A 45 year old patient came with ongoing massive hematemesis. The patient is alert and hemodynamically stable. Which of the following is your next immediate step in management?
Ans. (d) Put the patient in recovery position and protect airwayRef: Sabiston 20th edition, Page 1140* AIIMS is more famous for applied questions: The following are the steps that are followed in our institution# The first thing in a patient with hematemesis is to manage the airway and prevent him aspiration even if he is stable# Second step we send for cross matching and have few units of blood ready for transfusion# IV line will be ready and fluids will be rushed before planning for endoscopy# We will do endoscopy with blood on hand and after protecting airway.
Send for blood transfusion
Start IV fluids
Do an urgent upper GI endoscopy
Put the patient in recovery position and protect airway
Stomach & Duodenum