Hi,
I hope my input will help you. I can speak to this issue from two sides, first being the side of being in EMS for 19 yrs and second and debaitablly the more important side , that being the side of the patient. I have had SEVER asthma for all my life some 50 years.
First a chest infection does not make Steriods contraindictated. Remember in most ped. cardiac arrest are secondary to respiratory arrest, that being said. RSI intudbation along with correct CPR /arrest protectol drugs would be my first response.The drugs I would recommend would be , local protectol RIs drugs, IV or IM epi, steriods, neb. albut., mag.,oxygen and closely monitor vitual signs . I would also member as the persson treating the patient you less often remembered jobs is to the one of the people the fight for the patients best welfare and never assume that someonelse will.
