- Resuscitation and stabilization, initiation of medical therapy with an intravenous proton pump inhibitor
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- Assessment of onset and severity of bleeding
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- Risk stratification using validated prognostic scale
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- Diagnostic endoscopy
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- Preparation for emergent upper endoscopy
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- Localization and identification of the bleeding site
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- Identification of stigmata of recent hemorrhage
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- Stratification of the risk for rebleeding
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- Therapeutic endoscopy
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- Control of active bleeding or high-risk lesions
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- Minimization of treatment-related complications
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- Treatment of persistent or recurrent bleeding
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