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Upper GI Bleed Airway #MedTwitter pollI’m interested in seeing what other people do for one of my favorite but scariest ED pathology
What’s your go to equipment for intubation?#EmergencyMedicine #FOAMed #FOAMcc
How do you position your patient during a massive upper GI bleed intubation?#FOAMed #FOAMcc #EmergencyMedicine
Do you place an NG tube prior to intubating a massive GI bleed patient in an attempt to “empty the stomach”?#FOAMed #FOAMcc #EmergencyMedicine
What medication do you use for induction/sedation in the massive upper GI bleed (assuming some degree of hemodynamic instability)?#FOAMed #FOAMcc #EmergencyMedicine
Which paralytic do you use for the massive upper GI bleed intubation?#FOAMed #FOAMcc #EmergencyMedicine
If you “goose them” (aka intubate the esophagus), what do you do next?Option 1: keep ETT in place, inflate balloon, suction and attempt to intubate again with a second ETT
Option 2: take out ETT, try again
If patient vomits during intubation and you are concerned for aspiration, do you start antibiotics in the ED?#FOAMed #FOAMcc #EmergencyMedicine
Thanks for playing along 
I’ll post a summary of polls and some resources on GI bleed airway later
#MedTwitter #EmergencyMedicine #FOAMed #FOAMcc
I’ll post a summary of polls and some resources on GI bleed airway later#MedTwitter #EmergencyMedicine #FOAMed #FOAMcc
