Upper GI Bleed Simulator

Peptic ulcer bleed pathway: risk scoring, resuscitation, endoscopic hemostasis, rebleed risk.

Current Stage

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Blatchford score

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Transfusion need

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Rebleeding risk

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Monitoring level

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Hemoglobin (g/dL)10.0

Endoscopic hemostasisNo

Active bleeding vessel

Endoscope / hemostasis tool

Risk score gauge (Blatchford/Rockall)

Transfusion / resuscitation fluid

Monitoring / stable status

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Blatchford Score — Pre-Endoscopy Risk Triage

Placeholder: identifies low-risk patients safe for outpatient care.

0–23: Score range (Placeholder short caption)
Low risk: Score 0 (Placeholder short caption)
8 factors: Inputs used (Placeholder short caption)
Pre-scope: Timing (Placeholder short caption)

Placeholder section heading

Placeholder short paragraph describing Blatchford scoring inputs.

Resuscitation and Transfusion Thresholds

Placeholder: fluids, oxygen, and restrictive transfusion strategy.

Hb <7: Transfusion trigger (Placeholder short caption)
7–9 g/dL: Target Hb (Placeholder short caption)
2 large-bore: IV access (Placeholder short caption)
Restrictive: Strategy (Placeholder short caption)

Placeholder section heading

Placeholder short paragraph describing resuscitation approach.

Endoscopic Hemostasis — Clip, Cautery, Injection

Placeholder: combination therapy reduces rebleeding most effectively.

<24h: Timing (Placeholder short caption)
3 modalities: Methods (Placeholder short caption)
~90%: Success rate (Placeholder short caption)
Preferred: Combo therapy (Placeholder short caption)

Placeholder section heading

Placeholder short paragraph describing clip, cautery, injection use.

Rockall Score — Predicting Rebleeding and Mortality

Placeholder: post-endoscopy score guides disposition and follow-up.

0–11: Score range (Placeholder short caption)
5 factors: Components (Placeholder short caption)
Score >8: High risk (Placeholder short caption)
Post-scope: Timing (Placeholder short caption)

Placeholder section heading

Placeholder short paragraph describing Rockall score components.

Post-Hemostasis Monitoring and Disposition

Placeholder: monitoring intensity scales with combined risk scores.

High risk: ICU criteria (Placeholder short caption)
IV infusion: PPI therapy (Placeholder short caption)
48–72h: Rebleed watch (Placeholder short caption)
Low risk: Ward discharge (Placeholder short caption)

Placeholder section heading

Placeholder short paragraph describing monitoring and discharge criteria.

Placeholder highlight callout summarizing monitoring protocol takeaway.