Emergency Medicine Cases

Ep 193 The Crashing Asthmatic – Recognition and Management of Life Threatening Asthma

Apr 2, 2024

Experts Dr. Sameer Mal and Dr. Leeor Sommer discuss key elements in recognizing and managing life-threatening asthma, interventions like magnesium sulfate and epinephrine, NIPPV role, indications for intubation, ventilation strategies, and more in the emergency department.

56:04

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Episode guests

Leeor Sommer

Sameer Mal

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Episode notes

Podcast summary created with Snipd AI

Quick takeaways

Recognizing signs like dyspnea, tachypnea, and hypoxemia is crucial in assessing asthma severity.

In managing crashing asthmatics, comprehensive resuscitation including bronchodilators, IV meds, and potential intubation is essential.

Medications like magnesium sulfate and IV beta-agonists play a crucial role in treating severe asthma and improving outcomes.

Deep dives

Recognizing the Severity of Asthma

Understanding the importance of recognizing the severity of asthma, especially in patients showing signs like dyspnea, tachypnea, and hypoxemia, is crucial. Ensuring proper risk stratification and initiating appropriate emergency department treatments can prevent worsening of the condition.

Introduction

2min

Management of a Crashing Asthmatic Patient: Intensive Resuscitation and Treatment Considerations

4min

IV Magnesium Sulfate in Treating Severe Asthma

7min

Ketamine Use in Severe Asthma

12min

Management of Severe Asthma with IV Salbutamol

2min

Managing a Crashing Asthmatic Patient

25min

Management of Critically Ill Asthmatic Patient and Treatment Options

3min

In this part 2 of our 2-part podcast on asthma with Dr. Sameer Mal and Dr. Leeor Sommer, we dig into the recognition and management of life-threatening asthma. We answer such questions as: what are the key elements in recognition of threatening asthma? What are the most time-sensitive interventions required to break the vicious cycle of asthma? What are the best options for dosing and administering magnesium sulphate, epinephrine, fentanyl and ketamine in the management of the crashing asthmatic? What is the role of NIPPV in the management of life-threatening asthma? What are the factors we should consider when it comes to indications for endotracheal intubation of the crashing asthmatic? What role do blood gases play in the decision to intubate? What are the most appropriate ventilation strategies in the intubated asthma patient? and many more... Please support EM Cases with a donation: https://emergencymedicinecases.com/donation/

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Emergency Medicine Cases

Ep 193 The Crashing Asthmatic – Recognition and Management of Life Threatening Asthma

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

Deep dives

Recognizing the Severity of Asthma

Crashing Asthmatic Management

Role of Medications in Asthma Treatment

Ventilatory Management in Asthma

Emergency Response and Post-Intubation Care

Remember Everything You Learn from Podcasts