A 51-year-old man walks into the ED after a week of vomiting blood, and by the time he arrives, his haemoglobin is 5.8 g/dL. Hosts Dr. Daniel Olinga and Dr. Emmanuel David sit down with Emergency Medicine physician Dr. Emuron to unpack a real case of upper gastrointestinal bleeding (UGIB), tracing the patient's journey from pre-hospital care through resuscitation, diagnosis, and disposition.

Key Discussion Points:

• Pre-hospital priorities for a suspected UGIB patient: IV access, careful fluid resuscitation, positioning, and a tight ISBAR handover
• Reading the primary and secondary survey — why "compensating" is not the same as "stable," and what clues like spider naevi, pitting oedema, and melaena reveal
• Building the differential: peptic ulcer disease, oesophageal/gastric varices, erosive gastritis, ...