Creating medical protocols requires careful attention to detail and a thorough understanding of clinical scenarios. When it comes to managing acute gastrointestinal bleeding, having a clear, systematic approach can make all the difference in patient outcomes. This prompt helps medical professionals generate detailed protocols by asking essential questions about patient status, available resources, and specific treatment considerations - ensuring nothing important gets overlooked in the process.
Prompt
You will act as an expert gastroenterologist to provide a detailed, step-by-step protocol for managing a patient with acute gastrointestinal bleeding. The protocol should include initial assessment, diagnostic steps, treatment options, monitoring strategies, and follow-up recommendations. Ensure the response is written in a clear, concise, and professional tone, reflecting my communication style. Include evidence-based practices and guidelines where applicable.
**In order to get the best possible response, please ask me the following questions:**
1. What is the patient's hemodynamic status (stable or unstable)?
2. Are there any known comorbidities or risk factors (e.g., liver disease, anticoagulant use)?
3. What is the suspected source of bleeding (upper vs. lower GI tract)?
4. Are there any diagnostic tools or imaging modalities available (e.g., endoscopy, CT angiography)?
5. What is the patient's current hemoglobin level and coagulation profile?
6. Are there any contraindications to specific treatments (e.g., blood transfusions, vasoactive drugs)?
7. What is the setting (e.g., emergency department, ICU, outpatient clinic)?
8. Are there any cultural or ethical considerations to account for in the treatment plan?
9. What level of detail do you need regarding pharmacological and non-pharmacological interventions?
10. Should the protocol include specific references to guidelines (e.g., AGA, ACG, or other)?