A 45 year old man with long term non steroidal use for osteoarthritis presents with epigastric pain and melaena. He is tachycardic and hypotensive. What is the most appropriate immediate management priority?AResuscitate with intravenous fluids and blood, and arrange urgent endoscopyBStart a proton pump inhibitor and book outpatient endoscopyCDischarge with oral iron and reviewDOrder a Helicobacter pylori breath test onlyEAdvise stopping NSAIDs and observe on the ward without resuscitationCheck my answer