CRACKCast E169 – Pediatric Respiratory Emergencies: Lower Airway Obstruction

Core questions:   Excluding asthma, list 8 causes of wheeze Outline the pathophysiology of asthma. What are the features of mild, moderate and severe asthma? Describe the PRAM score List 8 medications for asthma treatment with doses What is the typical ED management for a pts with an asthma exacerbation? Describe adjunctive therapies that might be used in a patient with refractory symptoms. How are PO corticosteroids used in the management of asthma? When should children be started on inhaled corticosteroids? Outline a plan for disposition of a pt presenting to the ED with an acute asthma exacerbation. What are risk factors for sudden death in a patient with asthma? List risk factors for bronchiolitis. What are the typical pathogens of bronchiolitis? What is the pathophysiology of bronchiolitis? How is bronchiolitis managed? Which children with bronchiolitis should be admitted to hospital? List potential complications of RSV.     Wisecracks:   What's the natural history of infants/toddlers who wheeze? What is a peak flow? What is the FEV1? What are the advantages to measuring peak flow? What are the disadvantages? Risk factors for death in bronchiolitis