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.

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Page 37 of 51

EMSWORLD.com | JANUARY 2019 37 tor y failure, and apnea. Because of the high incidence of disease, EMS profes- sionals will frequently care for children with bronchiolitis and should be aware of current recommendations from the American Academy of Pediatrics (AAP). Bronchiolitis is caused by a viral infec- tio n, w ith re spirato r y s y n c y tial v ir us (RSV) being the most regularly iden- tifiable. In one cohor t of inpatient and outpatient subjects, RSV was identified in 76% of ca s e s . Rhinov irus wa s the second-most common cause at 18%. Other implicated viruses include influ- enza, parainfluenza, and human meta- pneumovirus. 4 Bronchiolitis is a disease of seasonal and some geographic varia- tion, with most cases occurring between December and March. 5 The disease typically infects the upper respirator y trac t, then spreads to the lower respirator y tract. Viral replication in the cells lining the air way causes cell death and release of inflammator y medi- ators, leading to edema and increased On exam, a child with bronchiolitis may be tachycardic and tachypneic, and have wheezing and/or rales on auscultation. ColumbiaSouthern.edu/EMSA ยป 877.347.6050 Located in Orange Beach, Alabama. Gainful employment information available at ColumbiaSouthern.edu/Disclosure. Accredited Online EMSA Degree Progams

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