3 Hours Of Sudden in Surgery — 68yo Man | General Surgery | SMLE Q#11185
SMLE Question #11185
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 68-year-old man presents with 3 hours of sudden, large-volume bright red blood per rectum. He is pale and diaphoretic. Despite aggressive IV crystalloids and multiple units of packed red blood cells, he continues to pass copious blood and develops recurrent hemodynamic instability. There is no time for bowel preparation, and endoscopic or interventional radiology haemostasis is not immediately available. What is the most appropriate next step in management?
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