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Evidence-Based Assessment And Management Of Acute Bronchiolitis In The Emergency Department - $30.00
This issue includes 4 AMA PRA Category 1 CreditsTM; 4 ACEP category 1 credits; and 4 AAP Prescribed credits.
Author
Madeline Joseph, MD, FACEP, FAAP
Associate Professor of Emergency Medicine and Pediatrics, Assistant Chair for Pediatrics, Emergency Medicine Department Chief, Pediatric Emergency Medicine Division Medical Director, Pediatric Emergency Department, University of Florida Health Science Center, Jacksonville, FL
Peer Reviewers
Michael Witt, MD, MPH, FACEP, FAAP
Medical Director, Pediatric Emergency Medicine, Elliot Hospital Manchester, NH
Ghazala Q. Sharieff, MD, FAAP, FACEP, FAAEM
Associate Clinical Professor, Children’s Hospital and Health Center/University of California, San Diego; Director of Pediatric Emergency Medicine, California Emergency Physicians, San Diego, CA
Publication Date: March 2011; Volume 8, Number 3
Excerpt from the issue...
As your shift is winding down at 4 am, a mother brings in her 9-month-old infant with a chief concern of “gasping for air.” The patient has had a runny nose and cough for a few days and a low-grade fever, but now he is breathing rapidly and wheezing with lower intercostal retractions. The mother states that the infant has had wheezing in the past, and she asks if he might have asthma since “it runs in the family.” She also indicates that in the last 12 hours, the infant has not taken his usual amount of fluids. His oxygen saturation level is 87% on room air. You ask yourself, “Should I follow the path of treatment for bronchiolitis or asthma? Should I give the patient albuterol or epinephrine nebulizer treatment with oxygen? Does he need steroids? Which bronchodilator is best if he does not get better with the adrenergic nebulizer treatment and he requires continued care?” You also wonder if this patient is going to tire out and require assisted ventilation.
This issue of Pediatric Emergency Medicine Practice uses evidence-based medicine to recommend strategies for effective evaluation and treatment of bronchiolitis in pediatric patients.