Poppy Valenti
Journal of Paramedic Practice, Vol. 8, Iss. 7, 01 Jul 2016, pp 344 - 349

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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