Paediatric Asthma
See RCH Melbourne Guidelines:
- Acute Asthma
- Asthma discharge pack
- Asthma devices photoboard
- Using a puffer and spacer to treat acute asthma
Critical Care
Compendium
Chris is an Intensivist and ECMO specialist at The Alfred ICU, where he is Deputy Director (Education). He is a Clinical Adjunct Associate Professor at Monash University, the Lead for the Clinician Educator Incubator programme, and a CICM First Part Examiner.
He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. He was one of the founders of the FOAM movement (Free Open-Access Medical education) has been recognised for his contributions to education with awards from ANZICS, ANZAHPE, and ACEM.
His one great achievement is being the father of three amazing children.
On Bluesky, he is @precordialthump.bsky.social and on the site that Elon has screwed up, he is @precordialthump.
| INTENSIVE | RAGE | Resuscitology | SMACC
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I’ve been trying to find out the reason why there is such a big variation in salbutamol dosing recommendations (in acute situations) between various countries and national guidelines. E.g. in my country (somewhere in Europe) 2 puffs/dose is standard, regardless of age, weight or even severity (!) – and people say it’s based on the GINA document (which actually advises 2 puffs/dose for mild-moderate asthma exacerbation). But all other sources (be them from the UK, US, Australia etc) recommend (much) more than 2 puffs (e.g. in the link the RCH guidelines it is 6-12 puffs depending on age), especially to moderate-severe cases.
Can someone please advise on that?
Thank you.