How would you assess and manage his bleeding?
A 77-year-old man whose medical history includes treated hypertension and hypercholesterolemia, previous heavy alcohol intake, and mild cognitive impairment is admitted to the intensive care unit (ICU) of a university hospital from the operating room after a Hartmann’s procedure performed for fecal peritonitis due to a perforated sigmoid colon. On arrival in the ICU, he was undergoing mechanical ventilation and was in septic shock. He received fluid resuscitation with Hartmann's solution and 5% human albumin solution. His blood pressure was supported with a norepinephrine infusion. In addition to intravenous antibiotics, his treatment included subcutaneous unfractionated heparin (5000 U twice daily)...

http://www.nejm.org/doi/story/10.1056/feature.2014.02.11.23?query=featured_critical-care
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