Emergency Medicine Cases

Ep 192 ED Adult Asthma Management Strategies For Improved Prognosis – A Stepwise Approach

21 snips
Mar 19, 2024
Explore asthma management strategies in the ED, from risk stratification to MDI vs nebulizers. Learn about aggressive treatment approaches with inhaled meds and steroids. Discover the importance of steroid inhalers post-discharge and optimizing inhaler techniques for improved patient outcomes.
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ADVICE

Recognize Asthma Mimics

  • Consider asthma mimics like anaphylaxis, vocal cord dysfunction, and pneumothorax.
  • Resuscitate while differentiating, using history, physical exam, and point-of-care ultrasound.
ADVICE

Stridor vs. Wheezing

  • Differentiate stridor from wheezing: stridor is inspiratory, wheezing expiratory.
  • Avoid cognitive bias; not all noisy breathing is wheezing, consider upper airway issues.
ANECDOTE

Misdiagnosed Stridor

  • Anton Hellman recalls a case of stridor misdiagnosed as wheezing.
  • The patient had a near-complete airway obstruction, highlighting the importance of accurate diagnosis.
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