Rainy Zhang, our wonderful PGY-3 presented a case of non-massive hemoptysis. Massive hemoptysis is defined as >150cc in 24 hours. If massive, remember to:
- Put the affected lung down
- Do your ABCs and call IR early
- Temporize with inhaled TXA
- Bronchoscopy can be done to localize the bleed
If non massive hemoptysis, think about vasculitis work up – especially with multi-organ involvement. We will go over this case further next week.