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• 00:20 • Phone call from ambulance • M/74 OAHR • c/o SOB and labored breathing with SaO2 40% • Will arrive AED in 10 minutes time 2
• On arrival, vital signs • BP 92/52 • P 129 • SaO2 59% on non-rebreathing mask • RR 30 • Temp 35.7 • GCS E4V5M6 3
Page 1: Case presentation Dr. W.S. Ng Dr. K
Page 5 and 6: Proceed to RSI for mechanical venti
Page 7 and 8: • Approach by ABC • P/E • Tac
Page 9: Investigations • ECG • At Arter
Page 13 and 14: Sliding sign Comet tail artifact 13
Page 15 and 16: Now patient got Type 2 respiratory
Page 17 and 18: • RSI • Suxamethonium 75mg •
Page 19 and 20: Progress • Extubate on the same d
Page 21: • PHx. • Retired businessman
Page 26 and 27: Pulmonary Fibrosis 26
Page 28 and 29: Diagnosis • Progressive shortness
Page 30 and 31: Treatment • limited treatment opt
Page 32 and 33: Now you know the history and DNR Wi
Page 34 and 35: HAHO guideline on in-hospital resus
Page 36 and 37: DNR Ambulance Command Standing Orde
Page 40 and 41: • Ambulance Command Standing Orde
Page 42 and 43: • Advance Directives (AD) • Bac
Page 44 and 45: • Advanced Care Plan (ACP) • A

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