Question

A 58-year-old man presents with melaena and postural dizziness. Blood pressure is 95 over 60 mmHg, heart rate 112 beats per minute. What is the most important immediate management priority in the emergency department?

Accepted Answer

Assess airway and circulation and start fluid resuscitation

Answer

Arrange urgent outpatient endoscopy

Answer

Give high-dose oral omeprazole and discharge

Answer

Start oral iron and review in clinic

Answer

Arrange elective colonoscopy first

Practice question

A 58-year-old man presents with melaena and postural dizziness. Blood pressure is 95 over 60 mmHg, heart rate 112 beats per minute. What is the most important immediate management priority in the emergency department?