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Massive haemoptysis — RCPSC EM MCQ

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HardRespiratory emergenciesMassive haemoptysisRCPSC EM

A 54-year-old with bronchiectasis coughs 400 mL bright red blood in the ED. SpO2 is 86%, BP 106/70, CXR shows right upper-lobe opacity, and bleeding seems right-sided. What is the most appropriate next step?

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Correct answer: A — Position right side down, protect the airway, resuscitate, and involve interventional radiology/respiratory urgently

Massive haemoptysis threatens airway first; lateral positioning with bleeding side down, airway planning and definitive bronchial artery management are priorities.

Reference: Canadian respiratory emergency practice; airway management principles