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<< Gastrointestinal Bleeding: An Evidence-Based ED Approach To Risk Stratification


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It is a relatively rare patient who can be discharged without having an endoscopy performed. (See the Clinical Pathway .) The role of endoscopy to risk stratify patients has been well-established. If endoscopy cannot be performed promptly, low-risk patients with a nasogastric tube aspirate without evidence of active bleeding may be admitted to a ward bed, an observation unit, or held in the ED until endoscopy can be performed. High-risk patients must be admitted to an ICU or held in the ED until endoscopy can be performed.

After endoscopic evaluation and treatment, a disposition may be made based on these results in consultation with the gastroenterologist who performed the endoscopy.

Publication Information

John L. Westhoff; Kurtis R. Holt

Publication Date

March 1, 2004

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