https://wikem.org/w/index.php?action=history&feed=atom&title=Harbor%3AED_Endoscopy 2026-04-18T16:13:21Z Revision history for this page on the wiki MediaWiki 1.38.2 https://wikem.org/w/index.php?title=Harbor:ED_Endoscopy&diff=389897&oldid=prev 2026-04-03T22:21:13Z

<p></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 22:21, 3 April 2026</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l1">Line 1:</td> <td colspan="2" class="diff-lineno">Line 1:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>* Consult GI</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>* Consult GI</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>** Emergent <del style="font-weight: bold; text-decoration: none;">- MICU </del>or OR</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>** <ins style="font-weight: bold; text-decoration: none;">'''</ins>Emergent<ins style="font-weight: bold; text-decoration: none;">''' EGDs should occur either in the '''ICU </ins>or <ins style="font-weight: bold; text-decoration: none;">be redlined to the </ins>OR<ins style="font-weight: bold; text-decoration: none;">''' (GI will communicate with trauma/anesthesia to establish emergent case priority)</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>** Urgent <del style="font-weight: bold; text-decoration: none;">- stabilize</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**<ins style="font-weight: bold; text-decoration: none;">* Consider Blakemore/Minnesota tube placement</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>** If <del style="font-weight: bold; text-decoration: none;">the </del>patient is intubated, you <del style="font-weight: bold; text-decoration: none;">do not need to perform &quot;</del>procedural sedation<del style="font-weight: bold; text-decoration: none;">&quot; as </del>the <del style="font-weight: bold; text-decoration: none;">RN </del>can titrate medications to ensure the patient is adequately sedated <del style="font-weight: bold; text-decoration: none;">for the ventilator</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">*** ICU team will perform airway management during the daytime; after hours, the patient can either be intubated in the ED or by the airway team in the ICU </ins></div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">** '''</ins>Urgent<ins style="font-weight: bold; text-decoration: none;">''' EGDs should go to the '''endoscopy suite''' or be admitted and scheduled next day by GI (target endoscopy time &lt;8 hours from presentation)</ins></div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">*** Stable GI Bleeders – transfuse as needed, admit to medicine;  GI will arrange for endoscopy suite as the preferred procedural location</ins></div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">*** Foreign body retrieval – to occur in the endoscopy suite;  if after hours and anesthesia is unavailable, admit to medicine for GI to schedule in the endoscopy suite; if emergent (magnets, button batteries, etc), these should be redlined to the OR </ins></div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">** Intubation vs procedural sedation</ins></div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">*</ins>** If <ins style="font-weight: bold; text-decoration: none;">a </ins>patient is intubated <ins style="font-weight: bold; text-decoration: none;">for a procedure</ins>, you <ins style="font-weight: bold; text-decoration: none;">are no longer providing </ins>procedural sedation <ins style="font-weight: bold; text-decoration: none;">and </ins>the <ins style="font-weight: bold; text-decoration: none;">bedside nurse </ins>can titrate medications to ensure the patient is adequately sedated</div></td></tr> </table>

Bchap23 https://wikem.org/w/index.php?title=Harbor:ED_Endoscopy&diff=389895&oldid=prev 2026-04-03T18:48:59Z

<p>Created page with &quot;* Consult GI ** Emergent - MICU or OR ** Urgent - stabilize ** If the patient is intubated, you do not need to perform &quot;procedural sedation&quot; as the RN can titrate medications to ensure the patient is adequately sedated for the ventilator&quot;</p> <p><b>New page</b></p><div>* Consult GI<br /> ** Emergent - MICU or OR<br /> ** Urgent - stabilize<br /> ** If the patient is intubated, you do not need to perform &quot;procedural sedation&quot; as the RN can titrate medications to ensure the patient is adequately sedated for the ventilator</div>

Bchap23