RT Book, Section A1 Benson, Alexander A1 Albert, Richard K. A2 Hall, Jesse B. A2 Schmidt, Gregory A. A2 Kress, John P. SR Print(0) ID 1107719269 T1 Massive Hemoptysis T2 Principles of Critical Care, 4e YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 9780071738811 LK accesssurgery.mhmedical.com/content.aspx?aid=1107719269 RD 2024/04/19 AB Ensure proper oxygenation and secure the patient’s airway if necessary.Correct coagulation abnormalities.Localize bleeding with bronchoscopy (unstable patient) or CT scan (stable patient) and position the bleeding site in a dependent position.In unstable, hypoxemic patients consider urgent bronchoscopy for suctioning, endobronchial hemostatic therapy and balloon tamponade.Interventional radiology-guided bronchial artery embolization is effective and should be performed after initial stabilization.Surgery is required in rare circumstances.