Upper airway obstruction:
Cough (“barking,” productive)
Difficulty swallowing or handling oral secretions
Upper airway rhonchi (wheezes)
Assume a position of comfort for patient.
Assisted bag-valve mask (BMV) ventilation if obtunded
Airway adjunct devices (oral or nasal) to maintain patency if tolerated
Continued supplemental oxygen requirement
Cardiac or hemodynamic instability:
Requiring IV therapy or hydration
Requiring close airway observation or repeated treat...
Consider immune-compromised state.
Consider “novel” flu strains (H1N1).
Start antibiotic treatment within 6 hr of ED arrival (JCAHO Quality Measure).
Ausiello D, Goldman L, eds. Cecil Textbook of Medicine. 22nd ed. Philadelphia, PA: WB Saunders; 2004:492–583, 1523–1524.
Barton ED, Collings J, DeBlieux PMC, et al., eds. Emer...
786.00 Respiratory abnormality, unspecified
786.05 Shortness of breath
786.09 Other respiratory abnormalities
464.30 Acute epiglottitis without mention of obstruction
490 Bronchitis, ...
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