The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
Show notes at pharmacyjoe.com/episode779. In this episode, I'll discuss when to use octreotide for upper GI bleeding. The post 779: When to use octreotide for upper GI bleeding appeared first on Pharmacy Joe.
The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
Show notes at pharmacyjoe.com/episode779. In this episode, I ll discuss when to use octreotide for upper GI bleeding. The post 779: When to use octreotide for upper GI bleeding appeared first on Pharmacy Joe.
Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. John and Mike Fralick discuss two recent papers – one, exploring the use of IVIG in the treatment of dermatomyositis, and the second investigating the effect of a tranexamic acid infusion in patients with acute gastrointestinal bleeding. ... The post Episode 52 – IVIG in Dermatomyositis and Tranexamic Acid in GI Bleeding first appeared on Healthy Debate. The post Episode 52 – IVIG in Dermatomyositis and Tranexamic Acid in GI Bleeding appeared first on Healthy Debate.
Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. John and Mike Fralick discuss two recent papers – one, exploring the use of IVIG in the treatment of dermatomyositis, and the second investigating the effect of a tranexamic acid infusion in patients with acute gastrointestinal bleeding. ...The post Episode 52 – IVIG in Dermatomyositis and Tranexamic Acid in GI Bleeding appeared first on Healthy Debate.
Ian Holmes, MD, The Oregon Clinic – Gastroenterology CME Credit Available for all Providence Providers In order to claim CME credit, please click on the following link: https://forms.office.com/r/ZYKfqDv69Y (or copy & paste into your browser) Accreditation Statement: Providence Oregon Region designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 creditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Providence Oregon Region is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Planning Committee & Faculty Disclosure: The Planning Committee and faculty have no relevant financial relationships with ineligible companies interests to disclose. Original Date: December 6, 2022 End Date: December 6, 2023
Ian Holmes, MD, The Oregon Clinic – Gastroenterology CME Credit Available for all Providence Providers In order to claim CME credit, please click on the following link: https://forms.office.com/r/ZYKfqDv69Y (or copy & paste into your browser) Accreditation Statement: Providence Oregon Region designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 creditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Providence Oregon Region is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Planning Committee & Faculty Disclosure: The Planning Committee and faculty have no relevant financial relationships with ineligible companies interests to disclose. Original Date: December 6, 2022 End Date: December 6, 2023
Former scoper of bowels, turned emergency physician, Dr. Armstrong discusses how to best manage the exsanguinating upper GI bleed. We cover blood products, hemodynamic end points, intubation and much more.For more free open access, resus related content, go to www.theresuscourse.com
09/26/2022 | CT Evaluation of GI Bleeding - Part 4
09/19/2022 | CT Evaluation of GI Bleeding - Part 3
09/12/2022 | CT Evaluation of GI Bleeding - Part 2
09/05/2022 | CT Evaluation of GI Bleeding - Part 1
Dr. Navin Kumar, an attending Gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of the Run the List podcast and Dr. Walker Redd, a Gastroenterology fellow at the University of North Carolina and co-founder of RTL, discuss lower GI bleeding. In this episode, Navin and Walker share how they approach lower GI bleeding. Through a case discussion, they review strategies for localizing the source of bleeding, initial management steps, the approach to endoscopic evaluation, and how to effectively communicate with the GI consult team.
Dr. Navin Kumar, an attending Gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of the Run the List podcast, and Dr. Walker Redd, a Gastroenterology fellow at the University of North Carolina and co-founder of RTL, discuss variceal upper GI bleeding to build upon the principles discussed in the non-variceal UGIB episode. In this episode, Navin and Walker use a case discussion to emphasize the importance of recognizing which patients are at risk for variceal bleeding, what distinguishes variceal GI bleeding from other sources of GIB, initial steps in management, and additional considerations to keep in mind when caring for these patients.
