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Medical: 5 Pulmonary: 1

      • (5)

        Oxygen toxicity

      • (6)

        Trauma

      • (7)

        Pneumonia

      • (8)

        Respiratory Infection

  • 2.

    Findings

    • a)

      Shortness of breath

    • b)

      Rapid breathing

    • c)

      Inadequate oxygenation

    • d)

      Decreased lung compliance

  • 3.

    Interventions

    • a)

      Airway management

    • b)

      Oxygen administration

      • (1)

        Mechanical ventilation

      • (2)

        PEEP

    • c)

      Improving underlying condition

    • d)

      Removing the cause

    • e)

      Suction prn

B.

Obstructive airway diseases

  • 1.

    A spectrum of diseases which affect a substantial number of individuals worldwide

  • 2.

    Diseases include asthma and COPD (which includes emphysema and chronic bronchitis)

3.

Epidemiology

  • a)

    Morbidity/ mortality

    • (1)

      Overall

    • (2)

      Asthma - 4-5% of US population

    • (3)

      20% of adult males have chronic bronchitis

  • b)

    Causative factors

  • (1)

    Cigarette smoking

  • (2)

    Exposure to environmental toxins

  • (3)

    Genetic predisposition

c)

Factors which may exacerbate underlying conditions

  • (1)

    Intrinsic

    • (a)

      Stress is a significant exacerbating factor, particularly in adults

    • (b)

      Upper respiratory infection

    • (c)

      Exercise

(2)

Extrinsic

4.

      • (a)

        Tobacco smoke

      • (b)

        Allergens (including foods, animal danders, dusts, molds, pollens)

      • (c)

        Drugs

      • (d)

        Occupational hazards

  • d)

    Prevention strategies

    • (1)

      Smoking prevention, particularly for youth

    • (2)

      Stop smoking for existing smokers

    • (3)

      Control of air pollution

    • (4)

      Provision of smoke-free workplaces and public locations

Anatomy and physiology review

a) b)

Ventilation disorders O b s t r u c t i o n o c c u r s i n t h e b r o n c h i o l e s , a n d m a y b e t h e r e s u l t o f

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───────────────────────── United States Department of Transportation National Highway Traffic Safety Administration Paramedic: National Standard Curriculum

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