As a junior doctor working in a resource-limited setting, I find your posts extremely helpful and practical. I have read all the posts and it has helped me understand the concepts better, take decisions and treat patients more confidently in the ED.
I have one request—if possible, could you consider doing a post on the approach to chest pain in the ED.
Once again, thank you for the excellent work you do and for sharing your knowledge so generously.
Steroids in asthma attack
Can we use hydrocortisone?
I haven't seen any evidence in textbooks but still it is commonly practiced in ED
IV hydrocort, IV Methylpred or oral prednisolone have almost equal efficacy.
Hydrocort more acute in onset, less anti-inflammatory but has significant mineralocorticoid effect too.
While other counterparts have more of anti-inflammatory property and less mineralocorticoid effect.
Oral if patient can tolerate is prefered over iv choices whenever possible.
Dexamethasone iv preferred when less chances of compliance to 3-5 days course post acute treatment as it is long acting.
Thank you, Dr. Jain. This was a wonderful post.
As a junior doctor working in a resource-limited setting, I find your posts extremely helpful and practical. I have read all the posts and it has helped me understand the concepts better, take decisions and treat patients more confidently in the ED.
I have one request—if possible, could you consider doing a post on the approach to chest pain in the ED.
Once again, thank you for the excellent work you do and for sharing your knowledge so generously.
Thank you for such motivation.
Sure Ill consider the required post.
Keep reading, sharing and learning.
Any whatsapp link ?