_ y/o patient with history of asthma presenting with severe asthma exacerbation. Vitals notable for tachypnea, hypoxia and tachycardia. _Patient was given albuterol, atrovent, steroids and epinephrine. On re-assessment the patient still has significant increased work of breathing and tight breath sounds. _ CXR negative for pneumonia or pneumothorax. Although patient does not require intubation at this time, they will be admitted for continuous albuterol treatment and close monitoring. Parents agree with this plan and all questions were answered.
MDM for different chief complaints 
Critical care documentation
Combative patient
Wilderness preparedness
ACEP clinical policies
Expedited partner therapy
SCVMC:CUSTODY CARE
FALLS protocol