A 60-year-old woman with history of chronic liver disease presents to the emergency room with sever hematemesis. She reports recurrent episodes of vomiting blood over the past hours. Vital signs show BP 90/55 mmHg, HR 120 bpm, and RR 16/min. Abdominal examination shows mild distension and spider angioma. Laboratory testing shows hemoglobin of 7.8 g/dL and an elevated INR level. IV lines are inserted, fluids are administered, what is the next best step in management?
Keep going — a set of ten like this one, one at a time.
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