TIME-SENSITIVE โ assess severity and escalate if deteriorating.
๐ Recognise
Assess age, prior wheeze, work of breathing, speech/feeding and oxygenation.
๐ First actions
Use inhaled bronchodilator via spacer or nebuliser appropriate to severity and age; involve senior early if severe.
๐งช Investigate / reassess
Reassess response and give systemic steroid when indicated by paediatric pathway.
โ ๏ธ Escalation / pitfalls
First wheeze in infant may be bronchiolitis, foreign body or infection.
Editorial status: Teaching draft, specialist review required; the entire topic has not undergone independent clinical sign-off. Follow your trust guidelines and senior advice. Not a standalone treatment protocol.