Massive upper GI bleeds can be intimidating and lethal. An expeditious, multidisciplinary approach is required to improve survival and optimize patient outcomes. Time Stamps: 00:12 Welcome & Introduction 01:55 Goals & Objectives 02:29 Common Etiologies & Differential Diagnosis for UGIBs 05:15 Initial Evaluation 10:52 Initial Management 15:38 Indications & Timing of Endoscopic and Non-Endoscopic Interventions 18:19 Forrest Classification of Peptic Ulcers 20:43 Indications & Timing of Surgical Interventions 21:30 Surgical management of Bleeding Peptic Ulcers 23:40 Take Home Points 25:10 CTA Consider becoming a Patron of the Show! Support the show (https://www.patreon.com/traumaicurounds)