Hi, first if they control the bleeding, probably with a sengstaken tube, it might be possible for her to have a TIPS procedure to reduce the intrahepatic pressure, this can buy a fair bit of time although it is often at the cost of a degree of ongoing encephalopathy. I know they do this in Birmingham, and other major liver units. Depends on if she is stable enough for transfer. Maybe better if this didn't happen if there is little or no chance she would give up drinking afterwards . Thoughts with you. Rowan xx