PPT-Breathlessness in the ED

Palliative care workshop for EM residents July 27 2016 Gabriel Piper CCFPEM Disclosures No disclosures Objectives Assessment of the palliative patient with dyspnea Non pharmacologic treatment . If you feel your breathing is getting worse or you are experiencing breathlessness as a new feeling it is important to seek medical advice from your GP Muscles involved in breathing The diaphragm The main muscle of breathing is the diaphragm This is Introduction Not being able to catch your breath can be ve ry frightening Having ACHD may mean that you worry more than most people about becomi ng breathless Being anxious can make breathlessness feel worse so learning to relax and slow down can he Dr Phil . Wilkins, Norfolk . and Norwich University Hospital . and Priscilla . Bacon . Lodge, Norwich. Definitions of breathlessness and when it occurs. How to manage the symptom. How to implement this. Palliative care workshop for EM residents. July 29, 2015. Disclosures. No disclosures. Case. “CTAS 1 to the . resus. room”. mid 70s female in acute respiratory distress. Has been placed on O2 by FM by EHS but despite this still only has O2 . (...healthcare) . You are working in a community team and a few of the CNSs consistently advise dexamethasone 8 mg od for non specific cancer related breathlessness.. How would explain EBM to the team?. programme. for Darlington 2015-2017. : . a . catalyst for change.. . Dr. Basil Penney. Sr. Claire Adams. Darlington CCG Respiratory Leads. Landscape . of health care is changing rapidly . The Heart Failure Nurse Service Managing Patients with Left Ventricular Systolic Dysfunction in Tayside The HFNLS 3 Nurses Tayside wide Managing patients with LVSD who have had a hospital admission with heart failure or presented at clinic with unstable symptoms. Salman Siddiqui. Professor of Airways Disease. EMBER Chief Investigator and WS4 lead. Work Strand 4 . Clinical . disease cohorts- 'breathomic' discovery and clinical validation & objective . - . ‘Breathomic. SCENARIO:. Here is a 35years old female patient admitted in medicine female . ward diagnosed as dimorphic anemia was hospitalized for 6 days.. CHIEF COMPLAINTS:. c/o breathlessness since 15 days. c/o giddiness since 15 days. B.Manoj. Kumar . Pharm.D. V Year. ASTHMA WITH HYPERTENSION. . Scenario:. Here is a 72 year old male patient hospitalised for 6 days. . Patient . demograpics. :. Name: . siddamayya. Age: 60y. . . - . S.Mahalakshmi. SCENARIO- . Here is a 76 yrs old elderly male patient hospitalized for 9 days with complaints of breathlessness and cough with expectoration since 3 days.. Wendy White. Physiotherapy Advanced Practitioner. Edinburgh Community . R. espiratory Team. Wendy.White@nhslothian.scot. .. nhs.uk. Access to Community Physiotherapy Services. GP Referral to . physio@home. GuidelinesontheuseofoesophagealdilatationinclinicalSARiley,SEAAttwood(SupplI):i1–i61.0INTRODUCTIONOesophagealdilatorsorbougieshavebeenusedsincetheMiddleAges.Earlybougiesweremadeofnaturalmaterials By. Dr Mathew Topping ST4 Geriatric Medicine. Dr Patrick Liu Consultant Respiratory Medicine. Initial Presentation. Patient B is a 59 year old female who has a past medical history of Learning difficulties which means she has a 24 hour carer. She presented in December 2020 as the second wave of COVID-19 was growing exponentially with shortness of breath and cough. On examination she was hypoxic with oxygen saturations around 80% on room air requiring high flow oxygen, Arterial blood gas showed type one respiratory failure. Respiratory examination showed fine bi-basal crackles..