HDA na Emergência: ABCDE, Choque e Conduta Inicial

🚨LEARN MORE: Participate and register for free here: https://mediconapratica.com.br/0426_j... Fellow physician, if you work in emergencies or want to work in this field, this is the opportunity to update your knowledge and provide more confident emergency care in 2026! In the Medical Update Journey, I'll get straight to the point with what truly impacts your practice: Lesson 1: STEMI — updated protocol 2026 Lesson 2: PE (Pulmonary Embolism) — updated protocol 2026 Lesson 3: Management of vasoactive drugs (VADs) in practice Lesson 4: Practical application: clinical decision-making in real patients During the journey, you will master: • Critical updates that have already changed practices • Clinical reasoning applied to the on-call patient • Errors that still occur — and how to avoid them • ​​What has changed in the guidelines and requires immediate adjustment No unnecessary theory. No beating around the bush. It's practice. It's decision-making. It's responsibility on the shift. If you are a doctor, resident, or intern, this is not optional; it's mandatory updating. 👉 Secure your free registration now: https://mediconapratica.com.br/0426_j... . Frank hematemesis on triage, team on alert, and decisions that can't wait. In this video, you'll learn a practical three-step roadmap for safely managing upper gastrointestinal bleeding (UGIB): stabilizing using the ABCDE logic, stratifying severity and risk of rebleeding, and initiating treatment directed at the etiology. We also discuss when tranexamic acid should not be used routinely and in which specific scenario it can be considered. Learning List ✔ Step 1 — ABCDE on arrival: airway, ventilation, monitoring, oximetry, and large-bore IV lines. ✔ Circulatory assessment and hemorrhagic shock: how to use heart rate, blood pressure, and mental status to classify severity. ✔ Step 2 — Risk of rebleeding: practical application of Glasgow Blatchford to decide on hospitalization and endoscopy. ✔ Step 3 — Hemodynamic stabilization: warmed crystalloid 500 to 1000 ml in grade 2 shock; when to administer blood components in grade 3 and 4 shock. ✔ Management while awaiting endoscopy: vital sign targets, preparation, fasting, airway protection when indicated. ✔ Therapy directed at the etiology: PPI in suspected ulcer; terlipressin or octreotide in varices after stabilization. ✔ Tranexamic acid in upper gastrointestinal bleeding: why not use it routinely and when to consider it in advanced cirrhosis, with regimen and precautions? ✔ Transfer checklist: serial reassessment, fluid balance, parameters to decide level of care. ➡️ If this content improves your bedside approach, subscribe to the channel, activate the bell and share with medical and academic colleagues. Tell us in the comments how the upper gastrointestinal bleeding (UGIB) flow works in your service and what protocols you use for transfusion and early endoscopy. ⚠️ Technical content intended for physicians and medical students. Do not use this information for self-medication. Each patient requires individualized evaluation. #UGIB #UpperGastrointestinalBleeding #MedicalEmergency #ABCDE #Gastroenterology #Endoscopy #IntensiveCare #PhysicianInPractice #ClinicalConduct #MedicalEducation