Bronchiolitis (part 1 of 2)9 September, 2010 by: colinparker
Bronchiolitis is so common, we all need to know about it…
Overview of this PEMcast
Bronchiolitis basics, with reference to:
PMH Guideline (nod to Beccy Cresp)
Zorc & Hall 2010 review [Bronchiolitis: recent evidence on diagnosis and management. Pediatrics 2010; 125: 342-349 ]
CP: welcome, disclaimer, overview
What is bronchiolitis?
CP: Definition / epidemiology (northern WA less seasonal)
SF: Clinical features
KB: Natural History
Treatment for bronchiolitis:
KB: Beta agonists?
(asthma vs bronchiolitis in North American trials – age ‘cutoff’ )
Admission for Supportive Care :
SF: Fluids (nod to CRIB study)
KB: other (natural history, high-risk groups, social)
KB: Advice to parents
SF: Future directions
All: summary, goodbye, join us next time.
A Couple of Short Video Clips
This first clip demonstrates a prolonged expiratory phase and subcostal recession (right-click to toggle fullscreen view):
This clip was filmed in the dark… but the audio reveals the prolonged expiratory phase, and a bronchiolitic cough:
Thanks for joining us. Feel free to share your insights as a comment…