Dr. Navin Kumar, an attending Gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of the Run the List podcast continues Season 2 of RTL's partnership with McGraw Hill Medical by discussing upper GI bleeding with Dr. Walker Redd, a Gastroenterology fellow at the University of North Carolina and co-founder of RTL. In this episode, Navin and Walker share how they approach non-variceal upper GI bleeding. Through a case discussion of this common presentation, they review how to localize the potential source, frame the differential diagnosis, initially manage these patients, how to effectively communicate with the GI consult team, and the role of endoscopy.
Theme: Gastroenterology. Participants: Dr Tim O'Sullivan (gastroenterologist and endoscopy fellow), Dr Oksana Williamns (emergency physician), Varan Perananthan (gastroenterology advanced trainee), Maria Martino (emergency medicine advanced trainee), Amanda De Silva, Shreyas Iyer, Jack Ashley.Discussion:Sreedharan, A., Martin, J., Leontiadis, G., Dorward, S., Howden, C., Forman, D., & Moayyedi, P. (2010). Proton pump inhibitor treatment initiated prior to endoscopic diagnosis in upper gastrointestinal bleeding. Cochrane Database Of Systematic Reviews. https://doi.org/10.1002/14651858.cd005415.pub3.Presenter: Maria Martino - emergency medicine advanced trainee at Westmead Hospital. Music/Sound Effects: Good Day by Ikson | https://youtube.com/ikson, Music promoted by https://www.free-stock-music.com.Bring Me The Sky by Scott Buckley | https://soundcloud.com/scottbuckley, Music promoted by https://www.free-stock-music.comAttribution 4.0 International (CC BY 4.0),https://creativecommons.org/licenses/by/4.0/. Night Sky by Leonell Cassio ft. Julia Mihevc | https://soundcloud.com/leonellcassio, Music promoted by https://www.free-stock-music.com, Creative Commons Attribution-ShareAlike 3.0 Unported, https://creativecommons.org/licenses/by-sa/3.0/deed.en_US. Nightswim by Scandinavianz | https://soundcloud.com/scandinavianz, Music promoted by https://www.free-stock-music.comCreative Commons Attribution 3.0 Unported License, https://creativecommons.org/licenses/by/3.0/deed.en_US. Slipz (audio logo) by tubebackr | https://soundcloud.com/tubebackr, Music promoted by https://www.free-stock-music.com. Sound effects from https://www.free-stock-music.com. Thank you for listening!Please send us an email to let us know what you thought.You can contact us at westmeadedjournalclub@gmail.com.You can also follow us on Facebook, Instagram, and Twitter!See you next time!~
Theme: Gastroenterology. Participants: Dr Tim O'Sullivan (gastroenterologist and endoscopy fellow), Dr Oksana Williamns (emergency physician), Varan Perananthan (gastroenterology advanced trainee), Maria Martino (emergency medicine advanced trainee), Amanda De Silva, Shreyas Iyer, Jack Ashley.Discussion:Rout, G., Shalimar, Gunjan, D., Mahapatra, S., Kedia, S., Garg, P., & Nayak, B. (2020). Thromboelastography-guided Blood Product Transfusion in Cirrhosis Patients With Variceal Bleeding. Journal Of Clinical Gastroenterology, 54(3), 255-262. https://doi.org/10.1097/mcg.0000000000001214.Presenter: Varan Perananthan - gastroenterology advanced trainee at Westmead Hospital. Music/Sound Effects: Faces by RYYZN | https://soundcloud.com/ryyzn, Music promoted by https://www.free-stock-music.com, Creative Commons Attribution 3.0 Unported License, https://creativecommons.org/licenses/by/3.0/deed.en_US. Help You Out by Leonell Cassio ft. Jonathon Robins | https://soundcloud.com/leonellcassio, Music promoted by https://www.free-stock-music.com, Creative Commons Attribution-ShareAlike 3.0 Unported, https://creativecommons.org/licenses/by-sa/3.0/deed.en_US. Picasso by Ikson | https://youtube.com/ikson, Music promoted by https://www.free-stock-music.com. Slipz (audio logo) by tubebackr | https://soundcloud.com/tubebackr, Music promoted by https://www.free-stock-music.com. Sound effects from https://www.free-stock-music.com. Thank you for listening!Please send us an email to let us know what you thought.You can contact us at westmeadedjournalclub@gmail.com.You can also follow us on Facebook, Instagram, and Twitter!See you next time!~
Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Neena Abraham, MD, MS Join Dr. Peter Buch as he explores the management of acute gastrointestinal bleeding and the periendoscopic period with anticoagulants and with Dr. Neena Abraham, Associate Medical Director at the Mayo Clinic Center for the Science of Health Care Delivery in Arizona and lead author of the joint “American College of Gastroenterology-Canadian Association of Gastroenterology Clinical Practice Guideline.”
Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Neena Abraham, MD, MS Join Dr. Peter Buch as he explores the management of acute gastrointestinal bleeding and the periendoscopic period with anticoagulants and with Dr. Neena Abraham, Associate Medical Director at the Mayo Clinic Center for the Science of Health Care Delivery in Arizona and lead author of the joint “American College of Gastroenterology-Canadian Association of Gastroenterology Clinical Practice Guideline.”
Theme: Gastroenterology. Participants: Dr Tim O'Sullivan (gastroenterologist and endoscopy fellow), Dr Oksana Williamns (emergency physician), Varan Perananthan (gastroenterology advanced trainee), Maria Martino (emergency medicine advanced trainee), Amanda De Silva, Shreyas Iyer, Jack Ashley.Discussion:Horibe, M., Iwasaki, E., Matsuzaki, J., Bazerbachi, F., Kaneko, T., & Minami, K. et al. (2021). Superiority of urgent vs early endoscopic hemostasis in patients with upper gastrointestinal bleeding with high-risk stigmata. Gastroenterology Report, 9(6), 543-551. https://doi.org/10.1093/gastro/goab042. Presenter: Jack Ashley - emergency medicine trainee at Liverpool Hospital. Music/Sound Effects: Blue Sweater by RYYZN | https://soundcloud.com/ryyzn, Music promoted by https://www.free-stock-music.com, Creative Commons Attribution 3.0 Unported License, https://creativecommons.org/licenses/by/3.0/deed.en_US. Outside by Ikson | https://youtube.com/ikson, Music promoted by https://www.free-stock-music.com. Medical Examination by MaxKoMusic | https://maxkomusic.com/, Music promoted by https://www.free-stock-music.com, Creative Commons Attribution-ShareAlike 3.0 Unported, https://creativecommons.org/licenses/by-sa/3.0/deed.en_US. Slipz (audio logo) by tubebackr | https://soundcloud.com/tubebackr, Music promoted by https://www.free-stock-music.com. Sound effects from https://www.free-stock-music.com. Thank you for listening!Please send us an email to let us know what you thought.You can contact us at westmeadedjournalclub@gmail.com.You can also follow us on Facebook, Instagram, and Twitter!See you next time!~
Gastro: 9. Harry and Yvonne talk about the clinical presentation of GI bleeding, cover the classic 'upper' GI causes and the general blueprint for their management. Please note there is an addendum mentioning oesophagitis at the end of the episode. This episode was vetted by Dr Jonathan Hoare, Consultant Gastroenterologist and Head of Endoscopy at St. Mary's Hospital, London. Links (these links are from consultant led presentations on bleeding and should link to a google image) Example of Coffee-ground vomiting: https://www.google.com/imgres?imgurl=x-raw-image%3A%2F%2F%2F01ece6a1f0316a0247f50c38e19018db2694d83024d1b7c096c7a8d066fd5784&imgrefurl=https%3A%2F%2Fwww.transfusionguidelines.org%2Fdocument-library%2Fdocuments%2Fgi-bleed-sishaq-may-16%2Fdownload-file%2FGI%2520Bleed%2520SIshaq%2520May%252016.pdf&tbnid=Amox8KHm7AF_fM&vet=12ahUKEwjajITng5H4AhUVw4UKHVzRCxgQMygOegUIARDPAQ..i&docid=b6lwT2-n3UWsBM&w=640&h=480&q=coffee%20ground%20vomit&ved=2ahUKEwjajITng5H4AhUVw4UKHVzRCxgQMygOegUIARDPAQ Example of Melaena: https://www.google.com/search?q=melaena&rlz=1C1CHBF_en-GBGB755GB755&sxsrf=ALiCzsZ3MpEeQoP4uii30fnEX8wcfstWkA:1654250952558&source=lnms&tbm=isch&sa=X&ved=2ahUKEwiK35WDhZH4AhVqSUEAHT6-APwQ_AUoAXoECAEQAw&biw=1600&bih=700&dpr=2#imgrc=Ak2UeTV_OQCbSM
Upper gastrointestinal (GI) bleeding is bleeding that can be happening anywhere in the esophagus, stomach, or the upper part of the small intestine. It is usually a symptom of an underlying disorder, and it can be very serious.
