A 26-year-old man with cystic fibrosis presents with haemoptysis of about 300 mL over one hour. He is tachycardic, oxygen saturation is 90% and chest

Question

A 26-year-old man with cystic fibrosis presents with haemoptysis of about 300 mL over one hour. He is tachycardic, oxygen saturation is 90% and chest radiograph shows right upper-lobe bronchiectatic change. Haemoglobin is 112 g/L. What is the most appropriate initial management?

Accepted Answer

Massive haemoptysis from bronchiectasis

Answer

Spontaneous pneumomediastinum

Answer

Minor epistaxis swallowed overnight

Answer

Pulmonary contusion without trauma

Answer

Viral pharyngitis

Massive haemoptysis — RCPSC EM MCQ

A 26-year-old man with cystic fibrosis presents with haemoptysis of about 300 mL over one hour. He is tachycardic, oxygen saturation is 90% and chest radiograph shows right upper-lobe bronchiectatic change. Haemoglobin is 112 g/L. What is the most appropriate initial management?