Prehospital EMS Treatment of Pediatric Asthma and What Happens Before Help Arrives?

Robert E. Sapien Department of Emergency Medicine, University of New Mexico, School of Medicine, Albuquerque, New Mexico

Jodi Lapidus New Mexico Asthma Project, University of New Mexico, School of Medicine, Albuquerque, New Mexico; Department of Pediatrics, University of New Mexico, School of Medicine, Albuquerque, New Mexico

Lori Coors Department of Pediatrics, University of New Mexico, School of Medicine, Albuquerque, New Mexico

Shirley J. Murphy Department of Pediatrics, University of New Mexico, School of Medicine, Albuquerque, New Mexico

Abstract

Many asthmatic children require assistance by emergency medical services (EMS) secondary to an acute asthma episode. What medication interventions are being utilized by EMS when responding to an asthma call for a child, and how does EMS management compare to home management given before ambulance arrival (pre-EMS)? Sixty-one ambulance reports pertaining to acute asthma episodes in children aged 1 month to 15 years were collected and analyzed. There was no significant difference between likelihood to receive a beta₂-agonist nebulizer treatment pre-EMS arrival or by EMS. Oxygen was the most common EMS intervention.

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Prehospital EMS Treatment of Pediatric Asthma and What Happens Before Help Arrives?

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