01 | Bronchiolitis with Dr. Shelley Murphy

Dr. Shelley Murphy discusses evidence-based bronchiolitis management in pediatric patients. She explains that bronchiolitis is a viral infection affecting the airways, commonly caused by RSV, rhinovirus, or human metapneumovirus. Key points include the importance of nasal suctioning as primary treatment, using a scoring system to assess severity and guide management, avoiding unnecessary treatments like albuterol or steroids unless specifically indicated, and criteria for admission. Dr. Murphy also covers the use of high-flow nasal cannula, fluid management, and considerations for intubation. She emphasizes effective communication with parents, clear discharge instructions, and recognizing when hospital admission is necessary. The episode provides valuable insights into evidence-based management of bronchiolitis in the pediatric emergency setting, including common pitfalls and practical advice for healthcare providers dealing with this common condition.

Link to Scoring Tool and Protocol:

https://docs.google.com/document/d/1w7ecR09iy5oqLHmNPWcCymT2XYUAz2oH/edit?usp=sharing&ouid=114761811370298938575&rtpof=true&sd=true

Link to References:

https://www.uptodate.com/contents/bronchiolitis-in-infants-and-children-treatment-outcome-and-prevention?search=bronchiolitis&source=search_result&selectedTitle=1%7E150&usage_type=default&display_rank=1

https://journals.lww.com/jpcr/fulltext/2020/07050/acute_bronchiolitis_in_children.16.aspx