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Mini Journal Club - Asthma Therapies: What Really Works!

David Newman, MD
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25:54
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Nurses Edition Commentary

Mel Herbert, MD MBBS FAAEM, Lisa Chavez, RN, and Kathy Garvin, RN
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01:52

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EM:RAP 2014 July - Summary 1 MB - PDF

What really works in asthma might surprise you, our resident sceptic Dave Newman weighs in.

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Ali S. -

What about the 3Mg trial http://www.ncbi.nlm.nih.gov/pubmed/24731521 in regards to magnesium, it seemed to me that this study had higher numbers than the studies supporting magnesium.

Jennifer M. -

This was great. Do you initially give say 3 duonebs in continuous form? and then continuous of straight albuterol if need more nebs are needed?
Do you ever wait to see if your moderate asthma patients improve with nebulizer treatments before giving magnesium, and then if minimal to no improvement, then giving magnesium?

Neil L. -

Everytime I give a neb a kitten dies - well according to my paediatric colleagues. Would MDI's via spacers be as effective as continuous nebs i.e. 10 puffs for every neb you would give?

Chuck S., M.D. -

Looked at the Cochrane review of LABA/steroids and said NNT of 73 to prevent exacerbation but (at least the summary didn't mention increased death and increased hospitalization only in peds so not sure where the numbers he mentioned regarding hospitilization and death.
Thanks

Chuck S., M.D. -

By the way FDA just approved another LABA based on another surrogate marker.

Mohammed A. -

Inhaled epinephrine may also work.

jonathan b., pa-c -

8 puffs = 1 neb.

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Episode 154 Full episode audio for MD edition 274:29 min - 130 MB - M4AEM:RAP 2014 July Canadian Edition Canadian 31:35 min - 43 MB - MP3EM:RAP 2014 Juillet Résumé en Francais Français 63:29 min - 87 MB - MP3EM:RAP 2014 Julio Resumen Español Español 99:37 min - 137 MB - MP3EM:RAP 2014 July Aussie Edition Australian 65:02 min - 60 MB - MP3EM:RAP 2014 July MP3 357 MB - ZIPBronchiolitis algorithm 413 KB - PDFEM:RAP 2014 July Board Review Answers 420 KB - PDFEM:RAP 2014 July Board Review Questions 549 KB - PDFEM:RAP 2014 July - Summary 1 MB - PDF

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