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Agree with 90 minute time article.
I give decadron to all croup patients.

Sent from my U.S. Cellular® Android phone

Frances Craig <[log in to unmask]> wrote:

>Good article from some years back (Ledwith, et al?) noted patients receiving Rac Epi who were still doing well after 90 minutes continued to do well, and those who failed tended to do so before 90 minutes, so probably  1 1/2 hour post racemic obs time adequate.
>Frances
>
>On Nov 17, 2011, at 7:31 AM, Stan Sinkford wrote:
>
>> 1. Yes
>> 2. Depends on day of illness ( days 1-3 yes, days 4-5, no)
>> 3. 2-3 hours
>> ?
>> ?
>> Stan
>> 
>> 
>> 
>> -----Original Message-----
>> From: James Wilson &lt;[log in to unmask]&gt;
>> To: PED-EM-L &lt;[log in to unmask]&gt;
>> Sent: Thu, Nov 17, 2011 9:32 am
>> Subject: Re: Croup
>> 
>> 
>> 
>> 
>> Surely we are making a clinical judgement as to the severity of presentation,  
>> where they are in the progression of illness, and need for decadron, yes?  
>> Jim Wilson, MD 
>> Colorado, CO 
>> 
>> Sent from my iPad 
>> 
>> On Nov 16, 2011, at 11:37 PM, SANTIAGO MINTEGUI RASO &lt;[log in to unmask]&gt;  
>> wrote: 
>> 
>> &gt; 1 - Do you give Decadron to all patients with croup? YES 
>> &gt; 2 - Do you give / prescribe more than one dose Decadron? Only one 
>> &gt; 3 - If racemic epi treatment given, how long do you observe before discharge?  
>> At least two hours 
>> &gt;  
>> &gt; Santi Mintegi 
>> &gt; PED. Hospital de Cruces 
>> &gt; Bilbao. Basque Country 
>> &gt; [log in to unmask] 
>> &gt; urgenciaspediatria.hospitalcruces.com 
>> &gt; -----Mensaje original----- 
>> &gt; De: Pediatric Emergency Medicine Discussion List [mailto:[log in to unmask]]  
>> En nombre de Goetz, Kathleen 
>> &gt; Enviado el: jueves, 17 de noviembre de 2011 1:15 
>> &gt; Para: [log in to unmask] 
>> &gt; Asunto: Croup 
>> &gt;  
>> &gt; We are working on a care guideline for kids with croup who do not require  
>> admission.  Seems our common practice varies and does not always match the  
>> current literature... 
>> &gt;  
>> &gt; 3 questions: 
>> &gt;  
>> &gt; 1 - Do you give Decadron to all patients with croup? 
>> &gt; 2 - Do you give / prescribe more than one dose Decadron? 
>> &gt; 3 - If racemic epi treatment given, how long do you observe before discharge? 
>> &gt;  
>> &gt; Thanks all for your input.   
>> &gt;  
>> &gt; Kathleen Goetz, MD 
>> &gt; Medical Director 
>> &gt; Swedish Pediatric Emergency Services 
>> &gt; Office:  206-386-3313 
>> &gt; ED:  206-386-2573 
>> &gt; Cell: 253-370-7571 
>> &gt;  
>> &gt; For more information, send mail to [log in to unmask] with the  
>> message: info PED-EM-L 
>> &gt; The URL for the PED-EM-L Web Page is: 
>> &gt;                 http://listserv.brown.edu/ped-em-l.html 
>> &gt; Antes de imprimir este correo, piense en su responsabilidad y 
>> &gt; compromiso con el MEDIO AMBIENTE. 
>> &gt;  
>> &gt; Inprimatu baino lehen, zure INGURUMENAREKIKO konpromezu eta erantzukizunaz  
>> pentsatu. 
>> &gt;  
>> &gt; For more information, send mail to [log in to unmask] with the  
>> message: info PED-EM-L 
>> &gt; The URL for the PED-EM-L Web Page is: 
>> &gt;                 http://listserv.brown.edu/ped-em-l.html 
>> 
>> For more information, send mail to [log in to unmask] with the message:  
>> info PED-EM-L 
>> The URL for the PED-EM-L Web Page is: 
>>                 http://listserv.brown.edu/ped-em-l.html 
>> 
>> 
>> For more information, send mail to [log in to unmask] with the message: info PED-EM-L
>> The URL for the PED-EM-L Web Page is:
>>                 http://listserv.brown.edu/ped-em-l.html
>
>For more information, send mail to [log in to unmask] with the message: info PED-EM-L
>The URL for the PED-EM-L Web Page is:
>                 http://listserv.brown.edu/ped-em-l.html

For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is:
                 http://listserv.brown.edu/ped-em-l.html