Asthma and COPD
EM Clerkship
Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD
4.9 • 816 Ratings
🗓️ 23 July 2017
⏱️ 10 minutes
🧾️ Download transcript
Summary
5 core treatments and 5 MORE treatments
5 Core Treatments
* Albuterol* Beta agonist* Bronchodilator* Core treatment for asthma* Ipratropium* Anti-muscarinic* Relax muscles around the airways* Works synergistically with albuterol* Steroids* Decrease inflammation in the airways* Prednisone (PO)* Methylprednisone (IV)* BiPAP (COPD)* Decreases work of breathing* Decreases rates of intubation* Decreases mortality* Antibiotics (COPD)* Infection common cause of inflammation
5 More Treatments
* Magnesium sulfate* Ketamine* Epinephrine (systemic beta agonist)* Heliox* LAST RESORT – Intubation* Decrease rate and volume* Increase expiratory time and inspiratory flow
Additional Reading
* Antibiotics in COPD (AAFP)* The Crashing Asthmatic (REBEL EM)
Transcript
Click on a timestamp to play from that location
| 0:00.0 | Hello, med students. This episode has been sponsored by Freed AI. Do you dread the thought of |
| 0:07.1 | endless charting once you become a doctor? Do you think that doctors should be spending more |
| 0:11.9 | time with our patients and less time mindlessly writing notes? Freed AI is the product for you. It is a |
| 0:20.4 | secure, hippocompliant scribe that anybody can use. |
| 0:24.7 | Focus your energy on what matters, providing good patient care. |
| 0:29.5 | Use coupon code EM50 to save 50% the first month you try it, |
| 0:34.1 | and you can cancel at any time if you decide it's not right for you. You can learn more |
| 0:38.9 | at www.gitfreed.a.i. Hello, med students. My name is Zach Olson and thank you for downloading |
| 0:51.0 | this week's episode of the EM Clerkship Podcast. |
| 0:56.0 | I am all fired up this week, ready to do some teaching. |
| 0:59.7 | Here's this week's case. |
| 1:05.4 | University Medical is Daniels 21. How do you copy? |
| 1:09.5 | Okay. I got a 23-year-old male coming from the soccer field, complaining of wheezing, does |
| 1:17.8 | have a history of asthma, is not currently on medication, does carry an inhaler for exercise-induced |
| 1:24.6 | asthma, but it doesn't have it on him today. |
| 1:30.5 | We do have him on an albuterol 2.5 yaneb and he did show improvement currently he is BP 1 40 over 80 pulse of 96 respirations are |
| 1:42.0 | currently 16 and glucose was 110 we're're in Route to about 10 minutes. No other |
| 1:48.3 | complaints. Do you have any questions or orders? Okay, thanks. This week, we are talking about |
| 1:58.0 | COPD and asthma exacerbations. |
| 2:01.4 | Two of the most common diagnoses you will be making in the emergency department. |
| 2:05.7 | You will see this on your clerkship. |
| 2:09.1 | And the focus today is going to be on the treatment of these COPD and asthma exacerbations. |
... |
Please login to see the full transcript.
Disclaimer: The podcast and artwork embedded on this page are from Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD, and are the property of its owner and not affiliated with or endorsed by Tapesearch.
Generated transcripts are the property of Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.
Copyright © Tapesearch 2026.