EM Clerkship

Round 13 (MW) Respiratory Distress


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You are working at Clerkship General when you hear an EMS call: “Clerkship General, we are bringing you a young female in respiratory distress. ETA 2 minutes”



Initial Vitals:




HR: 123



BP: 142/78



Temp: Unknown



RR: 36



O2: 97% (NonRebreather)




Critical Actions:




* Give Albuterol, Steroids, and Magnesium



* Give either Epinephrine or Terbutaline



* Post Intubation Checklist: Sedation, Tubes, and Xray



* Choosing Appropriate Vent Settings



* Allow permissive hypercapnia

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EM ClerkshipBy Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD