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Walk the Even Hospital Database by book and chapter — the raw source passages that ground Ask, DDx, and the rest.
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©2013 UpToDate ® Print Email Acute management of severe upper gastrointestinal bleeding 1. Resuscitation and stabilization, initiation of medical therapy with an intravenous proton pump inhibitor 2. Assessment of onset and severity of bleeding 3. Risk stratification using validated prognostic scale 4. Diagnostic endoscopy Preparation for emergent upper endoscopy Localization and identification of the bleeding site Idenification of stigmata of recent hemorrhage Stratification of the risk for rebleeding 4. Therapeutic endoscopy Control of active bleeding or high-risk lesions Minimization of treatment-related complications Treatment of persistent or recurrent bleeding