The Internet Book of Critical Care Podcast IBCC Episode 46 - Massive Hemoptysis
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Jul 25, 2019 This podcast discusses an approach to patients with Massive Hemoptysis, focusing on securing the airway, protecting the good lung, and CT scan as the first step. It also covers causes and management of massive hemoptysis, imaging modalities, intubation challenges, the role of bronchoscopy in diagnosis, and treatment options.
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Cause of Death in Massive Hemoptysis
- In massive hemoptysis, patients die from asphyxiation due to blood in their lungs, not blood loss.
- The goal is to keep blood out of the good lung and contain it in the bad lung to preserve respiratory function.
Confirming Hemoptysis
- Focus on stopping the bleeding in massive hemoptysis cases.
- Ensure the bleeding is from the lungs and not another source like the nose or GI tract.
Triage for Massive Hemoptysis
- Consider factors like accelerating bleeding, structural lung disease, underlying conditions, and hypoxemia.
- Don't solely focus on the volume of blood for triage decisions in massive hemoptysis.