
Evidence based review of acute severe asthma including clinical recognition and management
Life in the Fast Lane Medical Blog
Emergency Medicine education blog

A 13 year-old boy’s chest and throat feels tight and he feels as though he can’t get any air in. Ventolin hasn’t helped. Can you diagnose and manage this case?

A mechanically ventilated patient has high peak inspiratory pressures. You need to silence that incessant the alarm… What are you going to do?

A young man has been intubated for severe asthma. Now his blood pressure is heading for the floor. What are you going to do about it? Think you can save a life?
Clinical Recognition of Severe / Critical Asthma Severe asthma indicated by any one of (admit every patient with severe): PEFR (or FEVI) >33≤50% predicted or best, or < 100 L/min (or I L for FEVI). Unable to complete sentences in one breath. Respiratory Rate ≥ 25 / min. Pulse > 120 / min (≥110 / [...]
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