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Pediatric Gastrointestinal Bleeding: Identification and Management in the Emergency Department

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Points & Pearls Excerpt

  • Pediatric patients with gastrointestinal (GI) bleeding may appear well initially, but can decompensate rapidly. Remember to keep the differential diagnosis broad.
  • Evaluating GI bleeding involves assessing onset, duration, past episodes, and bleeding characteristics such as color and type of vomit or stool to pinpoint the source and severity.5 (See Table 2.)
  • Prehospital teams should evaluate the receiving hospital’s resources, especially its pediatric GI services and endoscopic capabilities.
  • For serious GI emergencies, it is advisable to coordinate early with pediatric subspecialties, including critical transport teams, pediatric gastroenterologists, and pediatric surgeons, to ensure the highest level of care
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Publication Information
Authors

Olena Kostyuk, MD; Kendall Luyt, MD, FAAP

Peer Reviewed By

Tommy Y. Kim, MD; Rachel Long, DO

Publication Date

September 1, 2024

CME Expiration Date

September 1, 2027    CME Information

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAP Prescribed Credits, 4 AOA Category 2-B Credits.

Pub Med ID: 39173112

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