One of the most common questions that seems to always come up on rounds is, "Does this patient need GI prophylaxis?" Depending on who's rounding, the day or the experience, a different answer will come. Why is this? Maybe training or experience play a role in this. We can look at the recommendations based on training. Comparing Surgical Guidelines, SCCM/ASHP Recommendations, and the REVISE Trial Stress ulcer prophylaxis (SUP) in critically ill patients has been a standard