Pitfalls

  • Failure to appreciate the severity of the episode before ambulance treatment
  • Allowing hypoxia by driving nebulisers with air
  • Failure to recognise the patient who has deteriorated secondary to a spontaneous pneumothorax
  • Failure to acknowledge the increased mortality risk of patients with a  history of severe asthma and an adverse psychosocial factor
  • Discharging asthmatic patients late at night
  • Failure to arrange GP follow up after discharge
  • Prescribing NSAIDs to asthmatics in the ED without first checking about prior use and exacerbations
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