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.


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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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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A 68-year-old with wheezing


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