In this post, I link to Dr. Mellick’s* YouTube video, RSV Bronchiolitis Emergency Management and to additional resources from the video.
*Link To Dr. Mellick’s YouTube channel [An outstanding resource on Pediatric Emergency Medicine]
Here are links to the additional resources:
- The Problematic 2014 American Academy of Pediatrics Bronchiolitis Guidelines
August 2019Pediatric Emergency Care 35(9):1
- Forty-Four Questions I Would Like to Ask Bronchiolitis
Guideline Writers and Researchers. Larry B. Mellick, MD, MS, FAAP, FACEP*. Emerg Med Open J. 2022; 8(1): e1-e6
RSV Bronchiolitis Emergency Management: Addressing Flawed Bronchiolitis Guidelines
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.