A 72-year-old male with alcohol-related cirrhosis presents with hematemesis and shock. Learners must: lead resuscitation in a limited resource setting, start evidence-based variceal-bleed adjuncts

Goals and Objectives

Expose learners s to the time-critical resus + team leadership required for UGIB in a patient with liver disease

CRM

1. Lead an interprofessional team through a complex resuscitation using role clarity, closed-loop communication, and frequent summaries
2. Call for early help and coordinate patient transfer to higher level of care

Medical

1. Recognize likely variceal UGIB in cirrhosis and initiate early adjuncts: vasoactive agent + antibiotics + early definitive therapy activation.
2. Resuscitate hemorrhagic shock (minimize crystalloid, follow local protocols for blood transfusion).