HardGastroenterologyVariceal upper GI bleedingau-amcau-acem
A 54-year-old man presents with melaena and light-headedness. He drinks 6-8 standard drinks per day and has known cirrhosis. On examination he is pale, tachycardic and hypotensive. What is the most appropriate initial pharmacological therapy to start in the emergency department alongside resuscitation and urgent endoscopy referral?