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Podcast - Little lungs, big wheeze: Assessing acute asthma in kids
- 2025/04/16
- 再生時間： 7 分
- ポッドキャスト
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サマリー
あらすじ・解説
The video version of this podcast can be found here: · https://youtu.be/FkZmvfQVby8This channel may make reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". The content on this channel reflects my professional interpretation/summary of the guidance and I am in no way affiliated with, employed by or funded/sponsored by NICE. My name is Fernando Florido (also known as Juan Fernando Florido Santana), a GP in the UK. In this episode, I will go through the new NICE guideline on acute asthma, NG244, focusing on what is relevant in Primary Care only. Given how extensive the guidance is, in this episode I will just focus on the initial assessment of acute asthma in children. In the last two episodes I covered the initial assessment and treatment in adults and in the next two episodes, I will cover:· Treatment of acute asthma in children· And finally, lessons from asthma deaths and near-fatal asthma as well as reviewing the concept of difficult asthma Just like the NICE guideline on the management of chronic asthma, which was updated in November 2024, the NICE guideline on acute asthma is also a collaborative initiative developed by NICE, the British Thoracic Society (BTS), and the Scottish Intercollegiate Guidelines Network (SIGN). It replaces previous guidance, and you can find a link to it in the episode description.I am not giving medical advice; this video is intended for health care professionals, it is only my summary and my interpretation of the guidelines and you must use your clinical judgement. Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release] Music provided by Audio Library Plus Watch: https://youtu.be/aBGk6aJM3IU Free Download / Stream: https://alplus.io/halfway-through There is a podcast version of this and other videos that you can access here: Primary Care guidelines podcast: · Redcircle: https://redcircle.com/shows/primary-care-guidelines· Spotify: https://open.spotify.com/show/5BmqS0Ol16oQ7Kr1WYzupK· Apple podcasts: https://podcasts.apple.com/gb/podcast/primary-care-guidelines/id1608821148 There is a YouTube version of this and other videos that you can access here: The Practical GP YouTube Channel: https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk The link to the new NICE guideline on acute asthma can be found here:· https://www.nice.org.uk/guidance/ng244/chapter/Managing-acute-asthmaBased on recommendations on managing acute asthma in the BTS/SIGN British guideline on the management of asthma:· https://rightdecisions.scot.nhs.uk/bts-nice-and-sign-asthma-pathway/managing-acute-asthma/ Disclaimer:The Video Content on this channel is for educational purposes and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on this YouTube channel. The statements made throughout this video are not to be used or relied on to diagnose, treat, cure or prevent health conditions. In addition, transmission of this Content is not intended to create, and receipt by you does not constitute, a physician-patient relationship with Dr Fernando Florido, his employees, agents, independent contractors, or anyone acting on behalf of Dr Fernando Florido.TranscriptIf you are listening to this podcast on YouTube, for a better experience, switch to the video version. The link is in the top right corner of the video and in the episode description.Hello and welcome, I am Fernando, a GP in the UK. Today, we will go through the new NICE guideline on acute asthma, or NG244, focusing on what is relevant in Primary Care only. Just like in chronic asthma, the NICE guideline on acute asthma is a joint effort by NICE, BTS and SIGN. A link to it is in the episode description.In this episode I will just focus on the initial assessment of acute asthma in children. In the last two episodes I covered the initial assessment and treatment in adults and in the next two episodes, I will cover the treatment of acute asthma in children and lessons from asthma deaths. So, stay tuned for those!Right, let’s jump into it.Acute asthma in children, particularly in those under five, can be challenging to assess.In this age group, intermittent wheezing attacks are often triggered by viral infections, and the response to asthma medications can be inconsistent. Children born prematurely or with low birth weight are at higher risk of recurrent wheezing episodes.We should also consider other potential diagnoses, which may include:Aspiration pneumonitis,Pneumonia,Bronchiolitis,Tracheomalacia,Or complications from underlying conditions, ...