All triage presentations
GI / GU

GI bleed

ED triage front-load checklist

Quick view

Lead with the essentials

  1. 1Hematemesis, coffee-ground emesis, melena or hematochezia
  2. 2Amount/frequency
  3. 3Active bleeding
  4. 4Syncope/presyncope
  5. 5Hemodynamics and trend
  6. 6Anticoagulants
  7. 7Liver disease/varices
  8. 8Previous GI bleed
  9. 9Abdominal pain
  10. 10Treatment/response
Front-load

Key points

  • Hematemesis, coffee-ground emesis, melena or hematochezia?
  • Amount/frequency.
  • Active bleeding?
  • Syncope/presyncope.
  • Hemodynamics and trend.
  • Anticoagulants.
  • Liver disease/varices.
  • Previous GI bleed.
  • Abdominal pain.
  • Treatment/response.