SEEK Stephanie M Levine, MD, FCCP CHESTQUESTION 1 A 22-year-old woman was found unconscious in a pool of vomit with an empty 1-qt bottle of bourbon nearby. She was taken by ambulance to the ED where she was endotracheally intubated. Vomit was found in the posterior pharynx during intubation. In the ICU, Sao2 was only 88% despite receiving 100% oxygen by mechanical ventilation (assist-control mode, set volume of 400 mL, set rate of 12/min, PEEP of 5 cm H20, and Fio2 of 1.0). VOLUME 21, QUESTQUESTION 1 Physical examination findings are remarkable for a healthy-appearing female who is deeply sedated and chemically paralyzed. Her height is 61 in (155 cm) and her weight is 135 Ib (61 kg). Her BP is 80/50 mm Hg, heart rate is 130/min, and respiratory rate is 12/min (all controlled). She has diminished breath sounds and dullness to percussion of the left hemithorax. The endotracheal tube is positioned at 25 cm at the incisors. Her chest radiograph is shown in Figure 31-A VOLUME 21, QUES CHEST