A 54-year-old male with a history of advanced cirrhosis presents as a transfer from an outside hospital with upper GI bleeding. The patient had banding of esophageal varices 2 weeks prior and was at a rehab facility when he developed several episodes of gross hematemesis. He presented to an outside hospital where he was intubated for airway protection and transferred to RIH for definitive management. The bleeding had stopped prior to transfer but he then started pouring gross blood from his mouth as he was rolling in to the CC bay…

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