How to Recognize and Treat Severe Asthma in the Emergency Department

From Medscape Today:

Asthma is a common disease in developed countries and accounts for a large number of visits to the emergency department (ED). Most cases are mild in intensity and are easily managed with beta-agonists, steroids, and observation before discharge. Unfortunately, the frequency of these relatively benign presentations sometimes causes acute-care providers to lower their guard and treat severe cases of asthma in a nonaggressive manner — until it is too late.

In addition, many of the therapies that have been proposed in past years for moderate-to-severe exacerbations are poorly studied or ineffective. Use of these therapies does nothing more than delay proper care. The following article provides an evidence-based update of the various options for emergent treatment of acute asthma.

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