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Massive haemoptysis — RCPSC EM MCQ

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HardRespiratory emergenciesMassive haemoptysisRCPSC EM

A 67-year-old smoker presents with massive haemoptysis, estimated 300 mL in the ED. BP is 112/70, HR 118, SpO2 90%, and chest X-ray shows right upper lobe opacity. He is currently protecting his airway. What is the most appropriate investigation?

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Correct answer: A — CT angiography of the chest after airway planning

Massive haemoptysis requires airway planning, lateral positioning with bleeding lung dependent when known, and CTA/bronchoscopy planning to localise bleeding and guide embolisation.

Reference: CAEP Clinical Practice Guidelines