Should you supply a salty solution for bronchiolitis symptoms?

By |2016-12-14T12:56:49-05:00January 20th, 2015|Article Reviews, Infectious Diseases, Pulmonology|

Continuing onward with the next in the top ten articles presented at the recent AAP NCE in San Diego is a study of the use of hypertonic saline (HTS) in bronchiolitis. I'll stray a bit form the usual format in that this paper was presented in a point counterpoint fashion. I've also posted on this topic previously as a part [...]

Are you giving asthmatics prednisone when you could be prescribing dexamethasone instead?

By |2016-12-14T12:56:50-05:00October 29th, 2014|Article Reviews, Pharmacology, Pulmonology|

When I said I would go into the top ten articles presented at the recent AAP NCE in San Diego I meant it. I plan to tackle each article and briefly review the results and try to drive home how this can impact your practice. First up, a steroid alternative for prednisone die-hards. I've you've been a PEMBlog reader for [...]

Why we do what we do: Intravenous magnesium for asthma exacerbations

By |2016-12-14T12:56:51-05:00October 11th, 2014|Pharmacology, Pulmonology, What We Do|

So you've thrown the kitchen sink at a child with a moderate to severe asthma exacerbation. And despite the large hematoma on their forehead from the concussive effect of the faucet ricocheting off their skull they've not improved. What's a clinician to do? Give intravenous magnesium sulfate, that's what you should do. Interestingly we learned that it was valuable when [...]

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