Points and Pearls Digest | Corticosteroid Use in Management of Pediatric Emergency Conditions
TOC Will Appear Here

Corticosteroid Use in Management of Pediatric Emergency Conditions

Below is a free preview. Log in or subscribe for full access. Or, get a free sample article ED Assessment and Management of Pediatric Acute Mild Traumatic Brain Injury and Concussion:
Please provide a valid email address.

Points & Pearls Excerpt

  • For children hospitalized with asthma, experts recommend oral prednisone/prednisolone at 1 to 2 mg/kg/day (max, 60 mg/day), in 2 divided doses, for 3 to 5 days. For children with asthma who present to the emergency department (ED), 1 to 2 daily doses of oral dexamethasone 0.6 mg/kg have been shown to be equivalent, with better tolerance and compliance.
  • Inhaled corticosteroids are indicated for long-term control of asthma but are not efficacious in acute exacerbations.
  •  Systemic corticosteroids are indicated to improve morbidity and decrease hospitalizations for croup. Oral dexamethasone therapy is preferred, at doses ranging from 0.15 mg/kg to 0.6 mg/kg (these doses have been shown to have equal efficacy).

Most Important References

  • Cross KP, Paul RI, Goldman RD. Single-dose dexamethasone for mild-to-moderate asthma exacerbations: effective, easy, and acceptable. Can Fam Physician. 2011;57(10):1134-1136. (Review)
  • Russell K, Weibe N, Saenz A, et al. Glucocorticoids for croup. Cochrane Database Syst Review. 2004;1: CD001955. (Systematic review; 31 studies, 3767 patients) DOI: http://dx.doi.org/10.1002/14651858.CD001955.pub2
  • Sadeghirad B, Siemieniuk RAC, Brignardello-Petersen R, et al. Corticosteroids for treatment of sore throat: systematic review and meta-analysis of randomised trials. BMJ. 2017;358:j3887. (Systematic review and meta-analysis; 10 trials, 1426 patients) DOI: http://dx.doi.org/10.1136/bmj.j3887
  • Choo KJ, Simons FE, Sheikh A. Glucocorticoids for the treatment of anaphylaxis. Cochrane Database Syst Rev. 2012(4):CD007596. (Systematic review) DOI: http://dx.doi.org/10.1002/14651858.CD007596.pub3
  • Evaniew N, Belley-Cote EP, Fallah N, et al. Methylprednisolone for the treatment of patients with acute spinal cord injuries: a systematic review and meta-analysis. J Neurotrauma. 2016;33(5):468-481. (Systematic review, meta-analysis; 4 randomized controlled trials and 17 observational studies) DOI: http://dx.doi.org/10.1089/neu.2015.4192
To Read The Companion Article:
To Read The Companion Article:
To Read The Companion Article:
Already purchased this course?
Log in to read.
Purchase a subscription

Price: $449/year

140+ Credits!

Money-back Guarantee
Publication Information

Asalim Thabet, MD; Tyler Greenfield, DO; Richard M. Cantor, MD, FAAP, FACEP

Peer Reviewed By

Augusta Saulys, MD, FAAP, FACEP; Catherine Sellinger, MD

Publication Date

March 2, 2018

Get Permission

Content You Might Be Interested In

Evaluation and Management of Patients With Pharyngitis in Urgent Care

Management of Allergic Reactions and Anaphylaxis in the Emergency Department (Pharmacology CME)

Acute Bronchiolitis: Assessment and Management in the Emergency Department (Pharmacology CME)

Anaphylaxis in Pediatric Patients: Early Recognition and Treatment Are Critical for Best Outcomes

Get A Sample Issue Of Emergency Medicine Practice
Enter your email to get your copy today! Plus receive updates on EB Medicine every month.
Please provide a valid email address.