A patient who was intubated with a history of COPD who exacerbated due to RML and RLL pneumonia has been in the MICU for the past two days with little improvement of the underlying condition. At 0700 you document the following parameters, PIP 26, Pplat 14 and then two hours later you note the following, PIP 27, Pplat 23. What is the underlying problem that has resulted in these changes?

A 10-year-old patient has inhaled hot gases and an inspection of her oropharynx shows edema and blisters. What should be done?

When attempting to determine the source of a leak in a chest tube drainage system, what is the step-by-step approach in order of succession?

All of the following statements about thermal injury are true EXCEPT:

What type of pneumothorax is being described in the previous question?

All of the following injuries would be consistent with a diagnosis of flail chest EXCEPT:

A patient has complications from a parapneumatic pleural effision where the pleural fluid contains pus and has a pH of 7.23 is best described as a(an):

Mr. Jacobson is a patient in the burn unit with full thickness burns to his face, chest and left-sided extremities. He is intubated and on the mechanical ventilator. Based on these findings, what would be his estimated % of surface burns?

What is the actual I:E ratio of a newborn just placed on mechanical ventilation on the following settings? VC-A/C, tidal volume = 15 mL, f = 30 bpm, FiO2 = 50%, flow = 8 L/min, Ti = 0.35 seconds, PEEP = 5 cmH2O and you wanted to maintain and I:E ratio of 1:2?

All of the following are physical examination findings associated with a large right pleural effusion, EXCEPT: