Pre-hospital improvised bronchodilator therapy of a patient on bi-level positive airway pressure therapy
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Keyword
Emergency Medical ServicesNon-invasive Positive Pressure Ventilation
Paramedic Practice
Pulmonary Disease, Chronic Obstructive
Continuous Positive Airway Pressure
Journal title
Journal of Paramedic Practice
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Patients suffering acute breathlessness is a common emergency situation, many patients with airways disease require bronchodilator therapy with β-agonists. To assist the management of these cases paramedics use guidelines drawn up by the Joint Royal Colleges Ambulance Liaison Committee (JRCALC). They provide guidance on the management of most situations paramedics are likely to encounter. However, there will be occasions when paramedics are called to deal with a situation which is outside of their experience and the JRCALC guidelines do not provide the appropriate guidance required to fully inform clinical decision making. In the UK telephone support from a physician skilled in the specific discipline they require is generally not available, so paramedics have become skilled at improvising. This case study describes such an improvisation, in the management of acute breathlessness in a patient who is on home bi-level positive airway pressure (BiPAP) therapy. Abstract published with permission.ae974a485f413a2113503eed53cd6c53
10.12968/jpar.2012.4.4.208
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