Unrecognized severe anemia in children presenting with respiratory distress Thomas M Hetzel, Joseph D Losek
DOI: http://dx.doi.org/10.1016/S0735-6757(98)90135-8
The American Journal of Emergency Medicine , Vol. 16 , Issue 4 ,
Published in issue: July 1998
x The cases of four children who presented with respiratory distress unresponsive to bronchodilator treatment and who were subsequently diagnosed with severe anemia were retrospectively reviewed from charts at a children's hospital with 110 beds and an emergency department census of 32,000 per year. The four children, age range 11 months to 2 years, each initially presented with tachypnea. Three had wheezing, three were pale, and each received outpatient bronchodilator treatment. Three to 4 days later, each patient was hospitalized for continued respiratory distress.
Respiratory failure due to subglottic stenosis from relapsing polychondritis Christopher C. Lee, Adam J. Singer
DOI: http://dx.doi.org/10.1016/j.ajem.2006.02.016
The American Journal of Emergency Medicine , Vol. 24 , Issue 6 ,
Published in issue: October 2006
x Relapsing polychondritis, an uncommon, chronic, multisystem, presumably autoimmune disorder characterized by recurrent episodes of inflammation of cartilaginous tissues, can be a life-threatening disease which is difficult to diagnose in the ED. Airway complications of relapsing polychondritis including tracheobronchial stenosis can be fatal. We present a case of respiratory failure due to subglottic stenosis from relapsing polychondritis that resulted in a fatal outcome despite appropriate emergency care measures.
Pediatric hemoptysis with pulmonary hemorrhage and respiratory failure: A case report Adam P. Dine, Sandra L. Werner
DOI: http://dx.doi.org/10.1016/j.ajem.2007.10.035
The American Journal of Emergency Medicine , Vol. 26 , Issue 5 ,
Published in issue: June 2008
x Hemoptysis is a rare complaint in the pediatric population. It is most commonly of infectious etiology and is rarely life threatening. However, there are rare life-threatening causes of pediatric hemoptysis, which should be included in the differential diagnoses of children presenting to the emergency department (ED) with this complaint.
Unusual cause of acute respiratory distress:Gonococcal endocarditis Sanjay Kholwadwala, Eric Benink
DOI: http://dx.doi.org/10.1053/ajem.2000.7360
The American Journal of Emergency Medicine , Vol. 18 , Issue 4 ,
Published in issue: July 2000
x Before the 1940s, Neisseria gonorrhoeae accounted for up to 25% of all endocarditis cases. Today, despite an increasing incidence of gonococcal (GC) infections, GC endocarditis is a rare complication of disseminated gonorrhea. We recently treated a 22-year-old sexually active man with acute dyspnea and pulmonary edema secondary to GC endocarditis.
Extravascular thermal lung volume and cardiopulmonary indices in severe acute respiratory failure in relation to prognosis : Kuramoto T, Fujii Y, Nishiyama Y, et al. Jpn J Acute Med 1988;12:887–892
DOI: http://dx.doi.org/10.1016/0735-6757(89)90100-9
The American Journal of Emergency Medicine , Vol. 7 , Issue 1 ,
Published in issue: January 1989
Pheochromocytoma presenting as massive hemoptysis and acute respiratory failure Takeshi Yoshida, Hideki Ishihara
DOI: http://dx.doi.org/10.1016/j.ajem.2008.08.023
The American Journal of Emergency Medicine , Vol. 27 , Issue 5 ,
Published in issue: June 2009
x Massive hemoptysis, an extremely life-threatening condition with a high mortality, requires prompt diagnosis. Pheochromocytoma describes various clinical manifestations attributable to the excessive secretion of catecholamine by the tumor, however the disease is not typically included the differential diagnoses of massive hemoptysis. We describe a case of a 33-year-old man with acute respiratory failure due to cardiovascular crisis and massive hemoptysis as a presenting symptom of pheochromocytoma.
