A Novel Multidisciplinary Team Activation for Patients with Severe Gastrointestinal Bleeding: Creation of the Code GI Bleed Protocol.
Christopher W BaughAaron D SodicksonSean M KivlehanPaul C ChenMolly L PerencevichArun B JesudianPublished in: Clinical and experimental gastroenterology (2023)
Patients with gastrointestinal (GI) bleeding present to the emergency department (ED) with a wide spectrum of illness severity. Among the most critically ill patients, comorbidities and other risk factors, such as liver disease and anticoagulation, can complicate their management. These patients are resource-intensive to stabilize and resuscitate, often requiring the continuous attention of multiple ED staff members along with rapid mobilization of specialty care. At a tertiary care hospital with the ability to provide definitive care for the most critically ill patients with GI bleeding, we introduced a multi-disciplinary team activation pathway to bring together specialists to immediately respond to the ED. We designed a Code GI Bleed pathway to expedite hemodynamic stabilization, diagnostics, source control, and timely disposition out of the ED to the intensive care unit or relevant procedural area of the hospital.
Keyphrases
- emergency department
- quality improvement
- palliative care
- healthcare
- atrial fibrillation
- risk factors
- end stage renal disease
- ejection fraction
- chronic kidney disease
- peritoneal dialysis
- newly diagnosed
- prognostic factors
- adverse drug
- pain management
- venous thromboembolism
- affordable care act
- squamous cell carcinoma
- sensitive detection
- patient reported