Episode 66 - Acute Asthma

<p>Episode 66 – Acute Asthma Exacerbations – An Interview with Dr. Steven Hochman and Dr. Brandon Somwaru</p><p></p><p>EMplify – February 2022</p><p></p><p><a href="https://www.ebmedicine.net/topics/airway-respiratory/asthma" style="color:#0000FF;">Emergency Department Management of Acute Asthma Exacerbations</a></p><p>Interview with the authors: Steven M. Hochman, MD, and Brandon Somwaru, DO</p><p> </p><p>Episode Outline:</p><ul><li>Epidemiology</li><li class="ql-indent-1">Risk factors for death from asthma (Table 1)</li><li class="ql-indent-1">Triggers for asthma attacks</li><li class="ql-indent-1">Variants of asthma (Table 2)</li><li>Differential diagnosis (Table 3)</li><li class="ql-indent-1">Can PE be a trigger for an acute asthma attack? </li><li>Prehospital care</li><li>ED care: history (what should we ask?)</li><li>ED care: physical exam (what are we looking for?)</li><li>Classifying mild/moderate/severe asthma </li><li>Lab studies</li><li>POCUS (Table 5 and Figure 3)</li><li>Peak expiratory flow</li><li>ETCO2 capnography and capnometry</li><li>Chest x-ray</li><li>Treatment (Table 6)</li><li class="ql-indent-1">Medications</li><li class="ql-indent-2">Oxygen</li><li class="ql-indent-2">SABA vs LABA</li><li class="ql-indent-2">What about MDIs?</li><li class="ql-indent-2">Continuous nebs?</li><li class="ql-indent-2">Anticholinergics</li><li class="ql-indent-2">Steroids (IV, oral, inhaled; prednisone vs dexamethasone)</li><li class="ql-indent-2">Magnesium sulfate</li><li class="ql-indent-2">Epinephrine</li><li class="ql-indent-2">Terbutaline</li><li class="ql-indent-2">Ketamine</li><li class="ql-indent-1">NIPPV</li><li class="ql-indent-1">Intubation pearls and pitfalls (Table 8)</li><li>Special populations</li><li class="ql-indent-1">Pediatrics </li><li class="ql-indent-1">Pregnancy</li><li class="ql-indent-1">COVID-19 </li><li>Controversies and cutting edge</li><li class="ql-indent-1">Biologics</li><li class="ql-indent-1">Fractional exhaled nitric oxide</li><li class="ql-indent-1">Heliox </li><li class="ql-i