Aminophylline for Status Asthmaticus
The utility of Aminophylline for status asthmaticus in children is debated, but it may have a role in specific patients in specific situations. Let us Review.
Tag Asthma
ECMO in Ped ED
Remaining vigilant for the child with a subtle presentation of a severe illness is part of our job in the Ped ED; however, sometimes, the illness is not subtle and the child requires critical actions (ex, Damage Control Resuscitation, Mechanical…
Asthma Control
I know that everyone wants to discuss critical care topics like delayed sequence intubation, management of post-tonsillectomy hemorrhage, or damage control resuscitation. I agree, they are part of what makes Emergency Medicine exciting…
Dexamethasone for Asthma
Reactive airway disease is a prevalent problem and, therefore, a common topic for the Morsels. We have discussed my preference for MDIs over Nebs as well as the utility of Magnesium. In addition, we have covered mechanical ventilation for asthma…
Pneumomediastinum
Every so often you encounter a patient that has a finding that catches you by surprise. Like having air in places that should not have air in them. We have discussed spontaneous pneumothorax and traumatic pneumothorax in children as well as how to…
Mechanical Ventilation for Severe Asthma
“Wheezing” is a prominent complaint in the Ped ED and it has been a frequent topic of the PedEM Morsels. We have covered a wide variety of Asthma management aspects: from initial therapies (MDIs vs Nebs) to potential hydration issues;…
Delayed Sequence Intubation
We often instruct with absolutes. “Never let the sun set on a pleural effusion.” “You’re not dead until you’re warm and dead.” “Never intubate an asthmatic.” Well, often medical decisions exist in a much less dichotomous realm. It is great…