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EasyGIAcute upper GI bleeduk-plab-1

A 58-year-old man with a history of peptic ulcer disease presents with large-volume haematemesis and dizziness. He is pale and clammy, blood pressure is 82/50 mmHg, heart rate 122/min and capillary refill time is 5 seconds. What is the single most appropriate immediate management step?

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