<prompt> A 45 year old patient came with ongoing massive hematemesis. The patient is alert and hemodynamically stable. Which of the following is your next immediate step in management?Send for blood transfusionStart IV fluidsDo an urgent upper GI endoscopyPut the patient in recovery position and protect airway  <response>: Ans. d Put the patient in recovery position and protect airwayRef: Sabiston 20th edition, Page 1140 AIIMS is more famous for applied questions: The following are the steps that are followed in our institution The first thing in a patient with hematemesis is to manage the airway and prevent him aspiration even if he is stable Second step we send for cross matching and have few units of blood ready for transfusion IV line will be ready and fluids will be rushed before planning for endoscopy We will do endoscopy with blood on hand and after protecting airway. 