Tuesday, May 24, 2016

Balloon tamponade

GI Bleed balloon tamponade cover art first10em
First10EM - May 23, 2016
"Although relatively rare, balloon tamponade is required to control upper GI bleeding when there is going to be a delay to definitive therapy, whether by endoscopy, surgery, or interventional radiology. There are a couple of different devices available, and each hospital is likely to stock only one. You don’t want to have to figure out the nuances of your specific device with a critically ill patient in front of you. This post will cover a general approach that is applicable to all balloon tamponade devices, but I would suggest taking out the device available in your department, reading the attached instructions, and playing with it, so you are sure how your specific device works..:"
This series from EM:RAP HD and Jess Mason includes an overview, and specific instructions for the Blakemore, Minnesota, and Linton tubes: