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 treatment should be provided for such a case? Emergency medicine practitioner Dr. Slaughter and colleague Dr. Roppolo of the University of Texas Southwestern Medical Center 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

Also see: Caution regarding shouting “HOOAH” (study)