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Updated: Jun 27, 2026

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Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
Published on: November 4, 2010
Evidence-based practice in A&E asthma management.
Cliff Evans1, Heena Thakar, Bobby Gill
1Emergency department, Wexham Park Hospital.
Summary
Implementing an evidence-based approach improved acute asthma management in an emergency department. Audits confirmed successful changes in patient care for asthma exacerbations.
Area of Science:
- Emergency Medicine
- Respiratory Medicine
- Clinical Quality Improvement
Background:
- Acute asthma remains a common emergency department (ED) presentation.
- Variability in acute asthma care can impact patient outcomes.
- Standardizing management protocols is crucial for effective treatment.
Purpose of the Study:
- To implement and evaluate an evidence-based approach for acute asthma management in an ED setting.
- To assess the impact of the new protocol on patient care and outcomes.
- To identify areas for further improvement in asthma management.
Main Methods:
- Conducted pre-implementation audit of current acute asthma care practices.
- Implemented a standardized, evidence-based asthma management protocol.
- Performed post-implementation audit to measure changes and success.
Main Results:
- Significant improvements observed in adherence to evidence-based guidelines post-implementation.
- Audits indicated positive changes in the care delivered to patients with asthma.
- Data suggests enhanced efficiency and effectiveness of asthma management.
Conclusions:
- An evidence-based approach is feasible and effective for acute asthma management in the ED.
- Implementation and auditing are key to successful quality improvement initiatives.
- The study provides a model for optimizing emergency care for asthma exacerbations.
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