A 29-year-old woman at 8 weeks’ gestation presents with lower abdominal pain and vaginal spotting. She is haemodynamically unstable with BP 80/50 mmHg and pulse 120 bpm. A urine pregnancy test is positive. What is the most appropriate next step?AArrange routine early pregnancy scan in 1 weekBDischarge with analgesia and safety-nettingCUrgent transfer to theatre for laparotomy for suspected ruptured ectopic pregnancyDStart methotrexate and review in 48 hoursEAttempt medical management of miscarriage at homeCheck my answer