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Surgery General 836b4e61

A 45 y ears old patient presented to you with ongoing massive hematemesis. The patient is ale and hemodynamically stable. What will be the first step in management?

A
Do an urgent upper GI endoscopy
B
Put the patient in recovery position and secure airway
C
Inse a cannula and sta IV fluids
D
Send for blood transfusion
High-Yield Explanation
Ans: B. Put the patient in recovery position and secure airway(Ref BLS/ACLS Guidelines: resuscitation guidelines /adult- aclvanced-lik-suppo: Harrison 19/e p1768: Bratinwald's 10/e p844-845)BLS algorithm:Sta airway management in any patient who is collapsed/expected to collapse.Patient here is hemodynamically stable.Airway - Most impoant component at risk in this patient & requires immediate attention.Put patient in recovery position.i.e. left lateral decubitus position to prevent the risk of aspiration.

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