Asthma Exacerbations & Therapeutic Positioning

Cite this article as: Goldstein, H. Asthma Exacerbations & Therapeutic Positioning, Don't Forget the Bubbles, 2014. Available at: http://doi.org/10.31440/DFTB.5300Idea: 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…

Tuberculosis - cough

Tuberculosis

Cite this article as: Hotton, P. Tuberculosis, Don't Forget the Bubbles, 2014. Available at: http://doi.org/10.31440/DFTB.5410 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…

Where is that foreign body?

Cite this article as: Yamamoto, L. Where is that foreign body?, Don't Forget the Bubbles, 2014. Available at: https://dontforgetthebubbles.com/where-is-that-foreign-body/A two-year old Caucasian male with a chief complaint of cough and fever. He has had fevers up to 38.5 degrees and “wet” coughs intermittently for the past two months. He has also had episodes of emesis…

Should we put a drain in?

Cite this article as: Yamamoto, L. Should we put a drain in?, Don't Forget the Bubbles, 2013. Available at: https://dontforgetthebubbles.com/put-a-drain-in/This is a 15-year old male with a history of severe chronic lung disease and bronchopulmonary dysplasia since birth. He was premature, and since then has required multiple hospitalizations for acute exacerbations of his chronic lung…

Is it a pneumothorax?

Cite this article as: Yamamoto, L. Is it a pneumothorax?, Don't Forget the Bubbles, 2013. Available at: https://dontforgetthebubbles.com/is-it-a-pneumothorax/A 23-month old female has a history of vomiting three to four times per day for three days. She has a past history of reactive airway disease and congenital heart block (maternal systemic lupus) requiring a permanent implanted…

Asthma – ventilation strategies

Cite this article as: Davis, T. Asthma – ventilation strategies, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.2816 In spite of your best medical management, the 9 year old severe asthmatic that you have been medically managing continues to deteriorate.  People are starting to mention ventilation.  Is doesn’t seem like a great idea….

Low flow oxygen delivery quiz

Cite this article as: Davis, T. Low flow oxygen delivery quiz, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.4179Any doctor or nurse working a hospital should be familiar with mechanisms for delivering low flow oxygen. So you should know all the answers to this quick quiz…shouldn’t you?

Asthma – medical management

Cite this article as: Davis, T. Asthma – medical management, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.2815 A 9 year old boy is rushed into ED with what is clearly a severe exacerbation of his asthma. His sats are 80%, his RR is 60-70 and he is not looking great. You can hear some…

Foreign body aspiration - chocolate

Foreign body aspiration

Cite this article as: Yamamoto, L. Foreign body aspiration, Don't Forget the Bubbles, 2013. Available at: https://dontforgetthebubbles.com/foreign-body-aspiration/A 17 month old male presents to the ED in the evening with a one-hour history of noisy and abnormal breathing after a choking episode while he was eating a chocolate and almond bar.

Listen to the nurses

Cite this article as: Yamamoto, L. Listen to the nurses, Don't Forget the Bubbles, 2013. Available at: https://dontforgetthebubbles.com/listen-nurses/ A 9-year old male was brought to the ED after fainting in school. Upon awakening in the morning, he vomited twice, but he was sent to school. At school, he vomited three more times and continued to…

Bronchiolitis

Cite this article as: Goldstein, H. Bronchiolitis, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3581A 6 month old child presents with cough and runny nose for 2 days with increased work of breathing.  She is working hard with moderate subcostal recession.