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11-23-2016, 12:46 AM   #1
Catherine
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Thunderstorm Asthma

I know parents here have children who suffer from asthma.

A rare event occurred in Melbourne on Monday night know as thunderstorm asthma. Monday had been a very hot day, 34c in central Melbourne and higher in other parts of the State. When change hit in early evening. Hundreds cases asthma resulted emergency calls for ambulances.

One questions being now is should first kits contain ventolin?


http://www.allergy.org.au/patients/a...erstorm-asthma

http://www.theage.com.au/victoria/do...22-gsv52a.html
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Catherine
Mother of Sarah dx aged 16, Jan 2012
DX - CD 1/12, asthma
Small bowel to small bowel fistula

Meds: ), azathioprine 200mg, Mesalazine 1.2g x 2, seretide 250 x 2 (asthma), ventolin (as needed)

Currently no supplements.

Has previously taken Multi B, Caltrate, B12 & Iron

Prednisolone (from 30 mg 01/02/2012 to 17/06/2012, 30mg 24/10/12-28/12/12, 50mg 24/1/13-27/4/13)

Last edited by Catherine; 11-23-2016 at 01:19 AM.
11-24-2016, 08:35 AM   #2
Farmwife
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Interesting!
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I'm mom to............... Little Farm Girl 8 yr old
Ibd (microscopic)
(12/28/12),
dx Juvenile Arthritis
(12/13/13)
dx Erthema Nodosum
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Bladder and Bowel Dysfunction
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Ehlers-Danlos Syndrome dx (1/26/17)
Remicade started on (9/8/14)Every 4 wks
Azathroprine started on 10/9/15
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Past Meds- LDN, Humira, Pred, MTX, Sulfasalazine
11-24-2016, 09:30 AM   #3
my little penguin
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if the first aid kits had ventolin and epi pens that would be the best
If the ambulances had epipen or equivalent in them they can be used for both allergic reaction and asthma
Before portable inhalers they used to use epi pens for asthma attacks .
Also most docs here stress the importance of always carrying your ventolin on your person
Both kids have "spi belts" that are worn outside the home with a set of epipens and ventolin always .
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11-24-2016, 01:06 PM   #4
kimmidwife
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in the US all asthma patients have emergency inhalers and many have nebulizers at home for more severe attacks.
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Crohn's Dx'ed Sept 08
Allerg Imuran Sept 08
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Methotrex Oct 09-Aug 11
Pentasa stopped - nosebleeds
EENOct 31 - Nov 28th. Too hard!
Retried Remicade Dec 11
Stopped due 2 Anaphylactic Reaction
LDN Jan 2012-June 2014 Got My daughter back!
New secondary diagnosis: Gastroporesis Dec 2013
Lost remission June 2014
Started Entyvio April 2015. Decreased to every 4 weeks October 2015. Praying for remission.
11-26-2016, 04:46 AM   #5
Catherine
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What happened in Melbourne was not a normal asthma event. There were 6 times the normal number of calls for ambulances.

I know personally two people who had there first asthma attack on Monday night. Up to half those who called triple zero were not dx with asthma or hadn't asthma attack since childhood. What all this people appear to have in common is they have hay fever.

As of today there have been five deaths and 6 people remain in intensive care with four in a critical condition.
11-26-2016, 08:42 AM   #6
Clash
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After seeing your post I searched and read article about this type of event! Crazy! What a freak occurrence. Awful that there were deaths related to this.
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Mom to
C age 19
dx March 2012 CD

CURRENT MEDS: MTX injections, Stelara


Dx May 2014: JSpA
8/2014 ileocecectomy
9/2017 G tube

PAST MEDS: remicade, oral mtx, humira
11-26-2016, 09:00 AM   #7
my little penguin
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So sorry to hear about the deaths
We were told when the kids were little as was my dh
That asthma never goes away even if it's calm and just like food allergies to always be prepared with albuerol 24/7
It's been years since any random attacks due to maintenance meds but a good reminder to always have albuterol on your person

Not sure why the ambulance wouldn't have carried nebulizer with albuterol even if they did not have epipens or inhalers with albuterol
I do know here the allergist give warnings when the pollen count is extremely high since they see more cases -just not the same extent that happened there

We were also told in a pinch while heading to the ER
That caffeine in tea coke pepsi coffe etc ... could help some

https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0010864/


Hope everyone heals quickly and the ambulance services get the proper meds
11-27-2016, 01:52 AM   #8
Catherine
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Not sure why the ambulance wouldn't have carried nebulizer with albuterol even if they did not have epipens or inhalers with albuterol
Most of the deaths occurred because ambulance awaiting time were too long. Ambulances were only responding to critical calls. It was one those rare times when it was better to driving to ER.

Hospital emergency department had queues into their car park with security giving out ventolin. Hospitals were ring chemists to source ventolin. Private hospital who don't normal have emergency department opened to the public.

Greater Melbourne is a city spread over a area of 9900 sq m. Ambulance just could get to all the people need them at once.

If you have hay fever, whether you have asthma or not asthma you need a asthma plan. Especially if you a grass allergy (rye). You need to have ventolin on hand. Well that the new advice being given there.
11-27-2016, 08:00 AM   #9
my little penguin
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Yikes ! so the private hospitals can turn people away in an emergency!!!!
Wow!
No emergency department here is allowed to turn you away
They have to get the patient stable then they can transfer to a hospital that covers uninsured etc...
11-27-2016, 08:20 AM   #10
Clash
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I think I read somewhere that only 10-13% of private hospitals in Australia have ERs. They operate more like same day surgery or overnight surgery places. So I think she's saying the private hospitals who dont have ERs served ER needs due to the size of the health event.
11-28-2016, 06:02 AM   #11
Catherine
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Clash is right, I talking about private hospitals without emergency departments.

All our public hospitals provide free care. Our private hospital are usually very specialised.
11-29-2016, 09:51 PM   #12
Tesscorm
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What a scary event! I've never heard of anything like this! I certainly hope you don't have this occur again any time soon!
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Diagnosed May 2011

Treatment:
May-July 2011 - 6 wks Exclusive EN via NG tube - 2000 ml/night, 1 wk IV Flagyl
July 2011-July 2013 - Supplemental EN via NG, 1000 ml/night, 5 nites/wk, Nexium, 40 mg
Feb. 2013-present - Remicade, 5 mg/kg every 6 wks
Supplements: 1-2 Boost shakes, D3 - 2000 IUs, Krill Oil
11-30-2016, 07:21 AM   #13
Susan2
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The death toll from the thunderstorm asthma event in Victoria is now eight. The police and fire brigade were also used as emergency vehicles to take people to hospital - more than 8,500 people attended emergency departments that night with respiratory problems. A lot pharmacies also stayed open or reopened and rushed any spare albuterol inhalers to the hospitals, which ran out very quickly.
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12-01-2016, 02:07 PM   #14
CarolinAlaska
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The death toll from the thunderstorm asthma event in Victoria is now eight. The police and fire brigade were also used as emergency vehicles to take people to hospital - more than 8,500 people attended emergency departments that night with respiratory problems. A lot pharmacies also stayed open or reopened and rushed any spare albuterol inhalers to the hospitals, which ran out very quickly.
I have never heard of that. It sounds very frightening.
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J's story: http://apathnotchosen.blogspot.com
*J, 18, Crohn's diagnosis 1-2013 (age13), controlled with 6MP.
Osteoporosis, Scoliosis, EDS, Asthma, Lymphedema, Epilepsy, Hla B-27 positive, gluten intolerant, thrombophlebitis, c.diff, depression, anxiety postural tachycardia/POTS and multiple food allergies.
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