Round 33 (Respiratory Distress)

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