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EasyGastroenterologyAcute upper gastrointestinal bleeduk-plab-1

A 45-year-old man presents with coughing up large amounts of fresh red blood and feels dizzy. He has known peptic ulcer disease and has been taking ibuprofen regularly. Observations show blood pressure 85/50 mmHg, pulse 120 beats/min and cool peripheries. What is the most appropriate initial management step in the emergency department?

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