A 75-year-old woman presents to the emergency department with melena and light-headedness. Her heart rate is 112 beats/min, blood pressure 86/54 mm Hg...

Question

A 75-year-old woman presents to the emergency department with melena and light-headedness. Her heart rate is 112 beats/min, blood pressure 86/54 mm Hg, and she appears pale and diaphoretic. What is the most appropriate initial management step?

Accepted Answer

Begin aggressive intravenous crystalloid resuscitation and activate a massive transfusion protocol if needed

Answer

Arrange urgent upper endoscopy within 24 hours without resuscitation

Answer

Start high-dose oral proton pump inhibitor therapy and discharge

Answer

Administer intramuscular Adrenaline and observe for response

Answer

Give prophylactic antibiotics only

ca-mccqe1 MCQ (SBA): Acute upper gastrointestinal bleed resuscitation

A 75-year-old woman presents to the emergency department with melena and light-headedness. Her heart rate is 112 beats/min, blood pressure 86/54 mm Hg, and she appears pale and diaphoretic. What is the most appropriate initial management step?