A 58-year-old man presents with large-volume haematemesis and melena. He is pale and diaphoretic, with blood pressure 90/60 mmHg and heart rate 120 be...

Question

A 58-year-old man presents with large-volume haematemesis and melena. He is pale and diaphoretic, with blood pressure 90/60 mmHg and heart rate 120 beats/min. According to Australian upper GI bleeding guidelines, what is the most appropriate immediate management?

Accepted Answer

Aggressive intravenous fluid resuscitation, transfusion as needed and urgent endoscopic assessment once stabilised

Answer

Arrange urgent endoscopy without resuscitation

Answer

Start oral iron and arrange outpatient endoscopy

Answer

Administer proton pump inhibitor and discharge if bleeding stops

Answer

Prescribe oral tranexamic acid and review in 1 week

au-amc MCQ (SBA): Acute upper GI bleed

A 58-year-old man presents with large-volume haematemesis and melena. He is pale and diaphoretic, with blood pressure 90/60 mmHg and heart rate 120 beats/min. According to Australian upper GI bleeding guidelines, what is the most appropriate immediate management?