A 52-year-old man with a history of chronic alcohol use presents with haematemesis and melaena. He is haemodynamically unstable with BP 80/50 mmHg and...

Question

A 52-year-old man with a history of chronic alcohol use presents with haematemesis and melaena. He is haemodynamically unstable with BP 80/50 mmHg and HR 120 bpm. What is the most appropriate immediate management priority?

Accepted Answer

Rapid intravenous fluid resuscitation and blood products as needed

Answer

Urgent upper GI endoscopy before resuscitation

Answer

Start high-dose oral proton pump inhibitor

Answer

Arrange transfer for elective endoscopy the next day

Answer

Give oral tranexamic acid and observe

au-amc MCQ (SBA): Upper gastrointestinal bleeding

A 52-year-old man with a history of chronic alcohol use presents with haematemesis and melaena. He is haemodynamically unstable with BP 80/50 mmHg and HR 120 bpm. What is the most appropriate immediate management priority?