A 68-year-old man presents with large-volume haematemesis of fresh blood. He is pale and clammy, blood pressure 88/52 mmHg and pulse 120 bpm. What is ...

Question

A 68-year-old man presents with large-volume haematemesis of fresh blood. He is pale and clammy, blood pressure 88/52 mmHg and pulse 120 bpm. What is the most appropriate immediate management?

Accepted Answer

Insert two large-bore intravenous cannulae, commence fluid resuscitation and arrange urgent endoscopy

Answer

Arrange urgent CT abdomen to look for bleeding source

Answer

Prescribe high-dose oral Omeprazole and discharge

Answer

Arrange routine outpatient endoscopy

Answer

Start Warfarin for presumed portal vein thrombosis

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

A 68-year-old man presents with large-volume haematemesis of fresh blood. He is pale and clammy, blood pressure 88/52 mmHg and pulse 120 bpm. What is the most appropriate immediate management?