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A 38-year-old non-smoker was found by paramedics holding on to a salbutamol inhaler. Examination showed generalised reduced air entry but no wheeze. She was initially treated as having an acute exacerbation of asthma with nebulisers and intravenous steroid. On arrival at A&E, the patient deteriorated further and went into respiratory arrest. She was intubated and ventilated. A chest X-ray …
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