We encounter patients with upper GI bleeding frequently. While some of these are obviously ill and in need of urgent intervention and/or admission, others appear well and we might consider sending them home - but how do we decide who is low risk enough to discharge? Is there an evidence based approach to risk stratify patients with upper GI bleeds?
Anil Reddy, MD
An unconscious 35 y/o male presents from the scene of a motor vehicle versus pedestrian accident. The patient is intubated and hypotensive but there is no source of external bleeding. FAST is negative. Blood products are given with no response. CT imaging shows no evidence of bleeding. What should you consider?
Sore throat? Hot Potatoe voice? What's more bread and butter EM than drainage of a peritonsillar abscess?!?! Read on below for a few pearls when it comes to diagnosing and draining.