A 60-year-old man presents with large-volume haematemesis and melaena. He is pale, sweaty and confused with BP 85/50 mmHg and pulse 120 bpm. What is t...

Question

A 60-year-old man presents with large-volume haematemesis and melaena. He is pale, sweaty and confused with BP 85/50 mmHg and pulse 120 bpm. What is the most appropriate immediate management?

Accepted Answer

Start high-flow oxygen, establish two large-bore intravenous cannulas, begin fluid resuscitation and arrange urgent endoscopy after stabilisation

Answer

Arrange urgent outpatient endoscopy within 2 weeks

Answer

Give a proton pump inhibitor and discharge once symptoms settle

Answer

Insert a nasogastric tube and delay fluids to avoid obscuring endoscopy

Answer

Start oral iron therapy and book a colonoscopy

uk-plab-1 MCQ (SBA): Acute upper gastrointestinal haemorrhage

A 60-year-old man presents with large-volume haematemesis and melaena. He is pale, sweaty and confused with BP 85/50 mmHg and pulse 120 bpm. What is the most appropriate immediate management?