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