Retropharyngeal emphysema and acute upper respiratory distress: A complication of mediastinal emphysema Eric Z. Silfen
DOI: http://dx.doi.org/10.1016/0735-6757(84)90042-1
The American Journal of Emergency Medicine , Vol. 2 , Issue 5 ,
Published in issue: September 1984
Effect of excess oxygen on oxygen delivery and consumption in patients with respiratory failure : Shinozaki M, Tsuda H, Kobayashi R, et al. Jpn J Acute Med 1987;11:759–764
DOI: http://dx.doi.org/10.1016/0735-6757(88)90212-4
The American Journal of Emergency Medicine , Vol. 6 , Issue 1 ,
Published in issue: January 1988
Early recognition of myxedematous respiratory failure in the elderly Fuping Guo, Tengda Xu, Houli Wang
DOI: http://dx.doi.org/10.1016/j.ajem.2008.01.027
The American Journal of Emergency Medicine , Vol. 27 , Issue 2 ,
Published in issue: February 2009
x To report the clinical characteristics of myxedematous respiratory failure in the elderly and to facilitate early recognition of hypothyroidism in critically ill old patients.
Cardiac troponin i as a predictor of respiratory failure in children hospitalized with respiratory syncytial virus (RSV) infections: a pilot study James A Moynihan, Lance Brown, Ruchir Sehra, Paul A Checchia
DOI: http://dx.doi.org/10.1016/S0735-6757(03)00163-3
The American Journal of Emergency Medicine , Vol. 21 , Issue 6 ,
Published in issue: October 2003
x This pilot study was performed to assess the use of cardiac troponin I to predict respiratory failure in children admitted to the hospital with respiratory syncytial virus (RSV) infections. We enrolled a prospective convenience sample of children under 5 years of age who were admitted to our university-based, tertiary care children’s hospital from December 1, 2000, to February 1, 2002, with RSV infections. A cardiac troponin I was drawn at admission. We assessed the test characteristics for positive cardiac troponin I (defined as >0.3 ng/mL, the manufacturer’s upper limit of normal) in correctly identifying children who had respiratory failure as evidenced by the need for endotracheal intubation.
Respiratory depression in the intoxicated trauma patient: are opioids to blame? Eleni Shenk, Cassie A. Barton, Nathan D. Mah, Ran Ran, Robert G. Hendrickson, Jennifer Watters
DOI: http://dx.doi.org/10.1016/j.ajem.2015.10.053
The American Journal of Emergency Medicine , Vol. 34 , Issue 2 ,
Published online: November 3 2015
x Providing effective pain management to acutely intoxicated trauma patients represents a challenge of balancing appropriate pain management with the risk of potential respiratory depression from opioid administration. The objective of this study was to quantify the incidence of respiratory depression in trauma patients acutely intoxicated with ethanol who received opioids as compared with those who did not and identify potential risk factors for respiratory depression in this population. Retrospective medical record review was conducted for subjects identified via the trauma registry who were admitted as a trauma activation and had a detectable serum ethanol level upon admission.
Empyema and restrictive pleural processes after blunt trauma: An underrecognized cause of respiratory failure: Watkins JA, Spain DA, Richardson JD, et al. Am Surgeon 2000;66:210–213
DOI: http://dx.doi.org/10.1016/S0735-6757(01)80124-8
The American Journal of Emergency Medicine , Vol. 19 , Issue 5 ,
Published in issue: September 2001
Life-threatening “round pneumonia” Ayman O Soubani, Scott K Epstein
DOI: http://dx.doi.org/10.1016/S0735-6757(96)90132-1
The American Journal of Emergency Medicine , Vol. 14 , Issue 2 ,
Published in issue: March 1996
x Round pneumonia is a rare manifestation of lower respiratory tract infection in adults. Previous reports emphasize that this entity is typically a mild, easily treatable illness that often masquerades radiographically as a neoplasm. We present two cases of round pneumonia, in patients with abnormal immunity, that progressed rapidly to life-threatening septic shock and respiratory failure.
Use of extracorporeal membrane oxygenation in severe cardiac or respiratory failure Andrzej Kurowski, Lukasz Szarpak, Lukasz Czyżewski, Katarzyna Karczewska
DOI: http://dx.doi.org/10.1016/j.ajem.2015.04.042
The American Journal of Emergency Medicine , Vol. 33 , Issue 7 ,
Published online: April 24 2015
x The recent article by Zhang et al [1] concerning successful resuscitation using extracorporeal membrane oxygenation (ECMO) was of great interest to us. The use of ECMO as an element of Advanced Life Support has recently become an important issue. The authors of these case reports used ECMO during cardiac arrest with anaphylactic shock due to application of iodine contrast. The first effective attempt at using prolonged, 72-hour extracorporeal circulation in adult patients was carried out and described by Hill et al in 1972 [1].
