Episode 79 – Management of Acute Pediatric Asthma Exacerbations

Emergency Medicine Cases

Dr. Anton Helman

Science, Courses, Medicine, Health & Fitness, Education

4.7 • 602 Ratings

🗓️ 12 April 2016

⏱️ 69 minutes

🔗️ Recording | iTunes | RSS

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Summary

In this EM Cases episode on Pediatric Asthma we discuss risk stratification (including the PASS and PRAM scores), indications for CXR, the value of blood gases, MDIs with spacer vs nebulizers for salbutamol and ipatropium bromide, the best way to give corticosteroids, the value of inhaled steroids, the importance of early administration of magnesium sulphate in the sickest kids, and the controversies around the use of ketamine, heliox, high flow nasal cannuala oxygen, NIPPV, epinephrine and IV salbutamol in severe asthma exacerbations. So, with the multinational and extensive experience of Dr. Dennis Scolnik, the clinical fellowship Program Director at The Hospital for Sick Children in Toronto and Dr. Sanjay Mehta, multiple award winning educator who you might remember from his fantastic work on our Pediatric Orthopedics episode, we'll help you become more comfortable the next time you are faced with a child with asthma who is crashing in your ED...

Transcript

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0:00.0	Welcome to the EM cases podcast. Anton Hellman here.
0:03.2	Now, before we get started on the 79th EM cases episode on pediatric asthma,
0:08.0	I'm stoked to remind you that the second in our series of free interactive e-books
0:12.0	will be released at North York General's Emergency Medicine Update Conference on May 4th,
0:17.1	and it'll be available for free download on the EM cases website after that.
0:22.1	A team of 15 people have spent the better part of the year
0:25.0	curating all the best stuff of all the pediatric EM cases podcasts
0:29.3	to create this thing of educational beauty.
0:32.7	The other announcement is that my friend Rob Rogers,
0:35.8	Med-Ed guru of the Teaching Institute,
0:38.1	kindly invited me to partner up with them to bring you the first ever medical education
0:43.4	podcasting course. Check out www.com.com if you're interested in podcasting course. Now about our guest
0:54.1	experts on pediatric asthma.
0:56.4	Dr. Sanjay Mehta is an emergency physician at the Hospital for Sick Children in Toronto
1:00.4	and an assistant professor in the Department of Pediatrics at the University of Toronto.
1:04.4	He received his MD at the University of Calgary and his Masters of Education and Pediatric
1:09.3	Emergency Medicine Fellowship at the University of Toronto.
1:12.2	Dr. Dennis Skolnick is a pediatric emergency physician at the Hospital for Sick Children in Toronto as well,
1:17.1	and an associate professor in the Department of Pediatrics at the University of Toronto.
1:21.9	Now, most of the kids we see with asthma are pretty straightforward.
1:25.0	But even for the straightforward ones, there's some finesse in how we can
1:28.2	manage them. And for the really sick ones, there's a lot of controversy over what works and what
	...

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