Haemetemesis in Anticoagulated Patient

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Author: Atasi Bhattacharjee, Prachi Avatade / Editor: Yasmin Sultan / Codes: Published: 26/11/2025

A 75-year-old male patient is brought in by an ambulance with 3 episodes of frank hematemesis, total volume around 500ml. He is pale and clammy. He is on Rivaroxaban and Bisoprolol for Atrial Fibrillation and last took his tablets 4 hours ago.

He has a medical history of hypertension and atrial fibrillation only.

His observations are as follows:

  • Heart rate: 92/min
  • Blood pressure: 90/50 mmHg
  • Oxygen saturation: 95% RA
  • Respiratory rate: 22/min
  • Temperature: 36.4

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