Question

A 68-year-old man presents with sudden onset haematemesis of fresh blood and dizziness. He has a history of NSAID use for osteoarthritis. On arrival he is pale, BP 90/60 mmHg, pulse 120 bpm, and his capillary refill is 4 seconds. What is the most appropriate immediate management?

Accepted Answer

Start ABCDE resuscitation with IV fluids and crossmatch blood

Answer

Arrange urgent endoscopy without resuscitation

Answer

Give high-dose oral proton pump inhibitor and discharge

Answer

Give oral tranexamic acid and await blood results

Answer

Start propranolol to reduce portal pressure acutely

Practice question

A 68-year-old man presents with sudden onset haematemesis of fresh blood and dizziness. He has a history of NSAID use for osteoarthritis. On arrival he is pale, BP 90/60 mmHg, pulse 120 bpm, and his capillary refill is 4 seconds. What is the most appropriate immediate management?