Exploring a possible incidence of neurogenic pulmonary oedema

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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