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Clinical Pathways promote evidence-based, safe, and high-value patient care by providing clinical recommendations and standard processes. They are developed by multidisciplinary committees of subject matter experts, informed by a methodical review of available evidence and consensus among committee members.

Clinical Pathway: 

Inclusion and exclusion criteria:

  • Inclusion:
    • Recent onset (< 6 weeks) of visible GI bleeding
              -AND-
    • Melena, hemotochezia, or hematemesis
  • Exclusion:
    • Occult bleeding
    • Patients outside CMH Kansas or Adele Hall ED

Committee members involved in the development:

  • Allison Adam, MD | Pediatric Emergency Medicine Fellow | Committee Co-chair
  • Lina Patel, MD | Emergency Medicine | Committee Co-chair
  • Thomas Attard, MD, FAAP, FACG | Gastroenterology | Committee Member
  • Rachel Chevalier, MD | Gastroenterology | Committee Member
  • Adrienne DePorre, MD | Hospital Medicine | Committee Member
  • Sarah Dierking, MSN, RN, CPHQ | Clinical Practice and Quality | Committee Member
  • Christopher Kennedy, MD | Emergency Medicine | Committee Member
  • Charles Maloy, MD | Hospital Medicine Fellow | Committee Member
  • Sarah Nienhaus, MSN, RN, CPEN | Emergency Department| Committee Member
  •  Jay Rilinger, MD | Critical Care Medicine | Committee Member

EBP Committee Members:

  • Kathleen Berg, MD, FAAP | Evidence Based Practice
  • Kori Hess, PharmD | Evidence Based Practice

Publication dates:

  • Finalized date: 12/24
  • Next expected revision date: 2027

Concerns with content:
If you have any questions regarding this content or identify a broken link, please email evidencebasedpractice@cmh.edu. 

 

These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.