Welcome to the Emergency Medicine Cases podcast.

I'm your host, Dr. Anton Hellman, bringing you Canada's brightest minds in emergency medicine from EMC studios in Toronto.

EM cases is part of SREMI, Schwartz-Risman Emergency Medicine Institute, the nonprofit organization dedicated to improving EM care through research

and education. The opinions expressed on this podcast are intended for information and education

purposes only and should not be used to diagnose treat or prevent any medical condition,

nor should they be used as a substitute for medical advice from qualified practicing physician.

This recent fall and winter, we're seeing a huge rise in pediatric respiratory illness.

This was totally predictable. And in fact, Sarah

Reid did an EM Quickhead a few months back where she warned us of the upcoming tsunami of coughing

kids. There are many viruses around, RSV, COVID, influenza, perinfluenza, entrovirus, adenovirus.

In Canada, we've seen an early RSV surge in the

zero to five-year-old age group especially, so lots more bronchialitis. Influenza A is far above

expected levels as well, generally the five to 11-year-old age group. So this is a perfect time to brush up on our approach to the child with acute respiratory

illness and in particular, the evidence-based management of bronchialitis.

It's my pleasure to have on the show as part of our Best of the University of Toronto

Emergency Medicine series, world-renowned researcher on broncholitis, pediatric

emergency physician at the Hospital for Sick Children in Toronto, Dr. Suzanne Shue. Welcome, Dr. Shue.

Thank you, Anton. Thank you for having me here. It's a pleasure to talk about broncholitis.

There's so much to talk about. Let's start off with a case or two, shall we?

Sure.

A four-month-old male who presents to your ED with the first episode of respiratory distress for 24 hours.

The child has had URI symptoms for the last two days. They're alert. They're well hydrated.

...