Question

A 58-year-old man presents with haematemesis and melaena. He is tachycardic and hypotensive. What is the most appropriate initial management step before definitive endoscopy?

Accepted Answer

Begin high-dose IV PPI after haemodynamic stabilisation

Answer

Urgent endoscopy without resuscitation

Answer

Insert NG tube and irrigate only

Answer

Start oral iron therapy

Answer

Give only antiemetics and observe

Practice question

A 58-year-old man presents with haematemesis and melaena. He is tachycardic and hypotensive. What is the most appropriate initial management step before definitive endoscopy?