CliniCal Pearl factors that increase Mortality in Gi Bleeding Age years Severity of initial bleed Extensive comorbid illnesses Onset or recurrence of bleeding while hospitalized for another condition Need for emergency surgery Significant transfusion requirements Diagnosis esophageal varices have a mortality rate Endoscopic stigmata of recent hemorrhage Quick Hit In elderly patients and patients with known cardio vascular disease who pres ent with severe bleeding rule out myocardial infarctions especially if there has been hemodynamic instability. Vnilqi Plaquenil Sticking to this diet may eliminate the need for medications and prevent later complications.