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|
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|
|
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| |
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Acute respiratory distress
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| |
| |
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YES
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NO
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|
|
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| |
|
-Agitation
-AMS
-Diaphoresis
-Retractions
-Fragmented speech
-Inability to lay supine
Trauma
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| |
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Attain detailed history
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| |
|
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YES
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NO
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|
|
|
|
| |
|
Immediate management
|
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General exam
|
|
-Past history
-Prior intubation
-Historical features
-Timing
-Severity
-Chest pain
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| |
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-O2
-Determine need for airway
-Establish likely cause
-IV access
-ECG
-CXR
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-RR
-Pulse ox
-Vitals
-Breath sounds
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Ancillary tests
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| |
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| |
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Disposition
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-CXR
-ECG
-Cardiac enzymes
-BNP
-D-Dimer
-ABG/VBG
-CO2 monitoring
-Chest CT
-V/Q scan
-PFT/peak flow
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| |
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Improved/stable
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No improvement/Unstable
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Worsening condition or critical condition
|
| |
|
|
YES
|
NO
|
YES
|
|
YES
|
|
|
| |
|
Home with follow up instructions
|
|
Admit to hospital floor
|
|
Admit to ICU
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| |
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Dyspnea Management
