What is the BEST position in which to place a patient with massive hemoptysis?

What is the BEST position in which to place a patient with massive hemoptysis?

A) Affected side up

B) Affected side down

C) Trendelenburg

D) Reverse Trendelenburg

E) None of the above

The answer is A.

Of the listed tests, PEFR is the most helpful at the bedside in an ED.

Both PEFR and FEV1 are useful in assessing the severity of an asthma attack and the adequacy of the response to treatment.

However, FEV1 is difficult to perform at the bedside in an acutely ill patient, and FVC is poorly tolerated because of the need to forcefully exhale the entire vital capacity.

Arterial blood gas measurement has limited use, particularly with the advent of pulse oximetry and the emergence of noninvasive ETCO2 monitors.

The decision to intubate an asthma patient should be based on clinical grounds, not on blood gas results.