GI bleeding · bedside workflow | Bedside workflow

GI bleeding · bedside workflow

Calculate on this page; scores auto-fill the progress note.

Guideline Blatchford / Rockall / Forrest (see tool pages for exact version notes)Reviewed 2026-09-05

One-line positioning

GI bleed: Blatchford→Rockall/AIMS65→Forrest — calculate locally, nothing uploaded.

CN vs international guidelines

China

China upper GI bleed ED guidance (as cited on tool pages)

See version notes on this scene’s tool pages

Risk and post-endoscopy rebleed assessment aligned with this site’s bleed scores.

International

Glasgow-Blatchford / Rockall / AIMS65 / Forrest

See version notes on tool pages

International upper GI bleed risk and endoscopic classification.

Where they align

Both use pre-endoscopy risk scores for disposition and endoscopic grade for rebleed risk.

Where they diverge

Transfusion thresholds and endoscopy timing vary by protocol — defer to tool pages and local pathways.

Guideline version · changelog

2026-09-05Site-wide scene trust layer: dual guidelines, named reviewer, correction entry, and on-page score→chart flow

Doctor claim

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💬 Peer discussion

Licensed clinicians only — about this Scene · GI bleeding · bedside workflow

Peer square

Do not share identifiable patient information (PHI). Discuss principles and workflow only — not a substitute for clinical judgement.

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Bedside steps

GBS
Risk of needing intervention in upper GI bleeding; identifies low-risk patients.
Full details →
Rockall
Rebleeding and mortality risk after upper GI bleeding (complete score).
Full details →
AIMS65
Predict in-hospital mortality in acute upper gastrointestinal bleeding.
Full details →
ForrestAlternate branch
Endoscopic stigmata of peptic ulcer bleeding and rebleed risk.
Full details →
GBSAlternate branch
Upper GI bleed risk score predicting need for intervention (transfusion, endoscopy, surgery).
Full details →

Progress note preview

[GI bleeding · bedside workflow]
GBS：not calculated
Rockall：not calculated
AIMS65：not calculated
Forrest：not calculated
GBS：not calculated
Guideline：Blatchford / Rockall / Forrest (see tool pages for exact version notes)
Reviewed：2026-09-05
For licensed clinicians only. Local calculation; does not replace clinical judgment or individualized shared decision-making. Integrate guideline version, patient preference, and bleed–thrombosis trade-offs.

Save the PNG and share — /r/ugib opens the same workflow (local calc, nothing uploaded).

For licensed clinicians only. Local calculation; does not replace clinical judgment or individualized shared decision-making. Integrate guideline version, patient preference, and bleed–thrombosis trade-offs.

Step tools

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