PPT-Variceal Haemorrhage in Critical Care

Aim To provide a guideline for the management of variceal haemorrhage Scope All adult critical care patients with variceal haemorrhage M MacKinnon 30112016 Raigmore Critical Care Guidelines. By. Dr. . Bikha. Ram . Devrajani. FCPS, FACP, FRCP. Professor . Medicine. Liaquat. University of Medical & Health Sciences, . Jamshoro. Definition of Stroke. Acute focal neurological deficit resulting from cerebrovascular disease and lasting more than 24-hours (or causing earlier death). Miss Melanie Tipples . Understand the definition and causes of major . haemorrhage. Recognise. and manage a collapse from . haemorrhage. Understand the surgical and pharmacological options for management of . Upper GI Bleed . Kirollos Zaki . PGY-1. 1/25/2017. Epidemiology & Clinical Presentation . Annual incidence of hospitalization is 100 per 100,000 . Much more common than lower GI bleed. Incidence is higher in men than in women . 250. mL . per slide. Overview. Incidence. Risk factors. Causes. Medical Management. Surgical Management. Use of blood products/MTP. Post-Partum . Haemorrhage. ≥500mL vaginal birth. ≥1000mL caesarean section. Manchester Royal Infirmary. 16. th. December 2016. Neurology Revision. The Basics. Examination tips. Common Conditions. Question Time. Neurology Basics. Where is the lesion?. Central vs. Peripheral. When to bill and what needs to be documented…... Prolonged Care – When?. CPT Codes 99354-99357. Used when time of required patient care exceeds normal time guidelines for E/M codes by at least 30 minutes.. varices. : update 2017 . DR. Supachoke Maspakorn . Overview . Variceal. bleeding is the most serious complication of . cirrhosis.. Up . to 50% mortality rate within 30 days of presentation. .. Isolate . UMASS ECHO. April 14, 2017. I have no potential conflicts of interests to report pertaining . to this lecture.. April 14, 2017. Presentation Title. 2. Disclosure Statement. Patient. 35 yo female with cirrhosis secondary to alcohol. Presents to ED with hematemesis. Disclaimer. Please be aware pharmaceuticals presented here may have slightly different labels in different . countries.. For . more detailed information on the regulatory status, please contact the . Morgan P. McMonagle. University Hospital Waterford. Four Broad Areas. Why Do Trauma Patients Die?. Major Trauma Outcome Study (ACS COT):. 30-40% of early trauma deaths are directly attributable to . haemorrhage. MEDICAL . TREATMENT. . H. : . H. elp. .. A. : . A. ssess. and . R. esuscitate. .. E. : . E. tiology. ( 4“T” ).. M. : . M. assage. . uterus. .. O. :. . O. xytocin. . infusion. (. E. Want to know the advantages and disadvantages of critical illness cover? Explore here or connect with Mountview FS for insurance advice. 1. Contact haematologist on call. , document DOAC taken and last time drug ingested, . calculate creatinine clearance (Cockcroft Gault), FBC and check INR/APTT/thrombin time. Dabigatran. Rivaroxaban. An MHP includes a multidisciplinary approach to haemorrhage control, correction of coagulopathy and normalisation of physiological parameters. Senior clinician determines patient requires MHP activation.