RT Book, Section
A1 Broderick, Kerryann B.
A1 W. Zhan, Jennifer
A2 Hung, Orlando R.
A2 Murphy, Michael F.
SR Print(0)
ID 1146617489
T1 Patient with Deadly Asthma Requires Intubation
T2 Hung's Difficult and Failed Airway Management, 3e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9781259640544
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1146617489
RD 2024/04/16
AB Emergency  Medical  Service  (EMS)  presents  with  a  26-year-old  male  who  is  agitated  and  combative,  in  severe  respiratory  distress.  Per  EMS  report,  he  has  a  history  of  asthma,  and  bystanders  found  him  in  severe  respiratory  distress  after  using  crack  cocaine.  He  has  been  intubated  in  the  past  for  his  asthma,  often  triggered  by  cocaine  use,  most  recently  2  months  ago  during  which  he  spent  a  week  in  the  intensive  care  unit  (ICU).  He  arrives  at  the  emergency  department  (ED)  after  an  EMS  transport  of  15  minutes  during  which  he  has  been  receiving  continuous  aerosolized  albuterol  via  a  nebulizer.  He  required  restraints  en  route,  is  screaming  in  one-  to  two-word  sentences  on  arrival,  and  is  thrashing  around  the  bed.