A 54-year-old man with a history of peptic ulcer disease presents with large-volume haematemesis and melena. He is pale, clammy, BP 86/50 mmHg, pulse ...

Question

A 54-year-old man with a history of peptic ulcer disease presents with large-volume haematemesis and melena. He is pale, clammy, BP 86/50 mmHg, pulse 124/min. What is the single most appropriate immediate management step?

Accepted Answer

Begin ABCDE assessment and aggressive intravenous crystalloid resuscitation

Answer

Arrange urgent endoscopy before resuscitation

Answer

Insert a nasogastric tube and lavage

Answer

Give oral Omeprazole 40 mg

Answer

Discharge with outpatient endoscopy

uk-plab-1 MCQ (SBA): Upper gastrointestinal bleeding initial resuscitation

A 54-year-old man with a history of peptic ulcer disease presents with large-volume haematemesis and melena. He is pale, clammy, BP 86/50 mmHg, pulse 124/min. What is the single most appropriate immediate management step?