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NIPPV for acute cardiogenic pulmonary oedema
  1. Rupert Jackson, Specialist Registrar in Emergency Medicine,
  2. Steve Jones, Specialist Registrar in Emergency Medicine
  1. Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK
  1. Correspondence to: Kevin Mackway-Jones, Consultant (kevin.mackway-jones{at}

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Report by Rupert Jackson,Specialist Registrar in Emergency MedicineChecked by Steve Jones,Specialist Registrar in Emergency Medicine

Clinical scenario

A 76 year old man is brought in to the emergency department in a collapsed state. He has a history of ischaemic heart disease. He is agitated, tachypnoeic and sweating profusely. His neck veins are distended and there are widespread coarse crepitations in his …

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