Acute upper gastrointestinal bleeding is a medical emergency that is becoming more prevalent as our population ages,with an incidence of approximately 100 per 100,000 adults per year".An audit of 6750 patients with AUGIB in the UK showed that a delay in endoscopy leads to a higher mortality rate-'. Furthermore, it is well established that preendoscopic risk stratification not only allows identification of those who may not need inpatient management, but also allows targeting of more intensive treatment for those who would benefit the most, thus leading to an improved clinical outcome.