Bronchiolitis (part 1 of 2)

9 September, 2010 by: colinparker

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We interrupt the alphabet to bring you… respiratory viruses in the southern hemisphere. We wanted to get this one in before the end of bronchiolitis season.
baby

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:

CP: Steroids?
SF: Adrenaline?
KB: Beta agonists?
(asthma vs bronchiolitis in North American trials – age ‘cutoff’ )

Admission for Supportive Care :

CP: Oxygen
SF: Fluids (nod to CRIB study)
KB: other (natural history, high-risk groups, social)

Wrapping up:

CP: Tests
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):

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This clip was filmed in the dark… but the audio reveals the prolonged expiratory phase, and a bronchiolitic cough:

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Thanks for joining us.  Feel free to share your insights as a comment…

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Comments

6 Responses to “Bronchiolitis (part 1 of 2)”
  1. Nice work guys,
    I look forward to more, particularly like the video.
    J

  2. colinparker says:

    Thanks Ripster. And thanks also for your other suggestions on email. I’m loving UltraSoundVillage.com now that you have a professional web developer!

  3. Colin, I am going to put a link to your bronchiolitis video clips in my November newsletter called Paediatric Pearls that I send out to our local GPs and Emergency Department juniors. I have also just launched a website/blog called Paediatric Pearls to support the continuing medical education of all health professionals working with children. One of my registrars found your site which is quite similar to mine (thanks to WordPress). Do have a look at it. It is aimed mainly at non-paediatricians but my own juniors use it and would probably appreciate some of your more specialist articles. Linking to your site will save me finding the video clips myself! Very happy to have your readers visiting my site too – and making comments of course – if they feel it is relevant to their needs and not too parochial.
    Dr Julia Thomson
    Paediatric Consultant, London, UK

  4. colinparker says:

    Julia, thank you so much for your comment and the info about your blog. The bronchiolitis videos were made by me about 5 years ago (one of my own children) and the quality could be better, but I chose to put them up because there is a real lack of video clips for PEM topics out there. Happy for you to link to the videos – or anything on empem.org really – and welcome all comments!
    All the best with your webucation activities.
    Colin

  5. Wow this is a great resource.. I’m enjoying it.. good article

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