I do not plan to use the AAP guidelines. It has been my experience that some kids do benefit from albuterol with bronchiolitis,I also have seen nice improvement with racemic epi, and epi nebs, Recently I have added hypertonic saline to my armamentarium and think it helps..
Martin Herman, M.D.
Pediatric Emergency Medicine
Sacred Heart Children's Hospital
Email: [log in to unmask]
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> Date: Thu, 30 Oct 2014 15:17:57 -0700
> From: [log in to unmask]
> Subject: My name is Dr. Indigo Montoya, You Killed Albuterol..
> To: [log in to unmask]
> ... prepare to die.
> In face of the recent AAP Guideline on the management of bronchiolitis, I
> am recruiting other Peds ED centers who will be endorsing this set of
> practices to serve as the treatment group in my non-randomized
> observational study. Our center will serve as the 'out-of-control' group
> and we will be initiating a new clinical pathway entitled... 'Empiric
> therapy for the treatment of undifferentiated respiratory distress in
> It is my hypothesis that our group's admission and bounce-back rates will
> be the same as last year.
> I anxiously await the data from the centers who adopt the AAP approach!
> Jay Fisher MD
> Medical Director, Peds EM, Children's Hospital of NV
> Physician Consultant, Dread Pirate Roberts
> For more information, send mail to [log in to unmask] with the message: info PED-EM-L
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