Enter your vote today! A new poll has been created for the
Sackler911 group:

A 51-year-old man is brought to the ED by EMS with a BP 90/60 mmHg, HR 110 beats
per minute, RR 18 breaths per minute, and oxygen saturation of 97% on room air.
The patient tells you that he has a history of bleeding ulcers. On exam, his
abdomen is tender in the epigastric area. He is guaiac positive (pressence of
fecal occult blood) with black stool. He has a bout of hematemesis (vomiting
blood) and you notice that his blood pressure is now 80/50 mm Hg, HR is 114
beats per minute, and the patient is starting to drift off. Which of the
following is the most appropriate next step in therapy?

o Assess airway, establish two large-bore IVs, cross-match for two units of
blood, administer 1-2 liters of normal saline, and schedule an emergent
endoscopy
o Assess airway, establish two large-bore IVs, crossmatch for two units of
blood, and administer a proton pump inhibitor
o Place two large-bore IVs, crossmatch for two units of blood, administer a
1-2 liters of normal saline, and schedule an emergent endoscopy
o Intubate the patient, establish two large-bore IVs, cross-match for two
units of blood, administer a 1-2 liters of normal saline, and schedule an
emergent endoscopy
o Intubate the patient, establish two large-bore IVs, crossmatch for two units
of blood, and administer a proton pump inhibitor


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http://groups.yahoo.com/group/Sackler911/surveys?id=12734284

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Thanks!