Emergency Department Management of Pediatric Acute Asthma: An Evidence-Based Review (Pharmacology CME) | Points & Pearls
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Emergency Department Management of Pediatric Acute Asthma: An Evidence-Based Review (Pharmacology CME)

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Points & Pearls Excerpt

  • Not every patient who wheezes has asthma. Consider other etiologies such as pneumonia, foreign body aspiration, anaphylaxis, and congestive heart failure.5 (See Table 1.)
  • Routine use of blood gases is no longer recommended. Use of pulse oximetry and end-tidal CO2 are much more reliable and less invasive.42
  • Radiography is no longer routinely recommended for first-time wheezers, but chest x-rays should be considered in patients who have suspected pneumonia, pneumothorax, or foreign body aspiration.44
  • First-line therapy for pediatric acute asthma includes inhaled bronchodilators and corticosteroids in the first hour of ED stay.62
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Publication Information
Authors

Audrey Zelicof Paul, MD, PhD, FAAP; Kim A. Rutherford, MD; Stephanie M. Abuso, DO

Peer Reviewed By

Donna J. Lee, MD; Joanna Schwartz, MD, FAAP

Publication Date

July 1, 2023

CME Expiration Date

July 1, 2026    CME Information

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAP Prescribed Credits, 4 AOA Category 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 2 Pharmacology CME credit, subject to your state and institutional approval.

Pub Med ID: 37352408

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