I'm interested in having some contact/education regarding the use of PRAM scoring in pediatric respiratory cases and how it can be applied to the prehospital setting.

The contraindications to administer dexamethasone state "currently on PO or parenteral steroids". How is currently defined?

With patients who are already taking PO Dexamethasone who have yet to take their PO Dex, and are having an acute COPD exacerbation or another ailment that causes them to meet the directive for Dex, would Dex be contraindicated due to the current us…

For patients with bronchoconstriction not believed to be due to asthma/COPD/20 pack year smoking history (ie suspected pneumonia), but who still meet the protocol for dexamethasone, is administration of dexamethasone beneficial or recommended?