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)