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Surgery Stomach & Duodenum 3c154f38

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?

A
Send for blood transfusion
B
Start IV fluids
C
Do an urgent upper GI endoscopy
D
Put the patient in recovery position and protect airway
High-Yield Explanation
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.

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