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The article reviews the aetiology and under-recognition of neurogenic pulmonary oedema in central nervous system disorders, recommending its inclusion in standard clinical assessments.
Paramedics should consider neurogenic pulmonary oedema during standard clinical CNS assessments to avoid delayed or prohibited treatment.
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May prompt paramedic CNS assessments for neurogenic pulmonary oedema; hypothesis-generating pending prospective validation.
The article highlights a possible occurrence of neurogenic pulmonary oedema (NPO), describing the current theories of its aetiology within the context of widespread central nervous system (CNS) disorders, with a particular focus on those most commonly associated with NPO and sudden unexpected deaths. Due to its often rapid onset, paramedics may be the first medical professionals exposed to the condition when assessing a patient, yet the prevalence of under-recognition and/or anticipation of NPO, the lack of understanding of its aetiology, and the ambiguities in relation to differential diagnoses may delay or prohibit treatment. It is recommended, therefore, that consideration of NPO is incorporated into standard clinical CNS assessment and subsequent airway management decisions. Potential paramedic pharmacological interventions are discussed, although currently not indicated for use in NPO.
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Poppy Valenti (2016) conducted a review in Neurogenic pulmonary oedema. Paramedic pharmacological interventions was evaluated. The article reviews the aetiology and under-recognition of neurogenic pulmonary oedema in central nervous system disorders, recommending its inclusion in standard clinical assessments.
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