Clinical Scenario: Two primary care paramedics respond to code 4 for a 55 year old male patient severely short of breath. Questioning his wife reveals that the patient has chronic obstructive pulmonary disease (COPD), takes Ventolin (salbutamol) when necessary and takes Atrovent (ipratropium bromide) daily. He took his Atrovent today, but experienced sudden onset shortness of breath after walking up the flight of stairs in his home.
PICO Question: In patients with shortness of breath from respiratory diseases, does the use of prehospital ipratropium bromide paired with salbutamol provide a better outcome than salbutamol treatment alone?
Henderson, Lisa, "Prehospital use of ipratropium bromide paired with salbutamol as treatment for shortness of breath." (2017). Student Work - Public Safety. 2.