You are working at Clerkship General when the charge nurse grabs you – “hey we got a real sick one, a 57yo Male who I just put in the resuscitation bay, he is vomiting blood”.

Initial Vitals:BP: 77/34

HR: 135

RR: 24

O2%: 95%

Temp: 98.8F

Critical Actions:

* Place two large bore IVs

* Transfuse emergency uncross matched blood

* Administer IV Pantoprazole

* Administer IV Ceftriaxone and IV Octreotide

* Consult GI

Further Reading: EMDocs – GI Bleed