{"id":2074,"date":"2017-10-01T01:00:00","date_gmt":"2017-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/algorithme-de-prise-en-charge-dans-les-24-premieres-heures-dun-patient-adulte-admis-aux-urgences-dun-chg-pour-hemorragie-digestive\/"},"modified":"2018-10-20T18:40:25","modified_gmt":"2018-10-20T16:40:25","slug":"algorithme-de-prise-en-charge-dans-les-24-premieres-heures-dun-patient-adulte-admis-aux-urgences-dun-chg-pour-hemorragie-digestive","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/algorithme-de-prise-en-charge-dans-les-24-premieres-heures-dun-patient-adulte-admis-aux-urgences-dun-chg-pour-hemorragie-digestive\/","title":{"rendered":"Algorithme de prise en charge dans les 24 premi\u00e8res heures d&rsquo;un patient adulte admis aux urgences d&rsquo;un CHG pour h\u00e9morragie digestive."},"content":{"rendered":"<p><strong>2017<\/strong><\/p>\n<p><em>Quentin Thiebault (3), Thomas Mesnier (1), Sylvie Calvat (2), Laurent Delaire (1), Christophe Cracco (2), Jean-Pierre Dupuychaffray (3). Service des urgences (1), Service de r\u00e9animation et Unit\u00e9 de surveillance continue (2), Service d&rsquo;h\u00e9pato-gastroent\u00e9rologie (3). Centre Hospitalier Angoul\u00eame.<\/em><\/p>\n<p><strong>Gastroent\u00e9rologie <\/strong>&#8211; \u00a02017-05-02 &#8211;\u00a0CO &#8211;<\/p>\n<p>________________________________<\/p>\n<p>L&rsquo;h\u00e9morragie digestive, haute ou basse, est un motif fr\u00e9quent d&rsquo;admission au service des urgences. La prise en charge initiale n&rsquo;est pas toujours simple pour que le patient soit surveill\u00e9 et trait\u00e9 au bon endroit et au bon moment en particulier si le service d&rsquo;h\u00e9pato-gastroent\u00e9rologie ne dispose pas d&rsquo;un secteur de soins intensifs.<br \/>\nCette difficult\u00e9 partag\u00e9e a fait l&rsquo;objet d&rsquo;un travail collectif entre urgentistes, r\u00e9animateurs, et gastroent\u00e9rologues, prenant en compte les scores pronostiques et les recommandations \u00e9dit\u00e9es par les soci\u00e9t\u00e9s savantes des trois disciplines, qui a permis l&rsquo;\u00e9criture d&rsquo;un protocole de soins valid\u00e9 et enregistr\u00e9 au niveau institutionnel.<br \/>\nUn algorithme fond\u00e9 sur des crit\u00e8res cliniques et biologiques simples permet l&rsquo;orientation initiale des patients vers quatre types de prise en charge : ambulatoire (externe), hospitalisation en h\u00e9pato-gastroent\u00e9rologie, hospitalisation dans l&rsquo;unit\u00e9 de surveillance continue, hospitalisation directe en r\u00e9animation.<br \/>\nCette harmonisation dans le traitement initial des situations cliniques identifi\u00e9es a permis de faciliter les \u00e9changes inter sp\u00e9cialit\u00e9s lors de l&rsquo;admission au SAU d&rsquo;une h\u00e9morragie digestive.<br \/>\nUne \u00e9valuation de cet algorithme d&rsquo;orientation initiale des patients est en cours, les r\u00e9sultats seront communiqu\u00e9s lors du Congr\u00e8s.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2017 Quentin Thiebault (3), Thomas Mesnier (1), Sylvie Calvat (2), Laurent Delaire (1), Christophe Cracco (2), Jean-Pierre Dupuychaffray (3). Service des urgences (1), Service de r\u00e9animation et Unit\u00e9 de surveillance continue (2), Service d&rsquo;h\u00e9pato-gastroent\u00e9rologie (3). Centre Hospitalier Angoul\u00eame. Gastroent\u00e9rologie &#8211; \u00a02017-05-02 &#8211;\u00a0CO &#8211; ________________________________ L&rsquo;h\u00e9morragie digestive, haute ou basse, est un motif fr\u00e9quent d&rsquo;admission au [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[4],"tags":[28],"class_list":["post-2074","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-28"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Algorithme de prise en charge dans les 24 premi\u00e8res heures d&#039;un patient adulte admis aux urgences d&#039;un CHG pour h\u00e9morragie digestive. - Abstracts des congr\u00e8s de l&#039;ANGH<\/title>\n<meta name=\"description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/angh.net\/abstracts\/algorithme-de-prise-en-charge-dans-les-24-premieres-heures-dun-patient-adulte-admis-aux-urgences-dun-chg-pour-hemorragie-digestive\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Algorithme de prise en charge dans les 24 premi\u00e8res heures d&#039;un patient adulte admis aux urgences d&#039;un CHG pour h\u00e9morragie digestive. - 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