MDCalc

Glasgow-Blatchford Bleeding Score (GBS)

Stratifies upper GI bleeding patients who are "low-risk" and candidates for outpatient management.

mm Hg
Sex
Heart rate ≥100
Melena present
Recent syncope
Hepatic disease history
Cardiac failure present

Result:

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Advice

Once the decision for admission has been made, efforts should focus on stratifying patients into high and low risk categories to determine which patients need ICU admission and urgent endoscopy.

Management

Initial management should always focus on hemodynamic resuscitation prior to risk stratification.