Poverty, the Elephant in the Room

CASE PRESENTATION Isaiah is an 8-year-old boy with intermittent asthma who presents to the emergency department (ED) with shortness of breath and audible wheezing that has worsened over the last day. At home, he has used his albuterol metered-dose inhaler (MDI) with spacer multiple times during the last 24 hours without improvement. In the ED, Isaiah is given multiple albuterol treatments using an MDI and spacer, ipratropium bromide, and oral dexamethasone. These treatments have improved his symptoms, but he continues to have shortness of breath, wheezing, and increased work of breathing. His oxygen saturation is 97% on room air. The pediatric emergency medicine fellow is concerned that Isaiah continues to have symptoms and calls to ask that you evaluate him for admission to the pediatric inpatient unit.

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Poverty, the Elephant in the Room

Cited by 3 publications

References 18 publications

Social Risks and Health Care Utilization Among a National Sample of Children With Asthma

Social Risks and Health Care Utilization Among a National Sample of Children With Asthma

The Child Opportunity Index and asthma morbidity among children younger than 5 years old in Washington, DC

Isaiah, an 8-Year-Old Boy with Shortness of Breath

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