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
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