Question

A 58-year-old man presents with melaena and dizziness. He is hypotensive at 90/60 mmHg and tachycardic at 110 beats/min. He takes low-dose aspirin and a proton pump inhibitor. What is the most appropriate initial management step in the emergency department?

Accepted Answer

Insert two large-bore IV cannulas and commence fluid resuscitation

Answer

Urgent upper GI endoscopy before resuscitation

Answer

Administer omeprazole and arrange outpatient endoscopy

Answer

Give intramuscular vitamin K

Answer

Send him directly to radiology for CT abdomen

Practice question

A 58-year-old man presents with melaena and dizziness. He is hypotensive at 90/60 mmHg and tachycardic at 110 beats/min. He takes low-dose aspirin and a proton pump inhibitor. What is the most appropriate initial management step in the emergency department?