Patient Placement
Placing patient with affected lung down may actually worsen V-Q mismatch
Some advocate for prone positioning
Intubation
Use 8-0 tube to allow for subsequent bronchoscopy
If possible can selectively intubate the unaffected bronchus to prevent aspiration
After tube passes through cords rotate 90degrees left or right and advance
Can also use coude tip of bougie
Coagulopathy
FFP
Emergent bronchoscopy or embolization for life-threatening hemorrhage
Nebulized TXA 500 mg tid
Pediatric: used in report
IV TXA may reduce in-hospital mortality, length of stay, and total healthcare costs
Absolute in-hospital mortality reduction was 2.5% in the retrospective study of nearly 20,000 patients
No particular dosing regimen, but in this study, no association was found between TXA and seizures, in part per the authors, due to most patients receiving no more than 2 g of TXA total
Placing patient with affected lung down may actually worsen V-Q mismatch
Some advocate for prone positioning
Use 8-0 tube to allow for subsequent bronchoscopy
If possible can selectively intubate the unaffected bronchus to prevent aspiration
After tube passes through cords rotate 90degrees left or right and advance
Can also use coude tip of bougie
After tube passes through cords rotate 90degrees left or right and advance
Can also use coude tip of bougie
Can also use coude tip of bougie
FFP
Pediatric: used in report
Absolute in-hospital mortality reduction was 2.5% in the retrospective study of nearly 20,000 patients
No particular dosing regimen, but in this study, no association was found between TXA and seizures, in part per the authors, due to most patients receiving no more than 2 g of TXA total
Angle head down with affected lung low
Consider angio embolization
Consider intubation with >8.0 (for bronch)
Hemoptysis
Epistaxis
Tracheostomy bleeding
Oropharynx bleeding
Chest wall pain
Hematemesis
Chest pain 
Infectious