Bronchiolitis: More Evidence, Fewer Interventions. Shifting paradigms with evidence based diagnostics

Abstract

Young, non-verbal children presenting to the emergency department (ED) with non-specific complaints pose a significant diagnostic challenge to the emergency physician (EP). Given the paucity of pediatric research and clinical decision rules (CDR)¹ for many common conditions that present to the ED, this can lead to over-investigation, which can have negative consequences for the patient and families.² Traditionally, rigorous evidence requires derivation of a rule, testing and validating the rule in small contexts, and externally validating the CDR in multiple settings.³

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