A 63-year-old man with a history of peptic ulcer disease presents with large-volume haematemesis and melaena. He is pale and clammy with blood pressur...

Question

A 63-year-old man with a history of peptic ulcer disease presents with large-volume haematemesis and melaena. He is pale and clammy with blood pressure 80/50 mmHg and pulse 124 bpm. What is the single most appropriate immediate management step?

Accepted Answer

Administer a rapid intravenous crystalloid bolus and activate the major haemorrhage protocol

Answer

Arrange urgent endoscopy within 24 hours

Answer

Give high-dose intravenous Omeprazole

Answer

Insert a nasogastric tube for lavage

Answer

Start oral Tranexamic acid

uk-plab-1 MCQ (SBA): Acute upper gastrointestinal bleed

A 63-year-old man with a history of peptic ulcer disease presents with large-volume haematemesis and melaena. He is pale and clammy with blood pressure 80/50 mmHg and pulse 124 bpm. What is the single most appropriate immediate management step?