Vocal cord dysfunction (VCD) is a condition characterized by paradoxical vocal fold motion with inspiration leading to stridor, air hunger, tachypnea, chest tightness, and a feeling of suffocation. A clear mimic of status asthmaticus, this is definitely something to keep on your differential.
Pediatric asthma exacerbations account for a significant portion of trips to the emergency department (ED), comprising 2-4.5% of ED visits each year. As a common disease of the pediatric population, effective ED management is key. The current mainstay of treatment is beta-agonist and corticosteroid administration. Here we discuss the evidence behind steroid selection in the pediatric asthmatic presenting to the emergency department.