PediatricDigest

PediatricDigest

Tuesday, 31 January 2023

[New post] “Ep 177 Bronchiolitis – Diagnostic Challenges and Management Pitfalls” From EMC: Links And Excerpts With Links To Additional Resources

Site logo image Tom Wade MD posted: "In addition to today's resource on bronchiolitis, please see: How To Use Nasogastric Hydration In Infants- Supplemental Material From "Quality Improvement Initiative to Increase the Use of Nasogastric Hydration in Infants With Bronchiolitis" Posted " Tom Wade MD

"Ep 177 Bronchiolitis – Diagnostic Challenges and Management Pitfalls" From EMC: Links And Excerpts With Links To Additional Resources

Tom Wade MD

Jan 30

In addition to today's resource on bronchiolitis, please see:

  • How To Use Nasogastric Hydration In Infants- Supplemental Material From "Quality Improvement Initiative to Increase the Use of Nasogastric Hydration in Infants With Bronchiolitis"
    Posted on September 3, 2020 by Tom Wade MD
  • Links To And Excerpts From The Cribsiders' #2:Go with the High Flow: Bronchiolitis with Dr. Brian Alverson
    Posted on February 5, 2021 by Tom Wade MD
  • Primer On Use Of High Flow Nasal Cannula For Pediatric Bronchiolitis, 44:36, Nov 22, 2022, from the Center For Medical Education  [Link is to the YouTube channel].
  • Dr. Larry Mellick's [Link is to his YouTube channel] video, RSV Bronchiolitis Emergency Management, 8:56, Aug 1, 2022.
  • Forty-Four Questions I Would Like to Ask Bronchiolitis
    Guideline Writers and Researchers [PDF] Larry B. Mellick, MD, MS, FAAP, FACEP. Emerg Med Open J. 2022; 8(1): e1-e6
  • The Problematic 2014 American Academy of Pediatrics Bronchiolitis Guidelines [PubMed Abstract] [Full text available at researchgate] Pediatr Emerg Care. 2019 Sep;35(9):654-658. doi: 10.1097/PEC.0000000000001915.
  • Links To And Excerpts From The PedsCases Note (Infographic) "Approach to Bronchiolitis" With Links To Additional Resources
    Posted on December 6, 2021 by Tom Wade MD
  • The Canadian Paediatric Society Position Statement: Bronchiolitis: Recommendations for diagnosis, monitoring and management of children one to 24 months of age. Posted: Nov 3, 2014 | Updated: Nov 30, 2021

In this post, I link to and excerpt from Emergency Medicine Cases' Ep 177 Bronchiolitis – Diagnostic Challenges and Management Pitfalls*,  59:56.

* Helman, A. Bronchiolitis – Diagnostic Challenges and Management Pitfalls. Emergency Medicine Cases. December, 2022. https://emergencymedicinecases.com/bronchiolitis-diagnostic-challenges-management-pitfalls. Accessed January 30, 2023.

All that follows is from the above outstanding resource.

This fall and winter of 2022 has seen a huge rise in pediatric respiratory illness in North America as well as increased admission for children with bronchiolitis. This was totally predictable. In a previous EM Quick Hit segment Dr. Sarah Reid warned us of the upcoming tsunami of coughing kids. There are many viruses abound: RSV, COVID, Influenza, Parainfluenza, Enterorhinovirus, Adenovirus. In Canada we've seen an early RSV surge in the 0-5 year old age group especially – so lots more bronchiolitis. Influenza A is far above expected levels as well, generally in the 5-11 year old age group. In this podcast Anton discusses with world expert and bronchiolitis researcher Dr. Suzanne Schuh, the challenges of the diagnosis and management of bronchiolitis during a time of crisis in pediatric emergency medicine and offers some evidence-based solutions to improving outcomes while minimizing valuable resources, as part of our 'Best of University of Toronto EM' series.

 

 


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