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Disaster Exercise - Code Triage - Patient Evacuation...

Specialty:  Traumatology
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Video shows report from exercises on patient evacuation in case of earthquake. Code triage is based on patient's health status assesment during evacuation caused by disaster affecting hospital. Video...

Hemorrhage due status post rubber band ligation...

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The bleeding has been stopped, tree varix were ligated. Patient was discharged from the hospital with an appointment to eradicate the varices with the same method.

Hemorrhage due status post rubber band ligation...

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We beging with the procedure to banding the varix.

Hemorrhage due status post rubber band ligation...

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Another image and the video of the site of bleed.

Hemorrhage due status post rubber band ligation...

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The exactly site of bleeding was located at the anterior wall of the esophagus near two cm. of the gastroesophageal junction.

Hemorrhage due status post rubber band ligation...

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Many varices are appreciated with “the red sign”.

Hemorrhage due status post rubber band ligation...

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The image and the video display bleeding from esophageal varix.

Hemorrhage due status post rubber band ligation...

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Two years later the patient re-bleeds, She had not taken a suitable medical control, the cirrhosis has progressed, now with ascitis. The hemoglobin was 6.0 gr/dl.

Hemorrhage due status post rubber band ligation...

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This post-procedure control image shows no active bleeding. After a period of observation the procedure was considered complete. The patient was discharged from the hospital the next day. The image...

Hemorrhage due status post rubber band ligation...

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In sequence to the images presented above, you can see hemorrhage and blood clots, consequence of the last injection. The endoscopist needs to develop a certain degree of self-confidence.

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