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. Author manuscript; available in PMC: 2022 May 1.
Published in final edited form as: J Asthma. 2021 Feb 13;59(5):937–945. doi: 10.1080/02770903.2021.1881969

Table 2:

EMS Interventions for Pediatric Asthma Encounters Stratified by Pulmonary Asthma Score

EMS Interventions, n (%) Mild, PAS 5–7 (n=172) Moderate, PAS 8–11 (n=94) Severe, PAS 12–15 (n=24) p-value

EMS Contact Time, median, minutes (IQR) * 25 (18–32) 22 (16–29) 21 (18–26) 0.01

EMS documentation of labored breathing 67 (39.0%) 47 (50.0%) 13 (54.2%) 0.25

EMS Medications Administered:

Received Albuterol 125 (72.7%) 69 (73.4%) 18 (75.0%) 0.97

Number of Albuterol Doses 0.054
  1 87 (70.2%) 44 (64.7%) 14 (77.8%)
  2 32 (25.8%) 22 (32.4%) 1 (5.6%)
 ≥3 5 (4.0%) 2 (2.9%) 3 (16.7%)

Received Ipratropium 65 (37.8%) 40 (42.6%) 14 (58.3%) 0.15

Number of Ipratropium Doses >0.99
  1 64 (98.5%) 39 (97.5%) 14 (100%)
  2 1 (1.5%) 1 (2.5%) 0 (0%)

Received IV Corticosteroid 11 (6.4%) 8 (8.5%) 3 (12.5%) 0.52

EMS Oxygen Administered 94 (54.7%) 50 (53.2%) 13 (54.2%) 0.97

EMS Placed IV catheter 34 (19.8%) 23 (24.5%) 4 (16.75) 0.57

EMS Protocol Non-adherence 47 (27.3%) 25 (26.6%) 20 (83.3%) <0.001

  No bronchodilator administration 47 (27.3%) 25 (26.6%) 6 (25.0%)

  No IM Epinephrine in severe distress n/a n/a 20 (83.3%)

  No oxygen for pulse oximetry <90% 0% 0% 0%
*

Contact time=EMS arrival to hospital arrival, missing data n=17;

EMS=Emergency Medical Services; IQR=Interquartile Range; IV=Intravenous; IM-Intramuscular; PAS=Pulmonary Asthma Score