skip to main content

Hemoptysis massive — ABEM Board MCQ

Instant feedback + full explanation. One question, done properly.

HardPulmonary emergenciesHemoptysis massiveABEM Board

A 63-year-old man with bronchiectasis arrives coughing large amounts of bright red blood. Triage acuity is ESI 1; BP 96/60 mm Hg, HR 124/min, RR 30/min, SpO2 86%. He is gurgling blood and cannot clear secretions. Breath sounds are decreased on the right. Which of the following is the most appropriate initial action?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: A — Position bleeding side down and secure the airway with a large endotracheal tube

Massive hemoptysis threatens airway patency; initial management is airway protection, oxygenation, and positioning the bleeding lung dependent.

Reference: ACEP airway guidance; emergency pulmonary hemorrhage guidance