The compliance to acute asthma management protocols in paediatric emergency department

Hdl Handle:
http://hdl.handle.net/10147/307041
Title:
The compliance to acute asthma management protocols in paediatric emergency department
Authors:
Yasin, F; Martin, C; Bolger, T
Publisher:
Irish Medical Journal (IMJ)
Journal:
Irish Medical Journal (IMJ)
Issue Date:
2013
URI:
http://hdl.handle.net/10147/307041
Abstract:
Asthma guidelines should be followed closely to ensure improvement and consistency of outcome. In order to measure compliance with local acute asthma protocols, we reviewed notes of children presenting to our ED with acute asthma. We noted clinical assessment of severity of asthma exacerbation, compared management of cases with local protocols, noted time to first nebulisation, discharge advice and follow up plans. Retrospectively, 6 patients had life-threatening, 70 had severe and 64 had mild-to-moderate exacerbation. We observed inconsistent documentation of clinical signs including, respiratory effort 6(100%), 62(89%), 39(61%), mental status 3(50%), 46(65%), 47(73%) and speech 1(16.7%), 19(27%), 7 (11%) in life threatening, severe and mild-to-moderate groups respectively. Bronchodilator therapy was delayed in life-threatening 3(50%) and severe cases 63 (90%). While discharge advice was documented in 54% patients, no written asthma action plans were given. This study demonstrated necessity of protocol-adherence in areas of clinical assessment, management and follow up.
Item Type:
Article
Language:
en
Keywords:
ASTHMA; EMERGENCY MEDICAL CARE

Full metadata record

DC FieldValue Language
dc.contributor.authorYasin, Fen_GB
dc.contributor.authorMartin, Cen_GB
dc.contributor.authorBolger, Ten_GB
dc.date.accessioned2013-12-18T12:30:43Z-
dc.date.available2013-12-18T12:30:43Z-
dc.date.issued2013-
dc.identifier.urihttp://hdl.handle.net/10147/307041-
dc.description.abstractAsthma guidelines should be followed closely to ensure improvement and consistency of outcome. In order to measure compliance with local acute asthma protocols, we reviewed notes of children presenting to our ED with acute asthma. We noted clinical assessment of severity of asthma exacerbation, compared management of cases with local protocols, noted time to first nebulisation, discharge advice and follow up plans. Retrospectively, 6 patients had life-threatening, 70 had severe and 64 had mild-to-moderate exacerbation. We observed inconsistent documentation of clinical signs including, respiratory effort 6(100%), 62(89%), 39(61%), mental status 3(50%), 46(65%), 47(73%) and speech 1(16.7%), 19(27%), 7 (11%) in life threatening, severe and mild-to-moderate groups respectively. Bronchodilator therapy was delayed in life-threatening 3(50%) and severe cases 63 (90%). While discharge advice was documented in 54% patients, no written asthma action plans were given. This study demonstrated necessity of protocol-adherence in areas of clinical assessment, management and follow up.en_GB
dc.language.isoenen
dc.publisherIrish Medical Journal (IMJ)en_GB
dc.subjectASTHMAen_GB
dc.subjectEMERGENCY MEDICAL CAREen_GB
dc.titleThe compliance to acute asthma management protocols in paediatric emergency departmenten_GB
dc.typeArticleen
dc.identifier.journalIrish Medical Journal (IMJ)en_GB
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
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