Emergency Medicine Cases

Episode 59: Bronchiolitis

16 snips
Feb 10, 2015
Exploring the diagnosis and management of Bronchiolitis in children, with a focus on predicting severity and proper treatment practices. Highlighting challenges in treatment modalities, the use of medications like beta agonists and epinephrine, and the benefits of high-flow oxygen therapy. Discussing the importance of clinical judgment over oxygen saturation levels in discharging children, and evaluating admission criteria for severe cases.
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INSIGHT

Diagnosis After Initial Management

  • Bronchiolitis diagnosis is less urgent than assessing respiratory and hydration status.
  • Treatment response helps confirm diagnosis more than early definitive diagnosis.
ADVICE

Focus on Respiration and Hydration

  • Assess respiratory and hydration status carefully using age-specific respiratory rates.
  • Observe work of breathing and feeding to gauge severity and hydration.
ADVICE

ABCs for Pediatric Assessment

  • Use the pediatric ABCs: appearance, breathing, and color to guide assessment.
  • A comprehensive, mostly hands-off approach aids rapid, effective evaluation.
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