Archive

Tag: Asthma

Clinical Conundrum: Should Acute Asthma Exacerbations Be Discharged From the ED With Combination Beta Agonist/Corticosteroid Inhalers?

Bottom Line Up Top: In patients with mild to moderate asthma exacerbations that are stable for discharge home, there is evidence to support discharging patients from the ED with combination Inhaled Corticosteroid/Long-Acting Beta Agonist (ICS-LABA) maintenance therapy. Clinical Scenario: A ...

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Thoracic and Respiratory

REBEL Core Cast – Basics of EM – Asthma

Take Home Points Wheezing can be absent when severe – be wary of the silent chest = impending respiratory failure Not everything that wheezes is asthma! Beware of mimics – COPD, CHF, anaphylaxis, stridor Consider dexamethasone in those with poor ...

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Allergy and ImmunologyInfectious DiseaseThoracic and Respiratory

REBEL Core Cast 3.0 – Asthma, COPD + PNA

Take Home Points Single dose oral dexamethasone is an excellent choice for asthma exacerbations. It takes away the compliance issue for patients who have trouble getting medications or filling medications once they leave the ED. Antibiotics aren’t always indicated in ...

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Thoracic and Respiratory

IV and/or Nebulized MgSO4 in Pediatric Asthma Exacerbations?

Background: Acute asthma exacerbations are a common presentation to pediatric emergency departments (EDs). Standard treatment with inhaled beta agonists and corticosteroids are often sufficient in mild asthma but can fall short in the treatment of moderate to severe exacerbations. Magnesium sulfate ...

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PediatricsThoracic and Respiratory

Single Dose Dexamethasone or 5 Days of Prednisone in Adult Asthmatics?

Background: Acute asthma presentations account for more than 2.1 million Emergency Department (ED) visits annually. In the US, 8.4% of the population is affected by the disease. Current guidelines from the National Heart, Lung, and Blood Institute recommend a minimum of ...

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Thoracic and Respiratory

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