Question

A 58-year-old with melena and Hgb 6.8 g/dL is admitted with suspected upper GI bleeding. According to ACG guidance, what transfusion strategy is recommended?

Accepted Answer

Restrictive strategy: transfuse when Hgb <7 g/dL

Answer

Liberal strategy: transfuse when Hgb <9 g/dL

Answer

Transfuse only if hemodynamically unstable, regardless of Hgb

Answer

Transfuse platelets first, then RBCs

Answer

Delay transfusion until after endoscopy

Practice question

A 58-year-old with melena and Hgb 6.8 g/dL is admitted with suspected upper GI bleeding. According to ACG guidance, what transfusion strategy is recommended?