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 

Bronchiolitis (part 2 of 2)

Nebulised Hypertonic Saline… Everybody’s talking about it. Well, they should be. Is this finally the treatment for bronchiolitis that we’ve been waiting for? Could a cheap, simple medication like this be the answer to massive health-care costs? Bronchiolitis is such a common condition, that saving a day (or even half a day) of hospital length of stay across the board, would result...

September 23rd, 2010 by colinparker 

Breathing (part 2 of 4)

Welcome back to more pearls on assessing breathing difficulty in children. In this episode we cover clinical tips to help distinguish different causes of respiratory signs, tachypnea, and respiratory failure: there are FOUR groups now! Outline of this PEMcast: ALL: Clinically distinguishing: UAWO vs LAWO Croup vs asthma, crasthma Bronchiolitis vs CCF CP: Causes of tachypnea RS LRTI Obstructive:...

July 2nd, 2010 by colinparker