A 56-year-old man presents with large-volume haematemesis and melaena. He is pale and clammy. Blood pressure is 80/50 mmHg, pulse 120 beats/min and ca...

Question

A 56-year-old man presents with large-volume haematemesis and melaena. He is pale and clammy. Blood pressure is 80/50 mmHg, pulse 120 beats/min and capillary refill time is 5 seconds. What is the most appropriate initial management step?

Accepted Answer

Airway and breathing assessment with high-flow oxygen and large-bore intravenous fluid resuscitation

Answer

Urgent endoscopy without resuscitation

Answer

Immediate start of oral Omeprazole and discharge

Answer

Arrange outpatient endoscopy within 2 weeks

Answer

Prescribe oral Iron and review in 1 week

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

A 56-year-old man presents with large-volume haematemesis and melaena. He is pale and clammy. Blood pressure is 80/50 mmHg, pulse 120 beats/min and capillary refill time is 5 seconds. What is the most appropriate initial management step?