Boyband-induced breathing difficulties (new study)

“A 16-year-old female with a history of type 1 diabetes presented to the Emergency Department (ED) with shortness of breath. She denied chest pain or sore throat. She reported a sudden onset of symptoms after forceful screaming at the ‘‘One Direction’’ concert the night prior. She denied any preceding emesis, odynophagia, or cough. Her physical examination revealed tachypnea to 22 breaths/min with normal breath sounds and no respiratory distress. A Hamman’s crunch was not appreciated.”

What should be provided as treatment for such a case? J Mack Slaughter Jr. MD and Lynn Roppolo MD of the Department of Emergency Medicine, UT Southwestern Medical Center, University of Texas Southwestern/Parkland Health & Hospital System, Dallas, Texas, decided on oxygen therapy:

“The patient was placed on 100% O2 via nonrebreather and was admitted to the hospital for observation. After an uneventful period of observation with an unchanged repeat chest x-ray study, the patient was discharged the following day with no further visits for this problem.”

See: “Screaming your Lungs Out!” A Case of Boy Band-Induced Pneumothorax, Pneumomediastinum, and Pneumoretropharyngeum Journal of Emergency Medicine, November 2017, Volume 53, Issue 5, Pages 762–764

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