Upper GI Bleed Airway #MedTwitter poll

I’m interested in seeing what other people do for one of my favorite but scariest ED pathology

What’s your go to equipment for intubation?
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How do you position your patient during a massive upper GI bleed intubation?

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Do you place an NG tube prior to intubating a massive GI bleed patient in an attempt to “empty the stomach”?

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What medication do you use for induction/sedation in the massive upper GI bleed (assuming some degree of hemodynamic instability)?

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Which paralytic do you use for the massive upper GI bleed intubation?

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If you “goose them” (aka intubate the esophagus), what do you do next?

Option 1: keep ETT in place, inflate balloon, suction and attempt to intubate again with a second ETT

Option 2: take out ETT, try again

If patient vomits during intubation and you are concerned for aspiration, do you start antibiotics in the ED?

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Thanks for playing along I’ll post a summary of polls and some resources on GI bleed airway later

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