• Scene – albuterol, atrovent, vs, ekg, cbg
• En route – no transport
• Hospital – none
• Response to treatment – patient cleared up after first duo neb. He stated that he felt better and could take a deep breath now.
• Disposition – patient and family were advised of risks and of refusing transport.
• Elliot Williams, Paramedic Woodburn Ambulance
• David M. Spiro, MD, MPH Professor of Pediatrics University of Arkansas Medical Center
• Asthma exacerbation
• Asthma exacerbation
• Pneumonia
• Foreign body (less likely due to age)
• Bronchiolitis
• Pneumonitis
• Patient states – He went to bed feeling good, but woke up at about 0200 with difficulty breathing and a dry throat.
• Caregiver states – he has seasonal allergies and every fall he has problems with breathing.
• Patient upright and walking; appears calm, but has wheezing and dry throat.
• EKG – SR
• GCS – 15
• CBG – 104
This child seems to be in mild to moderate respiratory distress. No verbal response due to the neb treatment, however note the increased respiratory rate and retractions. In areas where steroids are allowed in the prehospital setting, starting them at this junction would be reasonable. The family refused treatment in this case after a thorough discussion of risks of non-transport.
IU School of Medicine and Indianapolis EMS Target Childhood Asthma with Paramedic Housecalls
Pediatric asthma
Asthma Care Quick Reference: Diagnosing and Managing Asthma
• Gender: Male
• Age: 12 years
• Height: Not Available
• Weight: Not Available
• Temperature: Not Available
• Blood Pressure: 125/68
• Heart Rate: 89
• Respiratory Rate: 24
• Pulse Oximetry: 98% RA
Dry throat; difficulty breathing
• PMH: Asthma
• Alleriges: None
• Dispatch info: Asthma attack
• Lives with his uncle Medications
• Ventolin
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