文章基本信息

标题：Prehospital Diagnosis of Shortness of Breath Caused by Profound Metformin-Associated Metabolic Acidosis
本地全文：下载
作者：Pietro Elias Fubini ; Laurent Suppan
期刊名称：Healthcare
电子版ISSN：2227-9032
出版年度：2021
卷号：9
期号：1
页码：74
DOI：10.3390/healthcare9010074
出版社：MDPI Publishing
摘要：Shortness of breath is a common complaint among patients in emergency medicine. While most common causes are usually promptly identified, less frequent aetiologies might be challenging to diagnose, especially in the pre-hospital setting. We report a case of prehospital dyspnoea initially ascribed to pulmonary oedema which turned out to be the result of profound metformin-associated metabolic acidosis. This diagnosis was already made during the prehospital phase by virtue of arterial blood gas measurement. Pre-hospital measurement of arterial blood gases is therefore feasible and can improve diagnostic accuracy in the field, thus avoiding unnecessary delay and potential harm to the patient before initiating the appropriate therapeutic actions.
关键词：prehospital; arterial blood gas; metformin poisoning; metabolic acidosis; respiratory distress prehospital ; arterial blood gas ; metformin poisoning ; metabolic acidosis ; respiratory distress