skip to main content

Massive haemoptysis — RCPSC EM MCQ

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

HardRespiratory emergenciesMassive haemoptysisRCPSC EM

CTAS 1. A 58-year-old with bronchiectasis coughs 300 mL of bright blood in the resuscitation bay. SpO2 is 88%, BP 104/66, and bleeding is thought to arise from the right lung on bedside bronchoscopy. Two large-bore IVs are placed. 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 right side down and secure airway

Massive haemoptysis is an airway emergency; placing the bleeding lung dependent reduces contamination while preparing definitive airway and embolization or bronchoscopy.

Reference: Canadian Airway Focus Group recommendations; Tintinalli's Emergency Medicine