Acute Upper Gastrointestinal Bleeding Management — free guideline decision tool
This tool frames acute upper GI bleeding management by type — variceal, non-variceal, or undetermined — with resuscitation, drugs, and endoscopy timing.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
Runs in your browser
No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Bleeding type | Non-variceal (suspected peptic ulcer, etc.) |
|---|---|
| Hemodynamically unstable/shock | Yes |
| Hemoglobin (optional) | 75 g/L |
→DispositionHigh-dose PPI + endoscopy within 24 h
- Resuscitation & transfusion：[Pending update] Some thresholds, grades and management recommendations on this page that conflict with current guidelines or are unverified are temporarily hidden pending verification against the guideline text.; in hemodynamic instability, prioritize resuscitation and perform endoscopy after stabilization
- Drugs：High-dose IV PPI (acid suppression, promotes hemostasis and prevents rebleeding)
- Endoscopy timing：Emergency endoscopy within 24 h once stable, endoscopic hemostasis by Forrest classification; continue IV PPI after endoscopy for high-risk ulcers
| Bleeding type | Undetermined cause (emergency major bleeding) |
|---|---|
| Hemodynamically unstable/shock | Yes |
| Hemoglobin (optional) | 75 g/L |
→Disposition[Pending update] Some thresholds, grades and management recommendations on this page that conflict with current guidelines or are unverified are temporarily hidden pending verification against the guideline text.
- Resuscitation & transfusion：[Pending update] Some thresholds, grades and management recommendations on this page that conflict with current guidelines or are unverified are temporarily hidden pending verification against the guideline text.; in hemodynamic instability, prioritize resuscitation and perform endoscopy after stabilization
- Drugs：[Pending update] Some thresholds, grades and management recommendations on this page that conflict with current guidelines or are unverified are temporarily hidden pending verification against the guideline text.
- Endoscopy timing：Once hemodynamically stable, emergency endoscopy as early as possible (within 24 h) to identify the cause and achieve hemostasis
Common questions
What is Acute Upper Gastrointestinal Bleeding Management?
This tool frames acute upper GI bleeding management by type — variceal, non-variceal, or undetermined — with resuscitation, drugs, and endoscopy timing.
How is Acute Upper Gastrointestinal Bleeding Management calculated? What is the core formula?
→ high-dose IV PPI + endoscopy < 24 h. Undetermined severe.
When is Acute Upper Gastrointestinal Bleeding Management used?
[Pending update] Some thresholds, grades and management recommendations on this page that conflict with current guidelines or are unverified are temporarily hidden pending verification against the guideline text.
What are the key clinical points for Acute Upper Gastrointestinal Bleeding Management?
(original synthesis · not guideline verbatim) Hemodynamic instability prioritizes resuscitation, with endoscopy performed after stabilization.
What are the limits and cautions when using Acute Upper Gastrointestinal Bleeding Management?
For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
Does Acute Upper Gastrointestinal Bleeding Management upload patient data? Where is it calculated?
Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
How is Acute Upper Gastrointestinal Bleeding Management calculated in practice? Can you show a worked example?
Inputs: Bleeding type Non-variceal (suspected peptic ulcer, etc.), Hemodynamically unstable/shock Yes, Hemoglobin (optional) 75 g/L → Result: Disposition High-dose PPI + endoscopy within 24 h（Resuscitation & transfusion: [Pending update] Some thresholds, grades and management recommendations on this page that conflict with current guidelines or are unverified are temporarily hidden pending verification against the guideline text.; in hemodynamic instability, prioritize resuscitation and perform endoscopy after stabilization, Drugs: High-dose IV PPI (acid suppression, promotes hemostasis and prevents rebleeding), Endoscopy timing: Emergency endoscopy within 24 h once stable, endoscopic hemostasis by Forrest classification; continue IV PPI after endoscopy for high-risk ulcers） Inputs: Bleeding type Undetermined cause (emergency major bleeding), Hemodynamically unstable/shock Yes, Hemoglobin (optional) 75 g/L → Result: Disposition [Pending update] Some thresholds, grades and management recommendations on this page that conflict with current guidelines or are unverified are temporarily hidden pending verification against the guideline text.（Resuscitation & transfusion: [Pending update] Some thresholds, grades and management recommendations on this page that conflict with current guidelines or are unverified are temporarily hidden pending verification against the guideline text.; in hemodynamic instability, prioritize resuscitation and perform endoscopy after stabilization, Drugs: [Pending update] Some thresholds, grades and management recommendations on this page that conflict with current guidelines or are unverified are temporarily hidden pending verification against the guideline text., Endoscopy timing: Once hemodynamically stable, emergency endoscopy as early as possible (within 24 h) to identify the cause and achieve hemostasis）
Run Acute Upper Gastrointestinal Bleeding Management now
This tool frames acute upper GI bleeding management by type — variceal, non-variceal, or undetermined — with resuscitation, drugs, and endoscopy timing.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.
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