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Acute P aediatric Emergencies 2

Acute P aediatric Emergencies 2. Asthma Dr Julia Thomson General paediatric consultant with an interest in Emergency Paediatrics. Learning objectives. Assessment and support of a child with breathing difficulties Approach to the child with wheeze Asthma emergency treatment. Background .

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Acute P aediatric Emergencies 2

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  1. Acute Paediatric Emergencies 2 Asthma Dr Julia Thomson General paediatric consultant with an interest in Emergency Paediatrics

  2. Learning objectives • Assessment and support of a child with breathing difficulties • Approach to the child with wheeze • Asthma emergency treatment

  3. Background • Acute exacerbation of asthma is most common reason for hospital admission in UK • Cough, wheeze, breathlessness • Precipitants: • Viruses • Smoky atmosphere, other pollutants • Rapid fall in temperature • Exercise • Allergens • 26 deaths from asthma in England and Wales in 2002

  4. Assessment of the child with breathing difficulties • Assess and if necessary support • A,B,C • AIRWAY • BREATHING • Effort, (Exceptions), Efficacy, Effects • CIRCULATION

  5. Approach to the child with wheeze • Assess severity: BTS/SIGN 2008 guidelines • Moderate • Acute severe • Life-threatening • Elements in the history associated with severe/life-threatening attacks • Long duration of symptoms • Regular nocturnal awakening • Poor response to any treatment already given in this episode • Previous ITU admission, iv salbutamol

  6. After care • Potassium • Antibiotics? • Cessation of iv treatment • Duration of steroids • Iv fluids • Discharge plan

  7. Questions

  8. Summary • Assessment and support of a child with breathing difficulties • ABC • Approach to a child with wheeze • Asthma emergency management as per BTS/SIGN • Management on discharge

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