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Friday Night Lights: Shift 11 – The Silence that Lurks Beneath
Although the reported symptom was difficulty breathing, the issue may not always stem from the respiratory system itself.
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Typically, patients with emphysema have good lung compliance but exhibit poor lung elastance.

Given the overwhelming evidence of improved outcomes, prehospital CPAP belongs in every EMS toolbox.

This paper provides an overview of pulmonary hypertension in the prehospital setting, including pathophysiology and identification.

Why the early application of high-flow nasal cannula in the appropriate patient population is an ideal way to meet the patient's inspiratory flow demand.

Acute respiratory distress is a serious emergency. Good patient outcomes require a skilled assessment of the airway, breathing and oxygenation.

This column will explain how you can use end tidal CO2 measurements to titrate and evaluate the effectiveness of CPAP.

Years ago, I authored an article in the Wisconsin EMS Association Journal titled “CPAP for Everyone.” At that time, “everyone” meant “everyone with respiratory distress.”

Knowing how much oxygen is in the tank could be a matter of life and death.

As a kid growing up in Fort Worth, Texas I had little interest in ambulances or medicine. I do remember one thing about the ambulances in the late 1960s in that they always had signs on the side that stated “oxygen equipped" in big letters.

Once you’ve decided to use CPAP, and convinced your patient to cooperate, you’ll need to monitor the effectiveness of CPAP. It may be necessary to adjust your CPAP pressure, resolve significant mask leaks, reassure your patient or progress to assisted ventilation when CPAP fails.

Mike Brown and Mark Litwinko discuss dealing with a patient who has a chest wound during a mass-casualty incident.

Mike McEvoy shares some tips on delivering medicine to a patient for using a small-volume nebulizer.
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