EMS World

JAN 2019

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

Issue link: https://emsworld.epubxp.com/i/1061435

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Page 36 of 51

BONUS CONTENT: THE PEDIATRIC AIRWAY 36 JANUARY 2019 | EMSWORLD.com R espiratory distress is a common cause of 9-1-1 calls for children. In infants and young children, bron- chiolitis is one of the most frequent causes of respiratory distress. Bronchiolitis is a viral disease process that trig gers inflammation and edema of the lower air way. It al so increa se s m u cus p ro d u c ti o n , w hi ch c an c aus e na sal obstruction and respirator y dis- tre s s . A s s o ciate d s y m pto m s in clu d e runny nose, cough, wheezing, and rales. Research in the past two decades has led to impor tant updates in the care of bronchiolitis. Specifically, the American Ac ad e my of Pe d iatr i c s re co m m e n d s against the routine use of nebulized alb- uterol or epinephrine in mild to moderate disease. Supportive care, including nasal suctioning, is the treatment of choice. Introduction One reason pediatric patients are such an important subset of prehospital patients is because they differ anatomically and physiologically from adults. Respirator y distress is the most common identifiable reason for EMS transports in children. 1 B ro n ch i o litis is th e m o s t co m m o n cause of lower respirator y infection in children under 2 years of a ge and the most common reason for hospitalization in children under 1. 2,3 Children 30–60 days old are at the highest risk for hospital- ization; 3 those born prematurely are at increased risk of hospitalization, respira- By Michael Supples, MD, EMT-I, and Adam Johnson, MD PREHOSPITAL MANAGEMENT OF BRONCHIOLITIS It's a frequent cause of respiratory distress in infants and young children

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