Massive Hematemesis That Began in Medicine / Internal Medicine — 54yo Man | Gastroenterology | SMLE Q#276
SMLE Question #276
Medicine / Internal Medicine
Gastroenterology
Last updated: February 2026
A 54-year-old man with alcohol-related cirrhosis presents with massive hematemesis that began 30 minutes ago. He is increasingly drowsy, not following commands, and has continuous fresh blood pooling in the oropharynx with choking episodes. What is the single most appropriate next step in management?
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