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EasyGastrointestinalAcute upper gastrointestinal bleedinguk-plab-1

A 56-year-old man presents with large-volume haematemesis and melaena. He is pale and clammy. Blood pressure is 80/50 mmHg, pulse 120 beats/min and capillary refill time is 5 seconds. What is the most appropriate initial management step?

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