High Risk (only one required, tick all Ihat apply) Recurrent bleeding (recurrent tachycardia/hypotension; haematemesis; falling Hb (more than expected from haemodilution)) Persistent tachycardia (pulse > 100 beats/min despite resuscitation) History of oesophageal or gastric varices (or variceal bleeding suspected) Calculate Child score (overleaf) Systolic blood pressure < 100 mmHg (supine) Coagulopathy (INR > 1.5) Thrombocytopenia (platelet count < 100) Postural hypotension > 20 mmHg