Review Question - QID 212753

A 68-year-old man presents to the emergency department after coughing up blood for the past hour. The patient has a past medical history of chronic obstructive pulmonary disease and hypertension and has poor medical follow up. His temperature is 100°F (37.8°C), blood pressure is 177/98 mmHg, pulse is 110/min, respirations are 19/min, and oxygen saturation is 90% on room air. A chest radiograph is obtained as seen in Figure A. The patient is admitted to the hospital and over the next 24 hours coughs up roughly 650 mL of blood. The patient is intubated and bronchoscopy is not successful in stopping the bleeding. The patient’s pulse is currently 120/min. Which of the following is the best next step in management?