26th July 2024

A 52-year-old man has recently been discharged after dislocating his shoulder

A 52-year-old man has recently been discharged after dislocating his shoulder. He has been prescribed naproxen. He takes no other medications and has no other past medical history.

He presents again with large-volume haematemesis.

Observations are: HR 112 bpm, BP 93/65 mmHg, temperature 37 degrees Celsius, RR 25/minute, saturations 95% on room air.

Blood tests show: Hb 68 (previously 132), Plt 92 (150-400), WCC 5.6 (4.0-11.0), PT 14 (12-14.8), APTT 33 (30-40), fibrinogen 1.3 (2.0-4.0).

What is the most appropriate management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.