Reviewers of multimedial algorithms Petr Prášil, MD

Petr Prášil, MD

University Hospital Olomouc and Faculty of Medicine and Dentistry, Palacky University Olomouc, Dept. of Anaesthesiology & Intensive Care, Olomouc, Czech Republic

Review of algorithm Life-threatening haemorrhage

Upper gastrointestinal bleeding can be potential source of life-threatening bleeding. This algorithm is focused on treatment of life-threatening bleeding in patient with upper gastrointestinal bleeding in portal hypertension. Algorithm comprehensively describes the prehospital and hospital approach to patients with severe bleeding from the upper gastrointestinal tract. All is based on guidelines for the diagnosis and treatment of gastrointestinal bleeding in portal hypertension, which was made by Czech Hepatology Society and guidelines for therapy of life-threatening bleeding from European Society of Anaesthesiology. The main goal for treatment of patient with upper gastrointestinal bleeding, and actually of each patient with life-threatening bleeding, is to secure vital functions, stop the bleeding and sufficiently substitute the blood loss. This approach is well described in this algoritm.

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