A 30-year-old man presents with severe epigastric pain radiating to the back, vomiting and a raised serum amylase. He drinks 35 units of alcohol per week. He is tachycardic and mildly hypotensive. What is the most appropriate initial management?AOffer clear fluids orally and manage at homeBAdmit for intravenous fluids, analgesia and monitoringCStart broad-spectrum antibiotics in the communityDArrange urgent ERCP in all casesEStart long-term pancreatic enzyme replacement immediatelyCheck my answer