Читать книгу Emergency Medical Services - Группа авторов - Страница 128

Respiratory distress is a common reason for 9‐1‐1 activation, approaching 14% of EMS calls [1]. Patients who activate EMS for respiratory distress frequently require hospital admission. They have high in‐hospital mortality, similar to acute myocardial infarction (MI) and stroke [2]. Diagnosis can be challenging due to subtle and overlapping signs and symptoms. Incorrect management is potentially detrimental, while a correct diagnosis can provide lifesaving interventions and rapid improvement. The landmark Ontario Prehospital Advanced Life Support study demonstrated a significant survival benefit for respiratory distress with interventions including nebulized beta‐agonists, sublingual nitroglycerin, intubation, and intravenous medications and fluids [3].