Emergency Management of Upper GI Bleed:Haematemesis SIMMAN Simulation | Medical Training 2024

Emergency Management of Upper GI Bleed:Haematemesis SIMMAN Simulation | Medical Training 2024 #plab2 #Haematemesis #simman #simulation
Welcome to our comprehensive SIMMAN simulation on hematemesis, designed specifically for medical professionals and students preparing for real-world situations. Dr. Roa, a hospital doctor, evaluated and managed a 62-year-old patient, Mr. Steven Ronald, who started vomiting blood after an endoscopy. This educational video walks through the essential steps of patient assessment, resuscitation, oxygen administration and monitoring, as well as critical decision-making for blood transfusions and further interventions. In this step-by-step guide, we'll walk you through the causes, diagnosis, and management of hematemesis-vomiting blood. This video is ideal for anyone looking to improve their clinical skills in emergency situations and provides a practical approach to managing this life-threatening condition.
Learn how to manage a patient with hematemesis following ABCDE protocol.
Where you are: You are FY2 in Upper GI Medical Ward.
Who the patient is: Mr. Steven Ronald, a 62-year-old gentleman is admitted with complaints of nausea and multiple episodes of vomiting. He underwent upper GI endoscopy in the morning. You are called by the nurse as the patient is very unwell
The other information about the patient: His past medical includes Ankylosing spondylitis, and GORD. His regular medications include:
Naproxen 500mg BD
Omeprazole 40mg OD
What you must do: Your are FY2 in the department, please go to see the patient and manage him appropriately. At two minutes, present your patient to the examiner and discuss the management plan with him.
🔍 Key Steps Covered:
1. Initial patient assessment: symptoms, medical history, and examination.
2. Administration of oxygen for hypoxia.
3. Management of low blood pressure and high pulse (tachycardia).
4. Use of IV fluids, anti-sickness medication, and blood tests.
5. Decision-making for blood transfusion and endoscopy.
💡 Topics Discussed:
1. Importance of capillary refill and respiratory rate checks.
2.Role of blood pressure and ECG monitoring in emergency care.
3. How to handle patient nausea and potential hypovolemic shock.
4. Blood transfusion protocols and group and save procedures.
👨‍⚕️ This video is ideal for medical students, junior doctors, and healthcare professionals looking to refine their skills in handling critical cases like GI bleeds.
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