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.
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?”