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Asthma is the most common chronic disease in children, and acute exacerbations of asthma are one of the most common reasons for children to seek emergency care and require urgent hospitalization. Approximately half to two-thirds of children with asthma who seek emergency care can be classified as having mild respiratory distress, and between 2 and 5% have severe respiratory distress; the remainder has moderate respiratory distress.

BROWSE EVIDENCE REPOSITORY

 

Clinical guidelines

Clinical Practice Guideline: Global Strategy for Asthma Management and Prevention (2014)

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GINA Science Committee,

The GINA Science Committee reviews published research on asthma management and prevention, evaluates the impact of asthma research, and provides yearly updates to guidance documents. See Chapter 4, Part D: Management of Asthma Exacerbations in the Emergency Department.

Clinical Practice Guideline: Guide Clinique Asthme (2014)

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Trottier, ED, Gauvin, F, Pettersen, G, Marquis, C, Ducharme, F, Lucas, N, Béd...

This French language webpage created by the Centre Hospitalier Universitaire Sainte-Justine, provides guidelines, pathways and order sheets for treating acute asthma in emergency departments.

Clinical Practice Guideline: Asthme: Algorithme status asthmaticus (2014)

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Trottier, ED, Gauvin, F, Pettersen, G, Marquis, C, Ducharme, F, Lucas, N, Béd...

This French language pathway created by the Centre Hospitalier Universitaire Sainte-Justine, provides guidance on treating pediatric patients with severe status asthmaticus.

Clinical Practice Guideline: Paediatric Emergency Department Asthma Clinical Pathway (2014)

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Expert Content Working Group of the Ontario Lung Association,

The P-EDACP is for patients aged 1 to 17 years presenting with wheeze and/or cough who have a history of asthma and/or prior history of wheezing. Additional tools include medication guidelines and pre-printed physicians orders (PPO) for each of the four severity levels, a patient education checklist, and discharge instructions with integrated prescription.

Clinical Practice Guideline: Pediatric Asthma Assessment for Emergent/Urgent Care (2013)

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Alberta Health Services,

Assessment sheets for pediatric asthma patients, includes PRAM Scoring instructions.

Clinical Practice Guideline: Pediatric Asthma Orders for Emergent/Urgent Care (2013)

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Alberta Health Services,

These orders contain recommendations based on PRAM Score for children aged 12 months - 18 years with a diagnosis of asthma

Clinical Practice Guideline: Pediatric Asthma Education Checklist (2013)

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Alberta Health Services,

This checklist contains education topics to review with patients/caregivers