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emDOCs.net Emergency Medicine (EM) Podcast
Episode 73: Upper Airway Obstruction Part 1
Mar 14, 2023
Join Brit Long, MD, as Jess Pelletier, MD, discusses upper airway obstruction, emphasizing critical decision-making and successful emergency airway interventions. Explore differentiating inspiratory and expiratory stridor, managing complex cases, optimizing approaches with guidelines, and pre-oxygenation techniques for better respiratory distress assessment.
18:20
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Quick takeaways
- Recognition of specific strider patterns aids in diagnosing upper airway obstruction.
- Managing difficult airway scenarios requires considering alternative airway strategies and rapid decision-making.
Deep dives
Recognizing Upper Airway Obstruction in an Emergency Setting
In a scenario discussed during the podcast, a patient presented with tachypnea, tripodding, and inspiratory and expiratory strider, raising concerns of upper airway obstruction. The differential diagnosis for upper airway obstruction includes conditions such as epiglottitis, Ludwig's angina, foreign bodies, and neck abscesses. Recognizing the specific strider patterns and associated symptoms is crucial in identifying the source of obstruction and guiding further evaluation and management.
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