Question

A 68-year-old man presents with large-volume haematemesis and melena. He is pale and clammy, with a pulse of 120/min and blood pressure 85/55 mmHg. What is the most appropriate immediate management priority?

Accepted Answer

Resuscitate with intravenous crystalloids and blood products

Answer

Urgent upper GI endoscopy without resuscitation

Answer

Start high-dose proton pump inhibitor infusion

Answer

Give oral iron replacement urgently

Answer

Arrange outpatient endoscopy within 2 weeks

Practice question

A 68-year-old man presents with large-volume haematemesis and melena. He is pale and clammy, with a pulse of 120/min and blood pressure 85/55 mmHg. What is the most appropriate immediate management priority?