PPIs Should Not Be Prescribed for Upper GI Bleeds

PPIs Should Not Be Prescribed for Upper GI Bleeds

The topic of PPIs for upper GI bleeds was one of the first posts on First10EM. There is no new evidence, and the bottom line is the same (just don’t use them), so if you are a long time reader, you can probably skip this... read more

Could Stress Ulcer Prophylaxis Increase Mortality in High-acuity Patients?

Could Stress Ulcer Prophylaxis Increase Mortality in High-acuity Patients?

Although considerable uncertainty remains, the inferences from SUP-ICU and PEPTIC are consistent with the hypothesis that proton pump inhibitors (PPIs) increase the risk of death in patients with higher illness severity.... read more

Stress Ulcer Prophylaxis in the ICU (SUP-ICU)

Stress Ulcer Prophylaxis in the ICU (SUP-ICU)

Stress ulcer prophylaxis (SUP) is standard of care in the intensive care unit (ICU), however the quantity and quality of evidence is low and potential harm has been reported. The aim of the SUP-ICU trial is to asses the overall... read more