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학습 자료 둘러보기 →The primary goal is to restore tissue perfusion. For a patient with massive hematemesis and hypotension (90/60 mmHg), the first action is to establish large-bore IV access and begin rapid fluid resuscitation with crystalloids.
Other interventions like administering proton pump inhibitors or placing an NG tube are secondary. They are performed only after the patient is hemodynamically stable to prevent cardiovascular collapse.
Do not place the patient in Trendelenburg position. This outdated practice does not improve circulation, may compromise breathing, and increases aspiration risk. Keep the patient supine.
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