An Unusual Case of Shortness of Breath
2017; Elsevier BV; Volume: 36; Issue: 3 Linguagem: Inglês
10.1016/j.amj.2017.02.007
ISSN1532-6497
AutoresRichard J. Moody, Sarah E. Fabiano,
Tópico(s)Pleural and Pulmonary Diseases
ResumoAirMed Regional (Greenville, SC) fixed wing was requested for an interfacility transport of an adult to a larger tertiary care center. The patient reportedly had a nontraumatic diaphragmatic rupture, with most of her left lung compressed by abdominal contents. Additionally, she was not intubated and exhibited an oxygen saturation of 70% on 15 L/min fraction of inspired oxygen via a nonrebreather mask. The staff at the referral hospital did not want to intubate because of excessive pressure being applied to the gastric contents. This posed a challenge for all emergency medical service (EMS) providers involved, both ground and air. Richard J. Moody, RN, BSN, CEN, is a flight nurse at AirMed Regional. Sarah E. Fabiano, MD, FACEP, FAAEM, is an emergency physician and medical director at GHS Med Trans and Greenville AirMed Regional and can be reached at [email protected]
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