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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.

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Emergency Medicine Cases Rapid Review: Pediatric Asthma Part 1

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Gilbride P, Lloyd T, Cheng E, Calldrige N & Yee M

Learning Objectives

  1. To assess pediatric asthma severity
  2. To use diagnostic tests effectively for pediatric asthma in the ED

Emergency Medicine Cases Rapid Review: Pediatric Asthma Part 2

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Gilbride P, Lloyd T, Cheng E, Calldrige N & Yee M

Learning Objectives

  1. To review evidence-based treatment options for pediatric asthma
  2. To list the discharge criteria for pediatric asthma from the ED
  3. To communicate effective discharge instructions for pediatric asthma

Emergency Medicine Cases Podcast: Management of Acute Pediatric Asthma Exacerbations (2016)

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Dr. Dennis Scolnik & Dr. Sanjay Mehta

Episode 79: In this EM Cases episode on Pediatric Asthma, Dr. Dennis Scolnik and Dr. Sanjay Mehta discuss risk stratification (including the PASS and PRAM scores), indications for CXR, the value of blood gases, MDIs with spacer vs nebulizers for salbutamol and ipatropium bromide, the best way to give corticosteroids, the value of inhaled steroids, the importance of early administration of magnesium sulphate in the sickest kids, and the controversies around the use of ketamine, heliox, high flow nasal cannuala oxygen, NIPPV, epinephrine and IV salbutamol in severe asthma exacerbations. With the multinational and extensive experience of Dr. Dennis Scolnik, the clinical fellowship Program Director at The Hospital for Sick Children in Toronto and Dr. Sanjay Mehta, multiple award winning educator, you'll become more comfortable the next time you are faced with a child presenting with asthma in your ED. Published online: April 2016.

Children's Allergy & Asthma Education Centre

Visit

R, Choonidass

Being the parent of a child with life-threatening food allergies can be challenging. Visit the Children's Allergy and Asthma Education Resource Centre to view a series of videos that provide parent's views on life with a food allergy (accessed online: March 2017).

Multimedia: Pediatric Respiratory Assessment Measure (PRAM) App [for iPhone]

Visit

Ontario Lung Association

The Pediatric Respiratory Assessment Measure (PRAM) is a 12-point scoring system to objectively assess asthma severity and response to treatment in an acute care setting. Valid for use in patients 1 – 17 years of age, the PRAM score is used by many clinical pathways that guide health professionals in the acute assessment and management of asthmatic exacerbations in children and youth. Asthma severity is categorized by the following PRAM scores: Mild (0-3), Moderate (4-7) or Severe (8-12).

This PRAM app quickly calculates a PRAM score based on 5 clinical findings (oxygen saturation, suprasternal retractions, scalene muscle use, air entry and wheezing). The corresponding asthma severity and specific management is then provided, based on the Ontario Lung Association’s Pediatric Emergency Department Asthma Clinical Pathway.

Multimedia: Pediatric Respiratory Assessment Measure (PRAM) App [for Android]

Visit

Ontario Lung Association

The Pediatric Respiratory Assessment Measure (PRAM) is a 12-point scoring system to objectively assess asthma severity and response to treatment in an acute care setting. Valid for use in patients 1 – 17 years of age, the PRAM score is used by many clinical pathways that guide health professionals in the acute assessment and management of asthmatic exacerbations in children and youth. Asthma severity is categorized by the following PRAM scores: Mild (0-3), Moderate (4-7) or Severe (8-12).
This PRAM app quickly calculates a PRAM score based on 5 clinical findings (oxygen saturation, suprasternal retractions, scalene muscle use, air entry and wheezing). The corresponding asthma severity and specific management is then provided, based on the Ontario Lung Association’s Pediatric Emergency Department Asthma Clinical Pathway.

Emergency Medicine Cases Rapid Review: Pediatric Asthma Part 1

Visit

Gilbride P, Lloyd T, Cheng E, Calldrige N & Yee M

Learning Objectives

  1. To assess pediatric asthma severity
  2. To use diagnostic tests effectively for pediatric asthma in the ED

Emergency Medicine Cases Rapid Review: Pediatric Asthma Part 2

Visit

Gilbride P, Lloyd T, Cheng E, Calldrige N & Yee M

Learning Objectives

  1. To review evidence-based treatment options for pediatric asthma
  2. To list the discharge criteria for pediatric asthma from the ED
  3. To communicate effective discharge instructions for pediatric asthma

Emergency Medicine Cases Podcast: Management of Acute Pediatric Asthma Exacerbations (2016)

Visit

Dr. Dennis Scolnik & Dr. Sanjay Mehta

Episode 79: In this EM Cases episode on Pediatric Asthma, Dr. Dennis Scolnik and Dr. Sanjay Mehta discuss risk stratification (including the PASS and PRAM scores), indications for CXR, the value of blood gases, MDIs with spacer vs nebulizers for salbutamol and ipatropium bromide, the best way to give corticosteroids, the value of inhaled steroids, the importance of early administration of magnesium sulphate in the sickest kids, and the controversies around the use of ketamine, heliox, high flow nasal cannuala oxygen, NIPPV, epinephrine and IV salbutamol in severe asthma exacerbations. With the multinational and extensive experience of Dr. Dennis Scolnik, the clinical fellowship Program Director at The Hospital for Sick Children in Toronto and Dr. Sanjay Mehta, multiple award winning educator, you'll become more comfortable the next time you are faced with a child presenting with asthma in your ED. Published online: April 2016.

Children's Allergy & Asthma Education Centre

Visit

R, Choonidass

Being the parent of a child with life-threatening food allergies can be challenging. Visit the Children's Allergy and Asthma Education Resource Centre to view a series of videos that provide parent's views on life with a food allergy (accessed online: March 2017).

Multimedia: Pediatric Respiratory Assessment Measure (PRAM) App [for iPhone]

Visit

Ontario Lung Association

The Pediatric Respiratory Assessment Measure (PRAM) is a 12-point scoring system to objectively assess asthma severity and response to treatment in an acute care setting. Valid for use in patients 1 – 17 years of age, the PRAM score is used by many clinical pathways that guide health professionals in the acute assessment and management of asthmatic exacerbations in children and youth. Asthma severity is categorized by the following PRAM scores: Mild (0-3), Moderate (4-7) or Severe (8-12).

This PRAM app quickly calculates a PRAM score based on 5 clinical findings (oxygen saturation, suprasternal retractions, scalene muscle use, air entry and wheezing). The corresponding asthma severity and specific management is then provided, based on the Ontario Lung Association’s Pediatric Emergency Department Asthma Clinical Pathway.

Multimedia: Pediatric Respiratory Assessment Measure (PRAM) App [for Android]

Visit

Ontario Lung Association

The Pediatric Respiratory Assessment Measure (PRAM) is a 12-point scoring system to objectively assess asthma severity and response to treatment in an acute care setting. Valid for use in patients 1 – 17 years of age, the PRAM score is used by many clinical pathways that guide health professionals in the acute assessment and management of asthmatic exacerbations in children and youth. Asthma severity is categorized by the following PRAM scores: Mild (0-3), Moderate (4-7) or Severe (8-12).
This PRAM app quickly calculates a PRAM score based on 5 clinical findings (oxygen saturation, suprasternal retractions, scalene muscle use, air entry and wheezing). The corresponding asthma severity and specific management is then provided, based on the Ontario Lung Association’s Pediatric Emergency Department Asthma Clinical Pathway.

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