October 2021

Abstract 2: Major GI Bleeding in Older Persons Using Aspirin

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J. B. L. -

OK - I know this isn't that related to this article - but my question is based on many articles you have reviewed recently. You got an 80 year old who fell. Pain all over. NSAIDS and Tylenol are a great combo - but no NSAIDS in this age group. Can't do a nerve block because there are multiple contusions- too many places. We in Israel can give Dipyrone + Tylenol- but the US doesn't have dipyrone. NSAID creams probably would be great - but you can't smear them all over the body. Tramadol - poor pain relief and lots of side effects. Tylenol alone - EMA a few months back pointed out that this doesn't really control pain too well. opioids- major Beers criteria violation and a fifteen yard penalty. I thought aspirin would be a great idea as many older folks tolerate it well - but this article implies that is not a great idea- so what do you suggest?

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