A 58-year-old man with a history of alcohol misuse presents with large volume haematemesis and melaena. He is pale and clammy, blood pressure 85/50 mm...

Question

A 58-year-old man with a history of alcohol misuse presents with large volume haematemesis and melaena. He is pale and clammy, blood pressure 85/50 mmHg, pulse 120 bpm, respiratory rate 24. What is the single most appropriate immediate management?

Accepted Answer

Start high-flow oxygen and give rapid intravenous fluid resuscitation

Answer

Arrange urgent upper gastrointestinal endoscopy within 24 hours

Answer

Give an intravenous proton pump inhibitor bolus and infusion

Answer

Insert a nasogastric tube to lavage the stomach

Answer

Prescribe oral Omeprazole and discharge

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

A 58-year-old man with a history of alcohol misuse presents with large volume haematemesis and melaena. He is pale and clammy, blood pressure 85/50 mmHg, pulse 120 bpm, respiratory rate 24. What is the single most appropriate immediate management?