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1、INTRODUCTIONEnhancingtheRoleoftheEmergencyDepartmentintheIdentificationandManagementofChildhoodAsthmaGaryS.Rachelefsky,MDa,SuzanneKennedy,PhDb,AmyStone,BAbaAllergyResearchFoundation,Inc,LosAngeles,California;bEmergencyDepartmentDemonstrationProgram,Milwaukee,WisconsinTheauthorshaveind
2、icatedtheyhavenorelationshipsrelevanttothisarticletodisclose.EMERGENCYDEPARTMENTDEMONSTRATIONPROGRAMMeyerKattan,MD,AmericanThoracicSocietyRATIONALEStephenRedd,MD,CentersforDiseaseControlChildhoodasthmarateshaverisendramaticallyoverandPreventionrecentyearsforreasonsonlypartiallyunders
3、tood.Al-IrwinRedlener,MD,Children’sHealthFundthoughappropriatetreatmentandself-managementCarolCostante,RN,MS,CSN,NationalAssociationtechniquescanfrequentlykeepasthmasymptomsunderofSchoolNursescontrol,evidencedemonstratesthatasthmacontrolVirginiaTaggart,MPH,NationalHeart,Lung,andelude
4、sfartoomanychildren.Anestimated9millionBloodInstitute(12.5%)children18yearsofageintheUnitedStatesSethEmont,PhD,MS,theRobertWoodJohnsonhavehadasthmadiagnosedatsometimeintheirlives.1FoundationOneof3childrenwithasthmavisitstheemergencydepartment(ED)becauseofanasthma-relatedeventTheseex
5、pertsextrapolatedpediatricasthmainforma-everyyear,2andthesevisitscost5timesasmuchastionfromtheNationalHeart,Lung,andBloodInstitute’sprimarycarevisitsforchildhoodasthma.3Asthmarep-ExpertPanelReport26tocreateasetofstand-alone,resents17%ofallpediatricEDvisits.4Childrenagedevidence-based
6、guidelinesfocusedexclusivelyonthe14yearsaccountedfor570000EDvisitsin1995andpediatricpopulation:PediatricAsthma:PromotingBest658000in1999.5PracticeGuideforManagingAsthmainChildren(PediatricInthelate1990s,thesedisturbingpatternspromptedGuide).7EndorsedbytheNationalHeart,Lung,andleadin
7、gallergyandasthmaspecialistsGaryS.Rachelef-BloodInstituteandtheAmericanAcademyofPediatrics,sky,MD,apastpresidentoftheAmericanAcademyofthePediatricGuiderecommendationsserveasthegoldAllergy,AsthmaandImmunology(AAAAI),andGailG.standardandanimportantcatalystforimprovementsinShapiro,MD,al
8、soapastpresi
