Emergency MedicineGI / Hepatology
Lower Gastrointestinal Bleed
BSG 2019 / NICE NG141 — risk-stratify with Oakland score, stable vs unstable, imaging strategy, transfusion thresholds.
Source: BSG 2019; NICE NG141
Step 1 of ~5
info
Initial Assessment
ABCDE. PR exam (melaena vs fresh blood). Two large-bore cannulae, FBC, U&E, LFTs, coagulation, group & save (cross-match if unstable). NEWS2. Identify shock early.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
Drugs
- Neostigmine · Anticholinesterase (Reversal Agent)
- Prilocaine · Local Anaesthetic (Amide)
- Mepivacaine with adrenaline · Amide LA + vasoconstrictor
- Neostigmine with glycopyrronium · Anticholinesterase + antimuscarinic
- Lidocaine hydrochloride · Amide local anaesthetic / Class IB antiarrhythmic
- Bupivacaine with adrenaline · Long-acting amide LA + vasoconstrictor
Pathways
- Difficult Airway Algorithm (DAS) · DAS 2015; Royal College of Anaesthetists
- Major Haemorrhage Protocol · NICE NG24; UK MHP guidelines
- 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
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
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