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 in Melbourne. He is also a Clinical Adjunct Associate Professor at Monash University. He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme. He is on the Board of Directors for the Intensive Care Foundation and is a First Part Examiner for the College of Intensive Care Medicine. He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives.
After finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia’s Northern Territory, Perth and Melbourne. He has completed fellowship training in both intensive care medicine and emergency medicine, as well as post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professional education.
He is actively involved in in using translational simulation to improve patient care and the design of processes and systems at Alfred Health. He coordinates the Alfred ICU’s education and simulation programmes and runs the unit’s education website, INTENSIVE. He created the ‘Critically Ill Airway’ course and teaches on numerous courses around the world. He is one of the founders of the FOAM movement (Free Open-Access Medical education) and is co-creator of litfl.com, the RAGE podcast, the Resuscitology course, and the SMACC conference.
His one great achievement is being the father of three amazing children.
On Twitter, he is @precordialthump.
| INTENSIVE | RAGE | Resuscitology | SMACC
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.