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Management of asthma in the emergency department: a consensus statement

Piñera Salmerón P, Delgado Romero J, Domínguez Ortega J, Labrador Horrillo M, Álvarez Gutiérrez FJ, Martínez Moragón E, Plaza Moral V, Álvarez Rodríguez C, Franco JM

Servicio de Urgencias, Hospital General Universitario Reina Sofía, Murcia, España. 2Unidad de Gestión Clínica de Alergología, Hospital Virgen Macarena, Sevilla, España. 3Servicio de Alergia, Instituto de Investigación Hospital Universitario La Paz (IdiPAZ). CIBER de Enfermedades Respiratorias (CIBERES). Madrid, España. 4Servicio de Alergia, Hospital Universitario de la Vall d’Hebron, Barcelona, España. 5Servicio de Neumología, Hospital Universitario Virgen del Rocío, Sevilla, España. 6Servicio de Neumología, Hospital Universitario Doctor Peset, Valencia, España. 7Servicio de Neumología, Hospital de la Santa Creu i Sant Pau, Barcelona, España. 8Servicio de Urgencias, Hospital de Verín, Orense, España. 9Servicio de Urgencias, Hospital Miguel Servet, Zaragoza, España.

The purpose of this consensus statement is to provide a tool to assist in the management of asthma in Spanish emergency departments and to improve care of patients with asthma. A multidisciplinary team of 3 emergency medicine specialists, 3 respiratory medicine specialists, and 3 allergy specialists made a list of clinical questions and chose 4 clinical
practice guidelines on asthma management to prioritize when answering the questions. The team members first worked individually and then discussed their findings in a meeting to reach consensus about the content of the presentstatement. The recommendations and clinical algorithms in the statement contribute to detecting the asthmatic
patient on arrival at the emergency department, establishing the diagnosis, following unified treatment criteria, and referring the patient to a respiratory medicine specialist, an allergy specialist, or a primary care physician, as appropriate. The definitions used in this statement provide a common language for asthma in the interest of helping to unify
care practices in emergency departments. The diagnostic criteria, treatment guidelines, and criteria for discharging and admitting patients provided should be useful for managing asthma in Spanish emergency departments.

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* Todos los textos disponibles (desde volumen 1, numero 0, 1988)