Question

A 76-year-old man on long-term NSAIDs presents with sudden onset epigastric pain and haematemesis. He is pale and sweaty. BP is 86/50 mmHg, pulse 120/min. What is the most appropriate initial management priority in the emergency department?

Accepted Answer

ABC assessment and fluid resuscitation with IV crystalloids

Answer

Urgent upper GI endoscopy

Answer

High-dose intravenous Omeprazole

Answer

Arrange CT abdomen to identify source

Answer

Immediate transfusion to Hb above 120 g/L

Practice question

A 76-year-old man on long-term NSAIDs presents with sudden onset epigastric pain and haematemesis. He is pale and sweaty. BP is 86/50 mmHg, pulse 120/min. What is the most appropriate initial management priority in the emergency department?