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10. A Novel Multidisciplinary Team Activation for Patients with Severe Gastrointestinal Bleeding: Creation of the Code GI Bleed Protocol

Author

Baugh,Christopher W, Sodickson,Aaron D, Kivlehan,Sean M, Chen,Paul C, Perencevich,Molly L, Jesudian,Arun B, Baugh,Christopher W, Sodickson,Aaron D, Kivlehan,Sean M, Chen,Paul C, Perencevich,Molly L, and Jesudian,Arun B

Abstract

Christopher W Baugh,1 Aaron D Sodickson,2 Sean M Kivlehan,1 Paul C Chen,1 Molly L Perencevich,3 Arun B Jesudian4 1Department of Emergency Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA; 2Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA; 3Division of Gastroenterology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA; 4Division of Gastroenterology and Hepatology, Weill Cornell Medicine, New York, NY, USACorrespondence: Christopher W Baugh, Brigham and Women’s Hospital, Department of Emergency Medicine, 75 Francis Street, Neville House 2 nd Floor, Boston, MA, 02115, USA, Tel +1 617-732-8192, Fax +1 617-264-6848, Email cbaugh@bwh.harvard.eduAbstract: Patients with gastrointestinal (GI) bleeding present to the emergency department (ED) with a wide spectrum of illness severity. Among the most critically ill patients, comorbidities and other risk factors, such as liver disease and anticoagulation, can complicate their management. These patients are resource-intensive to stabilize and resuscitate, often requiring the continuous attention of multiple ED staff members along with rapid mobilization of specialty care. At a tertiary care hospital with the ability to provide definitive care for the most critically ill patients with GI bleeding, we introduced a multi-disciplinary team activation pathway to bring together specialists to immediately respond to the ED. We designed a Code GI Bleed pathway to expedite hemodynamic stabilization, diagnostics, source control, and timely disposition out of the ED to the intensive care unit or relevant procedural area of the hospital.Keywords: emergency, gastrointestinal bleeding, endoscopy, gastrointestinal hemorrhage, critical care

Published
2023

15. General Internal Medicine

Author

Wagle, Nikhil, primary, Gibson, Christopher, additional, Bhatt, Ami, additional, Perencevich, Molly L., additional, Martinez, William, additional, Ojeda, Jason, additional, Kakoza, Rose, additional, and King, Lindsay, additional

Published
2014
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29. How to Create an Unfunded Teaching Fellowship During the Gastroenterology Fellowship That Positively Impacts Subsequent Teaching Activities and Career Path

Author

Shields, Helen M., primary, Goldberg, Eric, additional, Somers, Samuel, additional, Travassos, Win, additional, Ullman, Sonal, additional, Maroo, Seema, additional, Leffler, Daniel, additional, O’Farrell, Paul, additional, Blanco, Paola, additional, Kappler, Steven, additional, Berzin, Tyler, additional, Flier, Sarah, additional, Sepe, Paul, additional, Magee, Suma, additional, Ketwaroo, Gyanprakash, additional, Feuerstein, Joseph, additional, Perencevich, Molly, additional, Vaughn, Byron, additional, Barnes, Edward, additional, Nayeb-Hashemi, Hamed, additional, Borges, Lawrence, additional, Kim, Walter, additional, and Pelletier, Stephen, additional

Published
2017
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40. Feeling the burn? Antacids can provide some relief.

Author

Nayor, Jennifer and Perencevich, Molly Linn

Subjects
*DEMENTIA risk factors, *NONPRESCRIPTION drugs, *ANTACIDS, *BEHAVIOR modification, *DRUG interactions, *GASTROESOPHAGEAL reflux, *GASTROINTESTINAL diseases, *HEALTH behavior, *HEARTBURN, *PROTON pump inhibitors, *FAMOTIDINE, *H2 receptor antagonists, *DISEASE complications, *PHARMACODYNAMICS, *SYMPTOMS, *THERAPEUTICS, *DISEASE risk factors
Abstract

An interview with Dr. Jennifer Nayor and Dr. Molly Linn Perencevich, instructors in medicine at Harvard Medical School, is presented. When asked their thoughts on heartburn, including when it is okay to use over-the-counter antacids, Dr. Perencevich mentioned that using antacids improperly might lead to undertreating symptoms and antacids will not relieve lower abdominal pain, diarrhea, or constipation. One should visit the doctor if symptoms occur more than a few times per month.

Published
2019

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