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Management of asthma in the emergency department: a consensus statement

Pi√Īera Salmer√≥n P, Delgado Romero J, Dom√≠nguez Ortega J, Labrador Horrillo M, √Ālvarez Guti√©rrez FJ, Mart√≠nez Morag√≥n E, Plaza Moral V, √Ālvarez Rodr√≠guez C, Franco JM

Servicio de Urgencias, Hospital General Universitario Reina Sof√≠a, Murcia, Espa√Īa. 2Unidad de Gesti√≥n Cl√≠nica de Alergolog√≠a, Hospital Virgen Macarena, Sevilla, Espa√Īa. 3Servicio de Alergia, Instituto de Investigaci√≥n Hospital Universitario La Paz (IdiPAZ). CIBER de Enfermedades Respiratorias (CIBERES). Madrid, Espa√Īa. 4Servicio de Alergia, Hospital Universitario de la Vall d‚ÄôHebron, Barcelona, Espa√Īa. 5Servicio de Neumolog√≠a, Hospital Universitario Virgen del Roc√≠o, Sevilla, Espa√Īa. 6Servicio de Neumolog√≠a, Hospital Universitario Doctor Peset, Valencia, Espa√Īa. 7Servicio de Neumolog√≠a, Hospital de la Santa Creu i Sant Pau, Barcelona, Espa√Īa. 8Servicio de Urgencias, Hospital de Ver√≠n, Orense, Espa√Īa. 9Servicio de Urgencias, Hospital Miguel Servet, Zaragoza, Espa√Īa.

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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