Abstract
Severe, acute exacerbations of chronic obstructive pulmonary disease are a common presentation to emergency departments in the UK. In this group of patients, clinical examination can be unreliable in excluding a pneumothorax. With the increasing role of non-invasive positive pressure ventilation in these cases, we present a case report that highlights the need for an urgent chest X-ray prior to commencement of non-invasive positive pressure ventilation.
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