EM Respiratory Emergencies

Question 1

when do you intubate

Answer 1

airway protection
cant oxygenate
cant ventilate
expected clinical course

Question 2

what is the treatment of tension pneumo

Answer 2

decompression

Question 3

what is the treatment of cardiac tamponade

Answer 3

pericardiocentesis

Question 4

what is the treatment of pneumo

Answer 4

chest tube (depending on size)

Question 5

what is the presentation of pleural effusion

Answer 5

depends on size and pts underlying hemodynamics
- sob
- pleuritic pain
- can progress to decreased ventilation

dullness to percussion
pleural friction rubs if inflammatory

Question 6

what are the most common causes of Pleural effusion

Answer 6

CHF, malignancy, infection

Question 7

where do we insert thracostomy needle

Answer 7

5th intercostal space mid or anterior axillary line

Question 8

what is the most common bacterial cause of pneumonia

Answer 8

streptococcus pneumoniae
- gram (+)
H.influenza
- gram(-), often in pts with underlying pulmonary disease
Mycoplasma pneumonia
- walking pneumonia, associated with otitis media and pahryngitis

Question 9

what is the treatment of pneumonia

Answer 9

doxycycline for outpt
if complication: augmentin or ceftriaxone + macrolide/fluroquinolone

Question 10

what are risk for aspiration pneumonia

Answer 10

ETOH
poor detition
neuromuscular disorder

Question 11

what is the treatment of aspiration pneumonia

Answer 11

ceftriaxone and azithromycin or respiroary quinolones