Gastrointestinal Emergencies

1. Gastrointestinal Bleeding

   1. End-Stage Liver Disease and Variceal Bleeding

      • Autumn Graham, Andrew C. Meltzer

      Pages 59-62

   2. Consultant Corner: Gastrointestinal Bleeding

      • M. Aamir Ali

      Pages 63-64

2. Abdominal Aortic Aneurysm and Aortic Dissection

   1. Front Matter

      Pages 65-65

      PDF

   2. What Clinical Factors Should Arouse Suspicion for Abdominal Aortic Aneurysm?

      • Cullen Clark, Joseph P. Martinez

      Pages 67-69

   3. What Is the Ideal Imaging Strategy for Diagnosing AAA, Abdominal Aortic Dissection, and Aortic Rupture?

      • Bennett A. Myers

      Pages 71-76

   4. Which Patients Can Be Treated Medically, and Who Needs Surgical Intervention?

      • Brit Long, Alex Koyfman

      Pages 77-78

   5. What Is the Role of Hypotensive Resuscitation/Damage Control Resuscitation in Ruptured AAAs?

      • Lindsay A. Weiner, Daniel B. Gingold

      Pages 79-80

   6. My Patient’s Aorta Was Repaired. What Complications Arise from AAA Repair? When Should I Be Concerned About Recurrence?

      • Anne Walker, Sara Manning

      Pages 81-83

   7. The Asymptomatic AAA: When to Be Concerned and What to Tell Your Patient?

      • Mark E. Sutherland, Joseph P. Martinez

      Pages 85-87

   8. Consultant Corner: Abdominal Aortic Aneurysm and Aortic Dissection

      • Shahab Toursavadakohi, Joseph P. Martinez

      Pages 89-90

3. Mesenteric Ischemia

   1. Front Matter

      Pages 91-91

      PDF

   2. What Clinical Features Lead to the Diagnosis of Acute Mesenteric Ischemia?

      • Susan Owens, Sarah Ronan-Bentle

      Pages 93-95

   3. What Is the Most Sensitive and Specific Laboratory Test(s) for the Detection of Acute Mesenteric Ischemia? What Is the Utility of Lactate? Are There Other Laboratory Tests Which Are Helpful in Making the Diagnosis?

      • Courtney H. McKee, Sarah Ronan-Bentle

      Pages 97-98

   4. What Is the Most Sensitive and Specific Imaging Study for the Detection of Acute Mesenteric Ischemia? Is MDCT the Gold Standard?

      • Courtney H. McKee, Sarah Ronan-Bentle

      Pages 99-100

   5. What Is the Utility of Clinical Scoring Systems for the Diagnosis/Prognosis of Mesenteric Ischemia?

      • Courtney H. McKee, Sarah Ronan-Bentle

      Pages 101-102

   6. Chronic Mesenteric Ischemia: What Clinical Features Lead to the Diagnosis of CMI? Can This Diagnosis Be Made in the Emergency Department? What Is the Appropriate Disposition?

      • Susan Owens, Sarah Ronan-Bentle

      Pages 103-105

   7. What Are the Goals of Resuscitation in the ED? What Intravenous Fluids Should Be Used? Are Vasopressors Beneficial or Harmful? Should Antibiotics Be Administered?

      • Sarah Ronan-Bentle

      Pages 107-108

   8. Morbidity and Mortality of Acute Mesenteric Ischemia: How Can Emergency Medicine Clinicians Impact Outcomes?

      • Kelli L. Jarrell, Sarah Ronan-Bentle

      Pages 109-111

   9. Consultant Corner: Acute Mesenteric Ischemia

      • Stephanie Streit, Sarah Ronan-Bentle

      Pages 113-115

4. Abdominal Pain and Vomiting

   1. Front Matter

      Pages 117-117

      PDF

This book answers key questions asked by emergency clinicians faced with complex gastrointestinal and abdominal pain presentations.  Instead of a traditional format that includes epidemiology, pathophysiology, diagnosis, and treatment options, this book takes an approach that mirrors the way clinicians interact with patients – by asking and answering specific clinical care questions. The book is organized into sections by presentation – gastrointestinal bleeding, for example – each of which contains chapters on specific questions, such as “What is the best clinical risk score for low risk GIB patients?” Each clinical question comes with a detailed, evidence-based response and a summary that gives best practices, recommendations, and references. Additionally, at the end of each section is a chapter titled “Expert Corner,” which asks the same clinical questions to a surgical or gastrointestinal specialist and includes key pearls these experts have for emergency medicine practitioners. Gastrointestinal Emergencies: Evidence-Based Answers to Key Clinical Questions is an essential guide for emergency medicine physicians, residents, and medical students who want to review and improve their care of acute gastrointestinal emergencies.

• abdominal pain
• gastrointestinal emergencies
• abdominal surgery
• gastrointestinal bleeding
• emergency medicine

“This book is meant for anyone who may care for patients with GI emergencies. It does an outstanding job meeting the needs of practitioners faced with the challenge of managing patients with abdominal complaints. … this book is an easy and thorough way to quickly find the evidence behind that key clinical question.” (Bradley R Stroik, Doody's Book Reviews, May 24, 2019)

• Department of Emergency Medicine, MedStar Georgetown University Hospital, Washington, DC, USA

  Autumn Graham, David J. Carlberg

Autumn Graham, MD


Associate Professor of Emergency Medicine


Department of Emergency Medicine


MedStar Georgetown University Hospital & Washington Hospital Center


Washington, D.C




David Carlberg, MD


Associate Program Director


Assistant Professor of Emergency Medicine


Department of Emergency Medicine


MedStar Georgetown University Hospital & Washington Hospital Center


Washington, D.C

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