A 65-year-old man presents with melena and postural dizziness. BP is 90/60 mmHg, pulse 110 beats/min. What is the most appropriate immediate managemen...

Question

A 65-year-old man presents with melena and postural dizziness. BP is 90/60 mmHg, pulse 110 beats/min. What is the most appropriate immediate management step in the emergency department?

Accepted Answer

Insert at least one large-bore intravenous cannula and begin fluid resuscitation

Answer

Arrange urgent upper endoscopy before any other intervention

Answer

Start high-dose proton pump inhibitor infusion only

Answer

Administer oral iron supplementation

Answer

Discharge with outpatient gastroscopy booking

au-acem MCQ (SBA): Upper gastrointestinal bleeding

A 65-year-old man presents with melena and postural dizziness. BP is 90/60 mmHg, pulse 110 beats/min. What is the most appropriate immediate management step in the emergency department?