SAQ 728 – Gastroenterology – massive haematemesis in chronic liver disease

Marked out of 11.00

You are the duty consultant in charge at a tertiary ED. A 65-year-old man with chronic liver disease presents by private transport after vomiting fresh blood for several hours.

He is awake, oriented to time and place, and has had no care before your review.

Observation Value
HR 90 bpm
BP 90/60 mmHg
SpO2 95% on room air
Temperature 36.9 degrees C
GCS Awake and oriented

List three (3) immediate treatment steps in the first 10 minutes.

(Marked out of 3.0)


/ 3

During your initial management, he becomes confused after a large fresh haematemesis and his BP falls to 80/40 mmHg. State four (4) management priorities at this time.

(Marked out of 5.0)


/ 5

List three (3) specific treatments you would commence. If pharmacological, give dose and route.

(Marked out of 3.0)


/ 3

Total Score: 0 / 11

Percentage: 0%