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CHAPTER 91 ■ GASTROINTESTINAL
EMERGENCIES
ERIC A. RUSSELL, BRUNO P. CHUMPITAZI, CORRIE E. CHUMPITAZI
GOALS OF EMERGENCY CARE
Abdominal complaints are among the most common reasons for a child to
present to the emergency department. While the majority of these complaints
are not life threatening, the emergency provider must be able to recognize the
most serious diagnoses and initiate appropriate therapy. The goal for the ED
physician is to identify and stabilize gastrointestinal (GI) emergencies early in
their course. This includes the recognition of hemodynamic instability or
impending instability secondary to infection, bleeding, organ dysfunction, or
ischemia. This can be aided by the identification of patients at high risk for
life-threatening emergencies such as those with a history of abdominal
surgery, organ transplantation, biliary manipulation, immunodeficiency, or
primary hepatic, pancreatic, oncologic, or renal disease.
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