0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Why Patients With Asthma Go to the Emergency Room

YOSSEF Aelony, MD
JAMA. 1980;243(8):732. doi:10.1001/jama.1980.03300340012005.
Text Size: A A A
Published online

To the Editor.—  The article titled "Education for Self-treatment by Adult Asthmatics" by Maiman et al (241:1919, 1979) assesses the ability of a nurse educator to teach asthmatics who attend an emergency room in crisis thus reducing further emergency room visits by stressing self-medication to the patient. The article failed to note that the usual emergency room treatment (237:1141, 1977) itself teaches the patient to return there with his next attack.The usual treatment includes one or more of the following therapies: subcutaneous epinephrine injections, intravenous aminophylline, intermittent positive-pressure breathing with an aerosolized β-adrenergic bronchodilator, or oxygen. Since these treatment modalities are usually not available for home use, any attempt to teach the patient to self-medicate runs counter to his emergency room experience. This conditioning to use emergency room treatment is unfortunate, because (1) oral elixir of theophylline (dose of 400 mg) is well tolerated and produces in 20 minutes an

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();