7 results
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
Flail Chest- Check ... movement Typical management ... Swaminathan @EMSwami #Flail ... Video #Clinical #PhysicalExam ... #Pulmonary #Respiratory
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
of Acute Exacerbation ... of COPD (AECOPD ... newly diagnosed COPD ... MatthewHoMD #COPD ... #treatment #pulmonary
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
COPD Physical Exam ... LR 11.8 Early inspiratory ... SatyaPatelMD #COPD ... #PhysicalExam # ... LRs #diagnosis #pulmonary
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Rapid Response Management ... pneumothorax, COPD ... MG, ALS) • ↓ chest ... compliance (e.g., flail ... chest, kyphoscoliosis
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In COPD, decreases ... exacerbation (cardiogenic pulmonary ... edema) • COPD ... patients (ie., CHF or COPD ... #criticalcare #management
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
disease, pleuritic chest ... typically at the medullary ... bronchitis, and COPD ... Breathing #Patterns #Pulmonary ... Abnormal #Diagnosis #PhysicalExam
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Chest Pain Diagnosis ... and Management ... Limb ischemia Pulmonary ... Pneumothorax: - Hx: Acute ... , Dyspnea, H/O COPD