BACKGROUND Acute upper gastrointestinal haemorrhage is a common medical emergency and hospital admission has usually been regarded as obligatory until the risk of further haemorrhage has receded. This policy means that some patients at low risk stay in hospital for longer than is necessary especially when diagnostic endoscopy is delayed. We attempted to identify patients who had negligible risk...

Postpartum haemorrhage (PPH) is the loss of blood above 500 ml during vaginal or caesarean deliveries. It difficult to find a PPH in an earlier stage, so pregnant women are exposed excess that makes them suffer and die. Antenatal practices help identifying risk factors, modern technology used overcome risk. Still, morbidity rate mortality arise due unpredicted unexpected cause. still significan...

Objective To assess the effect of tranexamic acid (which reduces bleeding in surgical patients and reduces mortality due to bleeding in trauma patients) on intracranial haemorrhage in patients with traumatic brain injury. Methods A nested, randomised, placebo controlled trial. All investigators were masked to treatment allocation. All analyses were by intention to treat. Patients 270 adult trau...

Intraventricular haemorrhage occurred in a patient with a parietal rim-enhancing mass on computed tomographic scan. At operation a brain abscess was identified and removed. Peptostreptococcus and fusobacterium were isolated, possibly of dental origin. The possible sources of this intracranial bleeding are discussed. A neoplasm should not always be considered in the case of a cerebral ring-enhan...

Of 776 patients admitted as emergency with acute upper gastro-intestinal haemorrhage, 260 were operated for uncontrollable bleeding. At surgery the cause of bleeding could not be determined in 42 (15%) cases. Vagotomy and drainage was done in 30 and gastric resection in 1 2 cases. Two patients died after gastrectomy (2/12). Follow up of 38 cases for 5 years showed good results. Two cases were l...

BACKGROUND Randomised controlled trials (RCTs) have shown that endoscopic haemostasis is beneficial for patients with a bleeding peptic ulcer. The relevance of such data to management outside of RCTs is unclear. Therefore we examined management of patients with a bleeding peptic ulcer in a UK teaching hospital. METHODS All patients who underwent upper gastrointestinal (UGI) endoscopy for blee...

Haemorrhage arising from gastric arteriovenous malformation (AVM) is rare and normally occurs in the elderly. Bleeding gastric AVM presenting in the younger age group is even rarer. We report a case of a 14 year old boy who presented with recurrent episodes of haematemesis. He subsequently underwent a proximal gastrectomy and the histological examination confirmed a gastric AVM. After reviewing...

Massive pulmonary embolism with concomitant intracranial haemorrhage is a condition associated with high mortality. Emergency embolectomy is indicated in those cases in which medical treatment is not possible. The case of a 65-year-old woman with massive pulmonary embolism after cranial trauma with intracranial haemorrhage and two cardiac arrests prior to surgery is described. The patient suffe...

INTRODUCTION Serious pelvic injuries are associated with a high mortality rate, 2 which has remained persistently high even with advances in hospital care. Hypovolaemia is often a significant contributing factor to these deaths 3 If haemorrhage from pelvic injuries could be controlled or reduced in the prehospital environment, then survival rates might increase. Improved mortality has been seen...

A 35 year-old Chinese female patient with Hereditary Hemorrhagic Telengiectasia (HHT) and a prior history of 2 uneventful pregnancies, had undergone an emergent caesarian section at 36 weeks gestation, due to the development of high-output cardiac failure. Post-partum she developed drowsiness and required intensive care support. Radiological imaging of the brain (CT and MRI) excluded meningoenc...