Upper GI Bleeding

Immediate management: • IV access × 2 large-bore cannulae • FBC, U&E, LFTs, coagulation, group and save (crossmatch 4–6 units if major haemorrhage) • Fluid resuscitation: NaCl 0.9% to maintain systolic BP >100 mmHg • Target Hb ≥70–80 g/L with red cell transfusion (80 g/L if ACS or haemodynamic compromise) • Correct coagulopathy: FFP if PT >1.5× normal; platelets if <50 × 10⁹/L • Do NOT use fibrinogen/TXA routinely in UGI bleed • Nil by mouth pending endoscopy