We interrupt the alphabet to bring you… respiratory viruses in the southern hemisphere. We wanted to get this one in before the end of bronchiolitis season.
Bronchiolitis is so common, we all need to know about it…
Overview of this PEMcast
Bronchiolitis basics, with reference to:
PMH Guideline (nod to Beccy Cresp)
Zorc & Hall 2010 review [Bronchiolitis: recent evidence on diagnosis and management. Pediatrics 2010; 125: 342-349 ]
CP: welcome, disclaimer, overview
What is bronchiolitis?
CP: Definition / epidemiology (northern WA less seasonal)
SF: Clinical features
KB: Natural History
Treatment for bronchiolitis:
CP: Steroids?
SF: Adrenaline?
KB: Beta agonists?
(asthma vs bronchiolitis in North American trials – age ‘cutoff’ )
Admission for Supportive Care :
CP: Oxygen
SF: Fluids (nod to CRIB study)
KB: other (natural history, high-risk groups, social)
Wrapping up:
CP: Tests
KB: Advice to parents
SF: Future directions
All: summary, goodbye, join us next time.
A Couple of Short Video Clips
This first clip demonstrates a prolonged expiratory phase and subcostal recession (right-click to toggle fullscreen view):
This clip was filmed in the dark… but the audio reveals the prolonged expiratory phase, and a bronchiolitic cough:
Thanks for joining us. Feel free to share your insights as a comment…
