Management

1. Three Goals of Therapy
   • prevent asphyxiation
   • stop bleeding
   • treat primary disease
2. Airway Control
   • supplemental oxygen
   • positioning
   • cough control
   • endotracheal intubation a. selective intubation
3. Volume Resuscitation
4. Laboratory Evaluation
   • hematocrit
   • platelet count
   • coagulation profile
   • arterial blood gas, if appropriate
   • renal function testing
   • type and crossmatch blood
   • smear, culture and cytology of sputum
   • DLCO for pulmonary hemorrhage