You intubate, start octreotide/protonix drip, place cordis and transfuse blood. GI is 30 minutes out. Despite above, BP continues to decrease. What is your next move?
Choose your own adventure.
It's 3 AM, 5 hours into your overnight shift and you're seeing your 18th patient of the night, a 58 y/o male with history of cirrhosis and esophageal varicies who presents with large amounts of hematemesis. HR 130. BP 70/palp.
You intubate, start octreotide/protonix drip, place cordis and transfuse blood. GI is 30 minutes out. Despite above, BP continues to decrease. What is your next move?
You intubate, start octreotide/protonix drip, place cordis and transfuse blood. GI is 30 minutes out. Despite above, BP continues to decrease. What is your next move?