Welcome back to the Medkeeks podcast. I'm Dr. Nakeet-Son-Paul, your host, and right now we're going to be continuing with Red Zone Part 2,

the management of upper GI bleeds that are not from verisies.

Now in our last section in the previous podcast we went over a sort of pre-endoscopic management of how to deal with

flood transfusion,

anticagulation, resuscitation, and various medications

like PPPIs and pro-motility agents, things that work,

why they work. And then we went over specifically what to do for those scenarios.

In the next part in this particular podcast, we're going to be talking about endoscopy.

After endoscopy, we're going to be talking about endoscopy. After endoscopy, we're going to talk me a little bit about

that revolve around upper GI bleeds and ulcers and so forth.

So let's get started.

The first question that always comes up, and this is going to be one that you're going to have,

especially when you're managing these patients, is when should endoscopy be performed?

This question comes up all the time and there's always these arguments about come in the middle

the night do it the next morning so forth and so on. The most important thing we have

to remember is resuscitation comes first and resuscitation is what leads to good outcomes. Making an earlier

diagnosis is just not sufficient enough to justify early endoscopy. There's

you know evidence of benefit in clinically, economic

standpoint, and patient-centered outcomes

that show that obviously getting the patient properly

resuscitated is the right thing to do,

and that makes sense.

...