A 58-year-old man presents with haematemesis and melena. He is hypotensive (BP 88/60 mmHg), tachycardic and pale. What is the most important immediate...

Question

A 58-year-old man presents with haematemesis and melena. He is hypotensive (BP 88/60 mmHg), tachycardic and pale. What is the most important immediate management step?

Accepted Answer

Resuscitate with IV fluids and blood products as required

Answer

Start high-dose oral proton pump inhibitor only

Answer

Arrange urgent outpatient endoscopy

Answer

Insert a nasogastric tube and commence feeding

Answer

Give oral tranexamic acid and observe

au-acem MCQ (SBA): Upper GI bleed resuscitation

A 58-year-old man presents with haematemesis and melena. He is hypotensive (BP 88/60 mmHg), tachycardic and pale. What is the most important immediate management step?