Case Study . Call to residence @ 214676 y/o male, SOBOn arrival:Pt. seated upright in living roomConscious, obvious resp. distress, agitatedPale, diaphoretic, clammy, audibly congestedAssessment/Questions/Initial Tx ?. Case Study (cont\'d). Incident Hx; at rest, abrupt onset, now worsePMHx; MI, CHF/Pulm. Edema, HPT, AAA repair, Renal Tumor, RxPresentation; sitting upright, tachypneic, 1-2 word dyspnea, ?A/E bil. with coarse crackles throughout, now RSCP.