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Best Practices for Upper Gastrointestinal Hemorrhage

ACEP Now

Fluid resuscitation should be initiated. Nasogastric aspiration and lavage in emergency department patients with hematochezia or melena without hematemesis. Acad Emerg Med. The post Best Practices for Upper Gastrointestinal Hemorrhage appeared first on ACEP Now. Crit Care Med. 2022;50(3):e313-e319.

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IV fluids in the ED: When do we really need them?

EMDocs

Much of our understanding of the clinical signs of hypovolemia comes from studies performed on phlebotomy volunteers 1,2 while our understanding of fluid overload comes from heart failure patients. For patients without frank signs of shock, it is reasonable to trial oral hydration prior to moving on to IV fluids. Acad Emerg Med.