BLEED Criteria for UGIB and LGIB

Conclusion:
The BLEED classification, applied at initial emergency department evaluation and before admission, predicts hospital outcomes for patients with acute upper or lower GI hemorrhage. This outcome prediction tool also identified variations in intensive care utilization between two hospitals.

Source:http://www.ncbi.nlm.nih.gov/pubmed/9233736

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UGIB

Source:http://academiclifeinem.blogspot.com/2011/06/paucis-verbis-upper-gi-bleeding.html#comments



Did you know that it takes at least 100 cc of blood in the upper GI tract to produce melena?

A BUN-to-Creatinine ratio of ≥ 36 predicts an upper GI bleeding(sensitivity 90-95%)..assuming no h/o renal failure

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