Acute respiratory distress attributed to sirolimus in solid organ transplant recipients Wei Li Wang, Li Xin Yu
DOI: http://dx.doi.org/10.1016/j.ajem.2014.05.047
The American Journal of Emergency Medicine , Vol. 33 , Issue 1 ,
Published online: May 31 2014
x Pulmonary toxicity has frequently been recognized as a potentially serious complication associated with sirolimus therapy. It consists of a wide spectrum of syndromes most characterized by the presence of lymphocytic alveolitis and lymphocytic interstitial pneumonitis. The most commonly presenting symptoms are fever and dyspnea. Chest computed tomography generally reveals bilateral, patchy, or diffuse alveolointerstitial infiltrates. The discontinuation or dose reduction of sirolimus usually leads in most cases to a good outcome with complete clinical and radiologic resolution.
Identification of congestive heart failure via respiratory variation of inferior vena cava diameter David J. Blehar, Eitan Dickman, Romolo Gaspari
DOI: http://dx.doi.org/10.1016/j.ajem.2008.01.002
The American Journal of Emergency Medicine , Vol. 27 , Issue 1 ,
Published in issue: January 2009
x Rapid diagnosis of volume overload in patients with suspected congestive heart failure (CHF) is necessary for the timely administration of therapeutic agents. We sought to use the measurement of respiratory variation of inferior vena cava (IVC) diameter as a diagnostic tool for identification of CHF in patients presenting with acute dyspnea.
Massive atelectasis with acute respiratory failure in postpartum misdiagnosed as pulmonary embolism Roxana C. Sisu, Gabriela Bicescu, Dragos Vinereanu
DOI: http://dx.doi.org/10.1016/j.ajem.2009.11.012
The American Journal of Emergency Medicine , Vol. 28 , Issue 7 ,
Published online: April 5 2010
x Acute life-threatening complications can arise during early postpartum period and result in maternal morbidity and mortality. Prompt recognition of life-threatening conditions and early effective management are essential to ensure optimal maternal outcome. Thus, peripartum acute respiratory failure is an important cause of mortality, accounting for 30% of maternal deaths. We report a rare case of complete left lung atelectasis, due to a massive fresh intrabronchial clot, with respiratory failure, occurring in early postpartum after cesarean delivery.
Acute respiratory failure associated with polymethyl methacrylate pulmonary emboli after percutaneous vertebroplasty Matthew V. Zaccheo, Joseph E. Rowane, Erin M. Costello
DOI: http://dx.doi.org/10.1016/j.ajem.2007.10.013
The American Journal of Emergency Medicine , Vol. 26 , Issue 5 ,
Published in issue: June 2008
x We report a case of symptomatic polymethyl methacrylate pulmonary emboli after percutaneous vertebroplasty to alert clinicians to this potential cause of pulmonary emboli. A 77-year-old woman developed acute respiratory failure after multilevel percutaneous vertebroplasty. She received mechanical ventilatory support and anticoagulation with low-molecular-weight heparin and warfarin. Multiple pulmonary polymethyl methacrylate cement emboli were identified by computed tomography angiogram. Polymethyl methacrylate cement extravasation into the vertebral venous circulation is common during vertebroplasty.
High-flow nasal cannula oxygen supply as treatment in hypercapnic respiratory failure: a case report Victoria Lepere, Jonathan Messika, Béatrice La Combe, Jean-Damien Ricard
DOI: http://dx.doi.org/10.1016/j.ajem.2016.02.020
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: February 12 2016
x We report the case of a chronic obstructive pulmonary disease (COPD) patient admitted for an acute-on-chronic respiratory failure with hypercapnia, successfully treated with high-flow nasal oxygen cannula.
Shock, respiratory failure, and coagulopathy after an intravenous copperhead envenomation Omid Zad, Hassie Cooper, Patrick Crocker, Truman Milling
DOI: http://dx.doi.org/10.1016/j.ajem.2008.08.013
The American Journal of Emergency Medicine , Vol. 27 , Issue 3 ,
Published in issue: March 2009
x We report the first documented case of rapid onset shock, respiratory failure, and coagulopathy after an intravenous copperhead envenomation. The 47-year-old victim, bitten over his left greater saphenous vein, responded to Crotalidae polyvalent immune Fab (ovine) (CroFab; FabAV, Savage Laboratories, Melville, NY) fragment therapy and recovered completely, leaving the hospital 3 days later.
