skip to main content

Massive haemoptysis threatening airway — RCPSC EM MCQ

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

HardRespiratory emergenciesMassive haemoptysis threatening airwayRCPSC EM

CTAS 1: A 57-year-old with bronchiectasis coughs bright red blood filling a kidney basin. Vitals are BP 104/62, HR 128, RR 32, SpO2 86%. The left chest has coarse crackles and CXR shows left upper-lobe cavitation. He is tiring and cannot clear secretions. What is the most appropriate next step?

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

Reveal the answer and explanation

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

Massive haemoptysis kills by asphyxiation. Protect the non-bleeding lung by positioning bleeding side down and securing an airway suitable for bronchoscopy.

Reference: Canadian airway emergency practice; critical care haemoptysis guidance