This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (6)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

DANIEL W. ELLIOTT, M.D.; RICHARD HARTLE, B.S.; FOSTER MARSHALL, M.D.; ROBERT M. ZOLLINGER, M.D.

AMA Arch Surg. 1958;77(3):386-395.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Three things remain paramount in successful management of massive upper gastrointestinal hemorrhage. These are knowledge of the source, accurate estimation of the rate of blood loss, and adequate replacement. In addition, prompt surgical intervention will be required for some patients lest exsanguination occur. With whole blood readily available, and with close cooperation between physician and surgeon, as the current literature so often admonishes, convincing evidence of effective management should appear in a lowered mortality rate for all bleeding patients, whether operated upon or not. A survey of the past 10 years' experience has been made to evaluate the effectiveness of this approach.

During this period, management has included certain important steps. When a patient bleeding heavily from the upper gastrointestinal tract is encountered, 6 pt. (3000 cc.) of whole blood is crossmatched, and initial therapy for shock is given as needed. An estimate of initial blood loss is made, and . . . [Full Text PDF of this Article]

Author Affiliations
Columbus, Ohio

From the Department of Surgery and the Medical Center of The Ohio State University College of Medicine.

Footnotes
Submitted for publication March 28, 1958.

Read at the 15th Annual Assembly of the Central Surgical Association, Columbus, Ohio, Feb. 21, 1958.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?