A 64-year-old man presents with melaena, tachycardia and postural hypotension. He is a regular NSAID user. Which is the most appropriate initial manag...

Question

A 64-year-old man presents with melaena, tachycardia and postural hypotension. He is a regular NSAID user. Which is the most appropriate initial management step in the emergency department?

Accepted Answer

Resuscitate with IV fluids, insert two large-bore IV cannulas and commence IV proton pump inhibitor

Answer

Arrange urgent outpatient endoscopy the next day

Answer

Start oral omeprazole and discharge

Answer

Give intramuscular vitamin K only

Answer

Perform digital rectal examination only and observe

au-acem MCQ (SBA): Acute upper gastrointestinal bleed initial management

A 64-year-old man presents with melaena, tachycardia and postural hypotension. He is a regular NSAID user. Which is the most appropriate initial management step in the emergency department?