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Logistical Challenge With Prehospital Use of High-Flow Nasal Oxygen Therapy in COVID-19-Induced Respiratory Distress: A Case Report.
Kedzierewicz, Romain; Derkenne, Clément; Fraudin, Adrien; Vanhaecke, Paola; Jouffroy, Romain; Jost, Daniel; Prunet, Bertrand.
  • Kedzierewicz R; Emergency Medical Service, Paris Fire Brigade, Paris, France.
  • Derkenne C; Emergency Medical Service, Paris Fire Brigade, Paris, France.
  • Fraudin A; Emergency Medical Service, Paris Fire Brigade, Paris, France.
  • Vanhaecke P; Emergency Medical Service, Paris Fire Brigade, Paris, France.
  • Jouffroy R; Emergency Medical Service, Paris Fire Brigade, Paris, France.
  • Jost D; Emergency Medical Service, Paris Fire Brigade, Paris, France.
  • Prunet B; Emergency Medical Service, Paris Fire Brigade, Paris, France.
J Emerg Med ; 61(1): 37-40, 2021 07.
Article in English | MEDLINE | ID: covidwho-1317712
ABSTRACT
Background Although commonly used inside hospitals, no previous case report has been published on high-flow nasal oxygen (HFNO) therapy in an adult in the prehospital setting. Case Report A 46-year-old nonsmoking man presented with a cough and fever. He deteriorated suddenly 5 days later. When the basic life support team arrived, his peripheral oxygen saturation (SpO2) in ambient air was 56% and respiratory rate was 46 breaths/min. The man was weak with thoracoabdominal asynchrony. An emergency medical team with a physician was dispatched. As France was still under lockdown for the SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) pandemic, COVID-19 (coronavirus disease 2019) was suspected. In spite of 15 L/min of oxygen delivered with a nonrebreathing mask, the patient's SpO2 tended to drop below 90% at the slightest effort and during transport from home to the ambulance. It was therefore decided to start HFNO therapy. The patient was transferred to an intensive care unit, where HFNO was continued. Why Should an Emergency Physician Be Aware of This? As the trend in emergency medical services may move toward prehospital HFNO, this case report is an opportunity to question the feasibility of HFNO therapy in the prehospital setting.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Respiratory Distress Syndrome / Emergency Medical Services / COVID-19 Type of study: Case report / Observational study Limits: Adult / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: J Emerg Med Journal subject: Emergency Medicine Year: 2021 Document Type: Article Affiliation country: J.jemermed.2021.03.006

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Respiratory Distress Syndrome / Emergency Medical Services / COVID-19 Type of study: Case report / Observational study Limits: Adult / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: J Emerg Med Journal subject: Emergency Medicine Year: 2021 Document Type: Article Affiliation country: J.jemermed.2021.03.006