TY - CHAP M1 - Book, Section TI - Gastrointestinal Bleeding A1 - Baker, Jeffery A. A2 - Sherman, Scott C. A2 - Weber, Joseph M. A2 - Schindlbeck, Michael A. A2 - Rahul G., Patwari Y1 - 2014 N1 - T2 - Clinical Emergency Medicine AB - Aggressive resuscitative measures (intravenous access, crystalloid bolus, and blood products) are necessary in unstable patients with gastrointestinal (GI) bleeding.A negative nasogastric lavage does not completely exclude an upper GI bleed.A brisk upper GI bleed should be considered in the differential of patients who present with hematochezia.Octreotide should be administered in patients with liver disease and significant upper GI bleeding, even when the diagnosis of esophageal varices has not been confirmed.Emergent endoscopy should be arranged when active upper GI bleeding is present. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1101224823 ER -