Video From Dr. Larry Mellick: RSV Bronchiolitis Emergency Management

In this post, I link to and embed Dr. Larry Mellick‘s [Link is to his YouTube channel] video, RSV Bronchiolitis Emergency Management, 8:56, Aug 1, 2022.

In this video we present an infant with RSV bronchiolitis who was treated with albuterol and atrovent, racemic epinephrine and 3% hypertonic saline nebulizations as well as suctioning. The patient improved markedly after the treatments and was discharged home. This is an updated version of a recently published video that is being replaced. The evidence that the 2014 AAP Bronchiolitis Guidelines and multiple international guidelines were significantly flawed from the start is strong and is growing every year. The consequences and challenges caused by these flawed guidelines for the frontline clinician have been huge. This video hopes to serve as a call for our national and international organizations to revisit the guidelines and better align their recommendations with the current evidence.

Forty-Four Questions I Would Like to Ask Bronchiolitis
Guideline Writers and Researchers [PDF] Larry B. Mellick, MD, MS, FAAP, FACEP. Emerg Med Open J. 2022; 8(1): e1-e6

The Problematic 2014 American Academy of Pediatrics Bronchiolitis Guidelines [PubMed Abstract] [Full text available at researchgate] Pediatr Emerg Care. 2019 Sep;35(9):654-658. doi: 10.1097/PEC.0000000000001915.


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