Wilderness and Rescue Medicine 7th Edition Jeffrey Isaac, PA-C and David E. Johnson, MD

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Wilderness and Rescue Medicine

Chapter 9 Review: Severe Asthma

• Asthma causes lower airway constriction and, if severe, respiratory distress and failure. • The Wilderness Protocol for severe asthma calls for 0.3–0.5 mg of epinephrine by intramuscular injection followed by albuterol by inhalation and 40 to 60 mg of prednisone orally. • Following treatment, evacuation for medical follow-up is ideal. In high-risk and remote settings, continued monitoring and use of albuterol and prednisone for several days may be indicated.