A 56-year-old woman with alcohol-related liver cirrhosis presented with haematemesis and melena. On arrival, observations were oxygen saturation measured by pulse oximetry 97% on room air, blood pressure 77/44 mmHg, heart rate 127 per min, respiratory rate 24 per min, temperature 36.5°C and alert. The blood tests showed haemoglobin 65 g⋅L−1 and urea 23 mg⋅dL−1. After initial resuscitation with intravenous fluids, she was given a transfusion of 2 units packed red cells, 2 units fresh frozen plasma, 1 unit platelets and 2 mg terlipressin.

No abstract