Haematemesis and melaena

Gastroenterology and Hepatology · GP6

This topic appears in the RCEM clinical syllabus. Start with a relevant resource below, then use a case or practice activity to test what you have learned.

View this area in the official clinical syllabus

Choose an assessment session or the higher-level HALT-IT journal club, depending on the learning task.

Learn

Ep 290 – Shock with Rich Carden at Trauma 2030
Podcast · Listen 18:29
Discuss perfusion and reassessment in the unstable upper-GI bleeding case.

Discuss

Upper gastrointestinal bleeding: first assessment
Lesson plan · Induction · Early-career EM · Preparation about 16 min · 45-minute session · 30-minute option
Work through initial care for upper GI bleeding and the assessment needed before considering discharge.
Learner preparation Facilitator guide
Upper gastrointestinal bleeding: decisions under pressure
Lesson plan · Early-career EM · Higher training · Preparation about 18 min · 60-minute session · 30-minute option
Discuss resuscitation, anticoagulant reversal and definitive haemostasis when GI-bleeding treatment decisions are complicated.
Learner preparation Facilitator guide
Initial assessment of upper gastrointestinal bleeding
Lesson plan · Medical students · Preparation about 12 min · 45-minute session · 30-minute option
Contrast a shocked patient with a stable low-risk presentation to practise resuscitation, escalation and reliable follow-up.
Learner preparation Facilitator guide
Journal club: HALT-IT and treatment transfer
Lesson plan · Higher training · Preparation about 30 min · 60-minute session · 30-minute option
Appraise HALT-IT’s methods, benefits and harms, then discuss what its results mean for GI bleeding care.
Learner preparation Facilitator guide

Teaching programmes

Higher Training and Advanced Discussion
Teaching programme
2 relevant sessions in this programme.

Lesson links are St Emlyn’s educational mappings. Their individual clinical-review status still applies; attending a session does not demonstrate curriculum competence.