This talk was recorded live at DFTB17 in Brisbane. We’ve got plenty more where this one came from so keep on checking in with us every week. If you think you’ve got the chops to pull it off next year then get in touch with us hello@dontforgetthebubbles.com.
Tonight I had the privilege to talk to the team at the Werribee branch of Ambulance Victoria. I was given the brief to talk on something to do with paediatric respiratory problems and I thought I would focus on one of their most common presentations – asthma.
Salbutamol is one of the most frequently used medicines in the paediatric pharmacopeia. Most of us can say that it’s a short acting beta agonist delivered by nebuliser or more commonly via an MDI with spacer. Some might recall that the half life is between 2.7 and 5.5hrs. And, most perplexing of all, once we’ve…
The Royal Children’s Hospital in Melbourne have released an update on their asthma management. There are some great points here around the use of steroids and planning for discharge. Thanks to Mike Starr and RCH for allowing us to reproduce the update here…
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…
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….