A 70 year old man presents with haematemesis and melaena. He is tachycardic at 120 beats per minute, blood pressure 92 over 60 mmHg and capillary refi...

Question

A 70 year old man presents with haematemesis and melaena. He is tachycardic at 120 beats per minute, blood pressure 92 over 60 mmHg and capillary refill is delayed. What is the most appropriate immediate management step?

Accepted Answer

Resuscitate with intravenous crystalloid and blood products while arranging urgent endoscopy

Answer

Arrange urgent upper gastrointestinal endoscopy within 24 hours without resuscitation

Answer

Insert a nasogastric tube and lavage the stomach

Answer

Commence a high dose proton pump inhibitor infusion before assessment

Answer

Give oral iron and arrange outpatient OGD

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

A 70 year old man presents with haematemesis and melaena. He is tachycardic at 120 beats per minute, blood pressure 92 over 60 mmHg and capillary refill is delayed. What is the most appropriate immediate management step?