The patient is a caucasion male who is brought into the emergency department by EMS with generalized weakness and lightheadedness. The learners should perform a focused history and physical exam to correctly diagnose GI bleed. During the encounter, the patient will have an acute episode of hematemesis and quickly decompensate (hypotension, tachycardia) and will require an emergent blood transfusion. In addition to diagnosing the GI bleed through H&P, learners will be expected to place an NG tube, obtain labs, resuscitate/transfuse blood products, and contact GI consultants. If blood products are not administered the patient will progress to PEA and will not improve.
Authored by: Jonathan Lipps MD and Nicholas Kman MD
Learning Objectives
– Recognize a patient requiring urgent or emergent care and initiate evaluation and management (EPA 10)
– Obtain informed consent for tests and/or procedures (EPA 11)
– Give or receive a patient handoff to transition care responsibility (EPA 8)
MINIMUM:
OS: Windows 10
Processor: Intel Core i5-2300 | AMD FX-4350
Memory: 4 GB RAM
Graphics: Nvidia GeForce GTX 2060
DirectX: Version 11
Storage: 12 GB available space
RECOMMENDED:
OS: Windows 10
Processor: Intel Core i7-2300 | AMD FX-4350
Memory: 8 GB RAM
Graphics: Nvidia GeForce GTX 3060
DirectX: Version 11
Storage: 12 GB available space
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