ISAAC blows wheezy whistle on APAP

This debate is going to be HUGE… Does paracetamol (acetaminophen) cause asthma? A series of large international studies and reviews dedicated to the question raise some interesting questions.  There appears to be an epidemiological association – not the same as a causal association – but something’s going on… For those of us who have been using APAP (=acetaminophen,...

January 26th, 2012 by colinparker 

Asthma Medications: where’s the evidence?

We like to think we practice evidence-informed medicine… but what evidence do we have that these medications work in acute asthma? Inhaled treatments make sense, and we can see them working right before our eyes, but when things get serious, response to more aggressive interventions don’t seem to be quite as convincing. We have hand-picked a few papers to show the way, in terms of backing...

March 10th, 2011 by colinparker 

Asthma

Asthma in kids is common… very common.  So we should know how to manage it in our Emergency Departments.  Occasionally we see a child with severe or critical asthma; when this happens it is useful to know what your plan is – a plan you can make beforehand, rather than in the heat of the moment… Join us for this PEMcast as we navigate the current conventional wisdom on management...

February 24th, 2011 by colinparker 

Breathing (part 4 of 4)

What is the role for Non-Invasive Ventilation in the Paediatric Emergency Department? Does NIV present the same rescue options as in adult respiratory emergencies, where blowing air through the window of opportunity can prevent endotracheal intubation? In this PEMcast, we explore Bi-level Positive Airways Pressure and a few of its lesser-known cousins, using the limited literature as our map, and...

July 29th, 2010 by colinparker