A 65-year-old male presents to the ED with hematemesis and melena. He is hypotensive (BP 85/50 mmHg) and tachycardic (HR 118 bpm). Initial resuscitation has begun with two large-bore IVs and crystalloid infusion. What is the MOST appropriate next step in his management?
✓ Correct Answer: Option B
In a hemodynamically unstable patient with active upper GI bleeding, stabilizing hemodynamics with blood products is critical after initial fluid resuscitation to prevent further deterioration and organ hypoperfusion.