Sudden Shortness of Breath

In case you didn’t encounter a sudden shortness of breath today!

A 23-year-old male patient presented with sudden onset SOB and chest pain. BP: 121/68 mmHg, HR: 102 bpm, RR: 22/min, T: 37, SpO2: 93% in room air. He has no history of disease. On the exam, you appreciated a decreased breath sound on the left and checked the thorax with bedside ultrasound. Here are the ultrasound findings of the patient.

What is your next action?

624.5 - Figure 5_Lung Point on M Mode

iEM Education Project Team uploads many clinical picture and videos to the Flickr and YouTube. These images are free to use in education. You can also support this global EM education initiative by providing your resources. Sharing is caring!

Assessing Pneumothorax Size

Selected Pulmonary Emergencies

Pulmonary/Respiratory Emergencies selected from SAEM and IFEM undergraduate curriculum are uploaded into the website. You can read, all these chapters freely. More specific disease entities are on the way.

Asthma

by Ayse Ece Akceylan Case Presentation A 50-year-old male with a history of asthma presents to the emergency department (ED) with shortness of breath, tachypnea,

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Pneumonia

by Mary J. O. Case Presentation A 74-year-old male with a history of hypertension and diabetes presented to the emergency department with a cough productive

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Spontaneous Pneumothorax

by Mahmoud Aljufaili Introduction Pneumothorax refers to the presence of air in the pleural cavity. It can impair oxygenation/ventilation. There are two types of spontaneous pneumothorax

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Do you need more?

Pneumonia is just uploaded!

377.1 - pneumonia1

Pneumonia chapter written by Mary J O from USA is just uploaded to the Website!

Asthma is just uploaded!

Inhaler

Asthma chapter written by Ayse Ece Akceylan from Turkey is just uploaded to the Website!

A 68-year-old with wheezing

copd

Chronic Obstructive Pulmonary Disease (COPD)

by Ramin Tabatabai, David Hoffman, and Tiffany Abramson, USA

A 68-year-old male presents to the emergency department (ED) with audible wheezing, and he is in severe respiratory distress. He is speaking in 2-3 word sentences, and he is diaphoretic and slightly confused. Per the paramedic report, the patient is a two pack per day smoker. On physical examination, the patient demonstrates poor air movement, and you note that he has a “barrel chest.” As you pick up the phone to call the respiratory therapist for airway management, you wonder, “What other interventions should I initiate and are there other diagnoses I should be considering?”

What is the value of BiPAP on COPD?

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BiPAP on COPD

The use of BiPAP led to decreased mortality (NNT=10), reduction in treatment failure (NNT=5) and decreased need for intubation (NNT=4).
Answer