05.01.2022 - By Zack Olson, MD and Michael Estephan, MD
You are working at Clerkship General when you are called to the resuscitation bay for a 55yo M presenting in respiratory distress.
Initial Vitals
* Temp 99.9* HR 110* RR 22* BP 122/82* O2 82% on BiPAP 10/5 100%FiO2
Critical Actions
* Correctly interpret CXR #1 (multifocal PNA)* Correctly interpret CXR #2 (bilateral PNTX)* Treat with Oseltamivir* Troubleshoot vent alarm#1 (increase sedation)* Troubleshoot vent alarm#2 (place bilateral chest tubes)
Further Reading:
Acute Exacerbation of COPD – EMCrit
COPD – EM@3AM