Lightning Learning: Winter In Paeds ED
““Did you know 1-in-3 children will develop Bronchiolitis within their 1st year of life?””
What?
Respiratory distress will be a common presentation.
Beware bronchiolitis mimics – pneumonia, congenital cardiac disease and other conditions can be missed without careful assessment.
All children awaiting medical beds should have observations taken every hour and repeat clinical reviews at a minimum of 2 hourly intervals.
Why?
1-in-3 children will develop bronchiolitis in their 1st year of life.
The following are NOT recommended in the management of Bronchiolitis:
Antibiotics
Salbutamol
Atrovent
Adrenaline nebulisers
Corticosteroids
Hypertonic saline
Montelukast
Indicators for admission:
Severe respiratory distress
Saturations <92% in air
Apnoeas
Feeding less than half usual
Co-existing disease*
Prematurity*
(* = potential indicators)
How?
Read the NICE Guideline for Bronchiolitis in Children: diagnosis and management.
Take time to look through the Vapotherm stack in Paeds ER and included guidance for set up.
#EM3: look at our latest #SimBlog on bronchiolitis and its mimics.
