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Is this the right decision?

2
0
Ok we’ve decided on a nebuliser. Jordan do you mind setting up for me? Yes, sure.
8

We have to deal with his respiratory problems as well. Haven’t we?
 Yes. So query a chest infection maybe? Yes. So he is tachy at 120. He’s quite pyrexic, he needs paracetamol. Has he had any paracetamol today?
20
No, no he’s not taken none. 
We can probably do that en route couldn’t we? Yes. I think we are dealing with a ‘big sick’ as well, judging by his observations. We should probably look at moving, shouldn’t we? 
Definitely.
Now we see the paramedics decide to give Marley a nebuliser.
  1. What do you think about this decision?
  2. Do you think the nebuliser will help? How would you describe this child’s work of breathing?
  3. What features point away from there being a significant ‘asthma’ element here?
  4. What disadvantages could there be to giving him a nebuliser?
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Emergency and Urgent Care for Children: a Survival Guide

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