CRACKCast & Physicians as Humans on CanadiEM

CRACKCast E169 – Pediatric Respiratory Emergencies: Lower Airway Obstruction


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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

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CRACKCast & Physicians as Humans on CanadiEMBy CCteam