1
Q
pt with GI bleed needs…
A
BLOOD
start with O-
2
Q
how to reverse potnetial coagulopathies (2)
A
INR issue - give FFP
warfarine issue - 4 factor prothrombin complex concentrate
3
Q
first thing to do in GI bleed (protection)
A
1) put PPE
4
Q
Before Intubation a GI bleed
A
1) Ressus as much as possible
- O2 NP, NRB at flush rate
- fluids +- blood
- prep pressors
2) NG tube
5
Q
Intubation plan
A
plan A
SALAD: “suction assisted laryngoscopy airway decontamination”
with videoscope and bougie
plan B
suction assisted
direct scope
and bougie
Plan C
LMA
6
Q
position when intubating
A
at 45 degrees
