Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign body
 • Angioedema
 • Subglottic stenosis
 • Epiglottitis
 • Vocal cord dysfunction
 • Extrinsic compression (e.g., hematoma, tumor)

Crackles / ↓ Air Movement - Lower airway pathology:
 • Blood: diffuse alveolar hemorrhage
 • Pus: pneumonia
 • Water: pulmonary edema
 • Air: pneumothorax, COPD/asthma
 • Pleural disease
 • Severe atelectasis
 • Lung fibrosis

RR < 12 /  shallow breathing - Hypoventilation:
 • CNS depression (e.g., opioids, OHS, toxic metabolic encephalopathy, central sleep apnea)
 • Neuromuscular disorders (e.g., GBS, MG, ALS)
 • ↓ chest wall compliance (e.g., flail chest, kyphoscoliosis)

By Matthew Ho, MD PhD @MatthewHoMD, Clement Lee, MD @ClementLeeMD, Sophia Hayes MD @Sophia_Hayes_MD

#Hypoxemia #Hypoxia #differential #Diagnosis #Management #Algorithm #rapid #pulmonary
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