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Emergency department treatment of asthma in children: A review
Moon O Lee1, Shyam Sivasankar1, Nicholas Pokrajac1
1Department of Emergency Medicine Stanford University School of Medicine Stanford California USA.
Insights
This review outlines the best practices for diagnosing and treating acute asthma exacerbations in children presenting to the emergency department (ED), aiming to improve outcomes and reduce hospital admissions.
Area of Science:
- Pediatric Emergency Medicine
- Respiratory Medicine
- Clinical Practice Guidelines
Background:
- Asthma is a prevalent chronic respiratory illness in children, leading to over 700,000 emergency department visits annually.
- Acute asthma exacerbations present with a spectrum of severity, from mild symptoms to life-threatening conditions.
- Effective emergency department (ED) management is crucial for improving patient outcomes and minimizing hospitalizations.
Purpose of the Study:
- To review and present the optimal diagnostic and treatment strategies for acute asthma exacerbations in pediatric patients in the ED.
- To provide an evidence-based approach informed by the latest clinical guidelines.
- To enhance the care of children experiencing severe asthma attacks.
Main Methods:
- Literature review of recent guidelines and studies on pediatric asthma management in emergency settings.
- Synthesis of current evidence for diagnosis and treatment protocols.
- Focus on standardized approaches for acute exacerbations.
Main Results:
- Standardized treatment protocols in the ED can significantly improve patient outcomes.
- Early and appropriate interventions can lead to fewer hospital admissions.
- Adherence to recent guidelines ensures optimal care for pediatric asthma patients.
Conclusions:
- Optimal diagnosis and treatment of acute asthma exacerbations in children presenting to the ED are critical.
- Implementing guideline-based care can reduce morbidity and healthcare resource utilization.
- This review provides a framework for evidence-based management in pediatric emergency care.
Abstract:
Asthma is the most common chronic illness in children, with >700,000 emergency department (ED) visits each year. Asthma is a respiratory disease characterized by a combination of airway inflammation, bronchoconstriction, bronchial hyperresponsiveness, and variable outflow obstruction, with clinical presentations ranging from mild to life-threatening. Standardized ED treatment can improve patient outcomes, including fewer hospital admissions. Informed by the most recent guidelines, this review focuses on the optimal approach to diagnosis and treatment of children with acute asthma exacerbations who present to the ED.
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