Breathe It All In

Breathe It All In

Thorough Assessment is Crucial in Patients with Respiratory Distress By Dennis Edgerly A 48-year-old male sits in his bedroom, sitting up and leaning forward. As you approach him, he tells you he can’t catch his breath. He’s in obvious distress, but is able to tell you his shortness of breath began this morning and has [...]
Common Conditions Misdiagnosed as Asthma

Common Conditions Misdiagnosed as Asthma

By Dennis Edgerly, EMT-P | Paramedic Education Coordinator
As you enter the house your patient looks at you anxiously. He’s sitting upright, leaning forward. You note circumoral cyanosis and obvious respiratory distress as he attempts to speak. As you approach, you place him on oxygen with no relief. Upon auscultation of his chest, you note wheezing throughout his lung fields. You and your partner begin to administer a common bronchodilator albuterol when you remember — all that wheezes is not asthma.

A Modern Approach to Basic Airway Management

A Modern Approach to Basic Airway Management

By Andrew Merelman, BS, NRP, FP-C , Richard Levitan, MD, FACEP
You arrive on scene and find a 68-year-old man is lying on the couch with difficulty breathing. He’s obese and obtunded, with severe respiratory distress. His wife tells you he has a history of congestive heart failure. He appears pale and diaphoretic, with snoring, slow, shallow breaths and his initial oxygen saturation is 72%. What are the most important first steps in managing his airway and breathing?

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