A 54-year-old man presents with haematemesis and melaena. He is hypotensive and tachycardic but conscious. What is the single most important immediate...

Question

A 54-year-old man presents with haematemesis and melaena. He is hypotensive and tachycardic but conscious. What is the single most important immediate management step?

Accepted Answer

Resuscitation with ABC approach including large-bore IV access and fluid resuscitation

Answer

Urgent upper GI endoscopy in outpatients

Answer

Immediate oral Omeprazole and discharge

Answer

Routine iron supplementation

Answer

Barium swallow study to identify source

uk-plab-1 MCQ (SBA): Acute upper GI bleed

A 54-year-old man presents with haematemesis and melaena. He is hypotensive and tachycardic but conscious. What is the single most important immediate management step?