• Emerg. Med. Clin. North Am. · May 2012

    Review

    Diagnosis and management of environmental thoracic emergencies.

    • Paul D Tourigny.
    • Division of Emergency Medicine, Foothills Medical Centre, University of Calgary, 1403-29 Street Northwest, Calgary, Alberta, Canada. pauldtourigny@mac.com
    • Emerg. Med. Clin. North Am.. 2012 May 1;30(2):501-28, x.

    AbstractPhysiologic sequelae from increasing ambient pressure in underwater activities, decreasing ambient pressure while at altitude, or the consequences of drowning present a unique set of challenges to emergency physicians. In addition, several environmental toxins cause significant respiratory morbidity, whether they be pulmonary irritants, simple asphyxiants, or systemic toxins. It is important for emergency physicians to understand the pathophysiology of these illnesses as well as to apply this knowledge to the clinical arena either in the prehospital setting or in the emergency department. Current treatment paradigms and controversies within these regimens are discussed.Copyright © 2012 Elsevier Inc. All rights reserved.

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