The Resus Room

Asthma; Roadside to Resus Part 1

8 snips
Aug 14, 2017
The podcast discusses the presentation and severity of asthma, the criteria for assessing asthma severity, differential diagnosis of asthma and conditions that mimic it, identifying and treating asthma attacks, and the management of severe asthma cases with IV hydrocortisone and magnesium.
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ADVICE

Accurate Peak Flow Measurement

  • Use the patient's own peak flow meter if possible, as devices vary.
  • Ensure proper technique: standing/sitting, marker reset, forceful exhalation.
INSIGHT

ABG Importance in Asthma

  • Pulse oximetry doesn't detect hypercapnia, a risk in severe asthma.
  • BTS recommends ABG for saturations below 92%, regardless of oxygen use.
INSIGHT

Asthma Mimics

  • Anaphylaxis mimics asthma with hypotension, wheeze, and altered consciousness.
  • Consider LVF, foreign bodies (especially in children), and PE as differentials.
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