30-year-old female with a history of complicated asthma presenting with an asthma exacerbation, not responding to usual treatments, ultimately requiring intubation and ECMO.

Goals and Objectives

Educational Goal: Proceed through the entire status asthmaticus pathway

Objectives: (Medical and CRM)

1. Construct a differential diagnosis for an adult with dyspnea
2. Identify a patient in status asthmaticus
3. Proceed through the asthma resuscitative algorithm, including specific medications and their doses
4. Identify the signs and symptoms of impending respiratory failure, and acknowledge the need for intubation
5. Have an approach to initial ventilator settings for intubated patients in status asthmaticus
6. Discuss treatment options for refractory status asthmaticus