This Podcast will discuss an approach to gastrointestinal bleeding in children. The podcast was created by Clarelle Gonsalves, a third-year medical student at McMaster University, in collaboration with Dr. Herbert Brill, a pediatric gastroenterologist at McMaster Children's Hospital and Associate Professor of Pediatrics at the University of Toronto.
Another back to basics episode, this time on Upper GI bleeding - recognition, management approaches and prevention. Proudly delivered for your listening pleasure by Melissa and Sergei.
Somehow we got through 7 articles today, and none of them are about COVID-19! Happy Thanksgiving! Chlorthalidone in CKDMilvexian for VTE PreventionRisk of Recurrent VTE in Subsegmental PERivaroxaban associated with higher rates of GI bleedingDepression and ResidencyMental-Stress Induced Myocardial IschemiaPatient Outcomes for Part Time HospitalistsMusic from Uppbeat (free for Creators!):https://uppbeat.io/t/soundroll/dopeLicense code: NP8HLP5WKGKXFW2R
Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Adam Olsen, MS, PA-C Millions of patients are treated with anticoagulants, and many more are treated with antiplatelet therapy. But when those therapies overlap with GI bleeding, what do you need to know so that your patients don't experience any problematic health outcomes? Dr. Peter Buch is discussing this topic with physician assistant Mr. Adam Olsen, who's the Department Chair and Program Director for the Master of Physician Assistant Studies Program at Sacred Heart University in Stamford, Connecticut.
Host: Peter Buch, MD, FACG, AGAF, FACP Guest: John R. Saltzman, MD Gastrointestinal bleeding, or GI bleeding, is a serious but common condition, and upper GI bleeding requires an individualized approach. How can we better detect and manage this condition? Dr. Peter Buch will be discussing the importance of managing upper GI bleeding with Dr. John Saltzman, Director of Endoscopy at the Brigham and Women's Hospital.
Music: Balloons Rising by A. A. Aalto Find the link on our website CC BY NC
This week we discuss upper GI bleeding pearls from a workshop we did in our weekly conference. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_72_0-UGIB_Final_Cut.m4a Download Leave a Comment Tags: Aortoenteric Fistula, Gastric Ulcer, Gastrointestinal, GI, UGIB, Variceal Bleeding Show Notes Take Home Points Respect the UGIB. These patients can bleed a lot. Even if they're not actively hemorrhagic in front of you, realize that they can open up at any time and decompensate Get your consultants on board early. A skilled endoscopist is your friend as they can get control of bleeding. Don't forget IR for TIPS in variceal bleeds and general surgery in bleeding ulcers. Activate your massive transfusion protocol if the patient is unstable and give the patient PRBCs, FFP and platelets as indicated. Reverse any anticoagulants as well. Give all patients with confirmed or suspected variceal bleeding antibiotics – typically, ceftriaxone. This intervention saves lives and decreases morbidity. Read More LITFL: EBM Upper GI Haemorrhage