1. What is the recommended management for a patient with gastrointestinal bleedi

1. What is the recommended management for a patient with gastrointestinal bleeding and an altered mental state with severe ongoing hematemesis?
2. How should hemodynamic instability be addressed in a patient with gastrointestinal bleeding?
3. When should a liberal transfusion strategy be employed in cases of gastrointestinal bleeding?
4. Why is risk stratification important for patients with gastrointestinal bleeding, and what are the lower-risk clinical scenarios?
5. What are some higher-risk clinical scenarios in gastrointestinal bleeding, and how can upper gastrointestinal bleeding (UGIB) be scored for risk assessment?
6. What is the Forrest classification, and how is it used in the context of gastrointestinal bleeding?
7. What are signs of severe gastrointestinal bleeding that can be observed at presentation?
8. What is the role of a nasogastric aspirate (NG aspirate) in the diagnosis of gastrointestinal bleeding, and when should a nasogastric tube not be used?
9. When is an NG tube occasionally useful in localizing the source of bleeding in the upper GI tract during gastrointestinal bleeding diagnosis?