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Tension pneumomediastinum from opioid inhalation:

Nene, Rahul V. ; Hryniewicki, Adam T. ; Roderick, Elizabeth...
The American Journal of Emergency Medicine.  53 (2022)  - p. 281.e5-281.e8 , 2022
Link: https://doi.org/10.1016/j.ajem.2021.09.008