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EM Respiraoty Emer

Emergency Medicine, Respiratory Emergencies

QuestionAnswer
Recognizing the pt in respiratory distress: subjective complaints - Dyspnea "breathlessness""air hunger"; Cough, hemoptysis, choking, only 1-2 word sentences
Recognizing the pt in respiratory distress: the observational/objective findings tachypnea, tachycardia, strido, accessory muscle use, inability to speak, agitation, paradoxical movement of chest wall
Rapid PE includes: Oropharynx-appearance of uvula, fb; Neck-tracheal deviation, distended neck veins, stridor; Cardiac-R&R; Chest Exam-Equal rise, s/o trauma and Pulmonary-rales, crackeles, wheezing, equal breath sounds; Skin-color, temperature, diaphoresis
Hypoxia arbitrarily defined as Pa02<60mmHg; correlates with 02 sat of 90%
Flail Chest Segmental fracture of 3 or more adjacent ribs in two or more places of each individual rib. Result is a 'paradoxical respiration'. Flail segment is drawn in during inspiration, and pushed out during expiration
Resultant clinical outcomes of flail chest hypoxia: inefficient gas exchange due to paradoxical chest wall movement; Respiratory failure - from muscle fatigue and decreased tidal volume
Created by: ltm12
 

 



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