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MediumGastroenterologyAcute upper gastrointestinal bleedingau-amcau-acem

A 60-year-old man presents to the emergency department with haematemesis and melena. He is pale and clammy. BP is 92/60 mmHg and HR 118 bpm. He takes low-dose aspirin and occasional ibuprofen. What is the most appropriate initial management step?

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