Massive hemoptysis is defined by most as the expectoration of > 600 ml in 24 hrs
Chronic lung inflammatory disease and bronchogenic CA are the most common causes in the US
TB remains the most common cause worldwide
The bronchial artery causes approximately 90% of cases
Get a STAT portable and place the patient in the lateral decubitus position toward the affected side (this is theorectical and has not been proven)
Options for bleeding control can include endobronchial tamponade methods(pulmonary), bronchial artery embolization (interventional radiology), and emergent surgical resection (surgery)
Bronchial artery embolization is now the most successful non-surgical treatment of massive hemoptysis
