Initial Impression: Severe Asthma Exacerbation
Justification for F2 Classification:
- Acute onset of severe respiratory distress with signs of respiratory failure.
- Patient not responding to standard treatment (Salbutamol).
- High risk of rapid deterioration requiring immediate medical intervention.
Differential Diagnoses:
1. Severe Asthma Exacerbation (high probability)
2. Anaphylaxis (less likely, no known allergen exposure)
3. Pulmonary Embolism (less likely, no history or risk factors)
4. Pneumonia (less likely, no fever or productive cough)
Required Actions:
- Dispatch of ground EMS with ALS capabilities.
- Oxygen therapy administration.
- Administration of nebulized bronchodilators.
- Preparation for possible intubation and mechanical ventilation.
Final Diagnosis: Severe Asthma Exacerbation
Key Findings:
- Patient’s oxygen saturation was 88% on room air upon EMS arrival.
- Auscultation revealed diffuse wheezing and decreased breath sounds bilaterally.
- Patient showed significant improvement after administration of oxygen and nebulized bronchodilators.
- Chest X-ray was clear, ruling out other pulmonary conditions.
Outcome validated F2 priority assignment. Rapid dispatch and aggressive respiratory support were crucial. Patient was admitted to the hospital for observation and further treatment.
Learning Points:
1. F2 classification appropriate due to the severity of respiratory distress and risk of rapid deterioration.
2. Initial assessment accurately identified the need for immediate respiratory support.
3. Prompt administration of oxygen and bronchodilators was critical in stabilizing the patient.