🩺 Symptom Guide
Hematemesis
Assess urgently for haemodynamic instability, major blood loss, variceal bleeding, and causes requiring immediate resuscitation and endoscopy.
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Red flags
- Shock or haemodynamic instability
- haematemesis or coffee-ground vomiting with ongoing bleeding
- melaena with syncope/presyncope
- persistent tachycardia or hypotension
First actions / assessment
- ABCDE first
- assess whether the patient is unstable and requires immediate resuscitation
- record full vitals including postural compromise if safe and relevant
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- Full differential diagnosis list
- History, examination, and investigations
- Linked protocols and drug doses
- Offline access and portfolio logging
Symptom Guide · StatResus — Emergency Medicine Reference