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Pulmo Emergencies


pneumothorax s/s dyspnea, ipsilateral pleuritic CP; tension PTX = hypotension, tracheal deviation, elevated JVP
PTX tx needle or tube thoracostomy
tension PTX tx needle decompression: 14-ga IV cath into 2nd intercostal space, midclav line
PE EKG S1 Q3 T3; sinus tach, nonspecific TW changes; RAD, new RBBB, TWI in v1-v4
PE tx heparin
PE PE tachy/tachy, dyspnea, pleuritic CP, rales, wheezes, hemoptysis, syncope, anxiety, loud P2, S3/S4 gallop, cyanosis
Asthma tx O2; B2 agonists (neb or MDI); poss neb anticholinergics, steroids
Typical pneumonia bugs SP, SA, H flu, PA
Atypical pneumonia bugs mycoplasma, Chlamydia pneumo, Legionella
pneumonia PE tachy/tachy, febrile; fremitus, dull to percussion, egophony, rales; poss decreased breath sounds
PORT scores predicts M&M for: pneumonia
Created by: Adam Barnard Adam Barnard