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ModerateGastrointestinalAcute upper gastrointestinal bleeduk-plab-1

A 54-year-old man presents with large-volume haematemesis and melena. He is pale and sweaty. Observations: BP 88/55 mmHg, HR 120 bpm, RR 26/min, SpO2 94% on 15 L/min oxygen. What is the most appropriate immediate management?

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