Question

A 55-year-old man with a history of peptic ulcer disease presents vomiting large volumes of fresh blood. He is pale and clammy, BP 80/50 mmHg, pulse 120/min. What is the most appropriate immediate management?

Accepted Answer

Start ABC resuscitation with large-bore IV access and fluid resuscitation

Answer

Arrange urgent outpatient endoscopy

Answer

Give oral proton pump inhibitor and observe

Answer

Insert a nasogastric tube and aspirate the stomach only

Answer

Discharge with iron supplements for anaemia

Practice question

A 55-year-old man with a history of peptic ulcer disease presents vomiting large volumes of fresh blood. He is pale and clammy, BP 80/50 mmHg, pulse 120/min. What is the most appropriate immediate management?