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Massive haemoptysis — RCPSC EM MCQ

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HardRespiratory emergenciesMassive haemoptysisRCPSC EM

A 59-year-old man with bronchiectasis coughs up 350 mL of bright red blood in the ED. He is tachypnoeic, oxygen saturation is 84%, blood pressure is 102/60 mmHg, and bleeding seems worse from the right side on bronchoscopy history. After initial airway protection, What is the most appropriate investigation?

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Correct answer: E — CT angiography of the chest to localise bleeding and plan embolisation

After immediate airway and resuscitation priorities, CT angiography helps localise the bleeding source and plan bronchial artery embolisation in massive haemoptysis.

Reference: Canadian emergency respiratory practice; critical care airway guidance