Intramuscular Epinephrine as an Adjunctive Treatment for Severe Pediatric Asthma Exacerbation

Exclusion Criteria

• •1. History of chronic lung or upper airway disease other than asthma
• •2. History significant, uncorrected congenital heart disease or cardiac arrhythmia
• •3. History of thyroid disease
• •4. Impending respiratory failure
• •5. Allergy to epinephrine
• •6. Pregnancy
• •7. PEFR\>60% of predicted and clinical asthma score less than 8