Diagnosing bronchiolitis in infants under 12 months is crucial for effective management.
Early diagnosis of asthma in children over 12 months with wheezing aids in reducing long-term risks.
Differentiating between bronchiolitis, asthma, pneumonia, and COVID poses challenges in pediatric emergency medicine.
Deep dives
High levels of pediatric respiratory illnesses observed in fall and winter.
During the recent fall and winter seasons, a significant increase in pediatric respiratory illnesses has been noted, particularly in Canadian children aged 0-5 years. Various viruses including RSV, COVID, influenza, para-influenza, enterovirus, and adenovirus have been prevalent.
Understanding bronchiolitis management and evidence-based approaches.
The podcast discusses the management of bronchiolitis, emphasizing evidence-based practices. Dr. Suzanne Shoe, a renowned pediatric emergency physician, highlights the importance of age in diagnosing bronchiolitis, focusing on infants under 12 months. She also discusses distinguishing bronchiolitis from other conditions like asthma, bacterial pneumonia, and COVID.
Importance of early asthma diagnosis in children.
Dr. Shoe emphasizes the significance of identifying asthma in children over 12 months who present with wheezing episodes. Making an early asthma diagnosis allows for proper treatment with corticosteroids, reducing long-term respiratory risks.
Bronchiolitis definition and considerations in diagnosis.
The podcast delves into the definition and diagnosis of bronchiolitis, highlighting variations in definitions by different medical institutions. It underscores the challenges in distinguishing between bronchiolitis, asthma, pneumonia, and COVID in children, emphasizing the need for individualized patient care.
Challenges in bronchiolitis treatment and oxygen therapy strategies.
The episode explores the complexities of bronchiolitis treatment, particularly in deciding on oxygen therapy strategies. It examines the use of high flow nasal cannula, cautioning against overuse and recommending its reserved use for cases where standard therapy has failed.
In this main episode podcast Anton discusses with world expert and bronchiolitis researcher Dr. Suzanne Schuh, the challenges of the diagnosis and management of bronchiolitis during a time of crisis in pediatric emergency medicine and offers some evidence-based solutions to improving outcomes while minimizing valuable resources, as part of our 'Best of University of Toronto EM' series...
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