DFTB in EMA #3 – Easing the Wheeze

The team at DFTB had our third article published in the series for Emergency Medicine Australasia Journal. Wheezing children commonly present to the ED. Bronchiolitis, preschool wheeze and asthma are common causes of such presentations. It is important to note that the term ‘wheeze’ is frequently misused by parents to describe a number of respiratory noises,…

tripod

Asthma Exacerbations & Therapeutic Positioning

Idea: Sitting erect vs slouching or slumping improves air flow in moderate-severe exacerbations of asthma. A pale, breathless 7 year old with a known history of asthma presents to your department. Oxygen saturations are hovering in the mid-80’s with marked tracheal tug, subcostal, substernal, intercostal and supraclavicular recessions in addition to accessory muscle usage. He’s…

Tuberculosis - cough

Tuberculosis

Jamie is a 4 year old with ongoing pyrexia for a couple of weeks.  He has a mild cough but nothing else.  The family mention in passing that grandad recently had TB. Is this common in the developed world?  How would you recognise it and treat it?

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