Gastroenterology Emergency Medicine Strong — international standard endoscopic classification; endorsed by BSG/ESGE/NICE
Forrest Classification of Upper GI Bleeding
Endoscopic classification system for upper GI bleeding lesions based on stigmata of recent haemorrhage. Guides re-bleeding risk and need for endoscopic therapy.
References
- Forrest JA, Finlayson ND, Shearman DJ. Endoscopy in gastrointestinal bleeding. Lancet. 1974;2(7877):394–397.
- NICE CG141. Acute upper gastrointestinal bleeding in over 16s: management. 2012 (updated 2016).
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
Drugs
- Vasopressin / Terlipressin · Vasopressin Analogue — Vasodilatory Shock / Variceal Bleeding
- Tranexamic Acid (Heavy Menstrual Bleeding) · Antifibrinolytic (Gynaecological Use)
- Omeprazole (Paediatric — GORD/Peptic) · Proton Pump Inhibitor (PPI)
- Esomeprazole (Burns — Curling's Ulcer Prophylaxis) · Proton Pump Inhibitor — Stress Ulcer Prophylaxis
- Tranexamic Acid (Surgical / Trauma Haemorrhage) · Antifibrinolytic (Haemostatic)
Pathways
- Upper GI Bleeding · BSG Guidelines 2019; NICE NG141
- Lower Gastrointestinal Bleed · NICE; BSG; ACPGBI — Commissioning Guide
- Acute Pancreatitis · NICE; IAP/APA; ACPGBI — CG104
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
Decision support only — verify against MDCalc, NICE, or your local guideline before clinical use.