RT Book, Section A1 Patel, Niral Mukund A1 Musani, Ali A1 Albert, Richard K. A2 Schmidt, Gregory A. A2 Kress, John P. A2 Douglas, Ivor S. SR Print(0) ID 1201804082 T1 Massive Hemoptysis T2 Hall, Schmidt and Wood’s Principles of Critical Care, 5th Edition YR 2023 FD 2023 PB McGraw Hill PP New York, NY SN 9781264264353 LK accesssurgery.mhmedical.com/content.aspx?aid=1201804082 RD 2024/10/05 AB KEY POINTSEnsure 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, utilizing local Interventional Pulmonology experts and resources if available.Interventional radiology-guided bronchial artery embolization is effective and should be performed after initial stabilization.Surgery is required in rare circumstances.