Hemoptysis Grading & Management — free guideline decision tool
This tool grades hemoptysis severity, recognizes massive hemoptysis, and frames the emergency management pathway.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
Runs in your browser
No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Severity | Moderate (100–300 mL/24 h) |
|---|
→HemoptysisModerate hemoptysis
- Management：Admit and monitor, establish IV access, correct coagulation (TXA if needed); CT angiography for localization, bronchoscopy for evaluation
- Escalation plan：Have airway and suction ready at the bedside; if bleeding worsens, follow the massive-hemoptysis pathway
- Basis：Massive hemoptysis resuscitation and bronchial artery embolization literature (threshold definitions vary slightly between sources)
| Severity | Small volume (blood streaks/blood-tinged sputum, < 100 mL/24 h, no respiratory/circulatory involvement) |
|---|
→HemoptysisSmall-volume hemoptysis
- Management：Outpatient/ward evaluation, mostly conservative; find the cause (chest X-ray/CT, sputum tests, coagulation); treat the underlying disease (infection/bronchiectasis/tumor, etc.)
- Note：Exclude upper GI bleeding and an upper-airway source; assess bleeding risk in those on anticoagulants/antiplatelets
- Basis：Massive hemoptysis resuscitation and bronchial artery embolization literature (threshold definitions vary slightly between sources)
Common questions
What is Hemoptysis Grading & Management?
This tool grades hemoptysis severity, recognizes massive hemoptysis, and frames the emergency management pathway.
How is Hemoptysis Grading & Management calculated? What is the core formula?
Small-volume → conservative workup. Moderate → admit, monitor, localize. Massive (> 300–600 mL/24 h or respiratory failure/instability) → airway first, bleeding-side-down positioning, coagulation correction, CTA/bronchoscopy, bronchial artery embolization (first-line) or surgery.
When is Hemoptysis Grading & Management used?
Use to triage from conservative workup for small-volume bleeding to the airway-first resuscitation and embolization pathway for massive hemoptysis.
What are the key clinical points for Hemoptysis Grading & Management?
Death in massive hemoptysis is mostly from asphyxiation rather than exsanguination, so airway protection and positioning take priority over volume replacement. (original synthesis · not guideline verbatim) Bronchial artery embolization is the first-line definitive treatment, with surgery reserved for focal disease where it fails. An upper-GI or upper-airway source is excluded before attributing bleeding to the lungs.
What are the limits and cautions when using Hemoptysis Grading & Management?
For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
Does Hemoptysis Grading & Management upload patient data? Where is it calculated?
Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
How is Hemoptysis Grading & Management calculated in practice? Can you show a worked example?
Inputs: Severity Moderate (100–300 mL/24 h) → Result: Hemoptysis Moderate hemoptysis（Management: Admit and monitor, establish IV access, correct coagulation (TXA if needed); CT angiography for localization, bronchoscopy for evaluation, Escalation plan: Have airway and suction ready at the bedside; if bleeding worsens, follow the massive-hemoptysis pathway, Basis: Massive hemoptysis resuscitation and bronchial artery embolization literature (threshold definitions vary slightly between sources)） Inputs: Severity Small volume (blood streaks/blood-tinged sputum, < 100 mL/24 h, no respiratory/circulatory involvement) → Result: Hemoptysis Small-volume hemoptysis（Management: Outpatient/ward evaluation, mostly conservative; find the cause (chest X-ray/CT, sputum tests, coagulation); treat the underlying disease (infection/bronchiectasis/tumor, etc.), Note: Exclude upper GI bleeding and an upper-airway source; assess bleeding risk in those on anticoagulants/antiplatelets, Basis: Massive hemoptysis resuscitation and bronchial artery embolization literature (threshold definitions vary slightly between sources)）
Run Hemoptysis Grading & Management now
This tool grades hemoptysis severity, recognizes massive hemoptysis, and frames the emergency management pathway.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.
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