Community/outpatient resources

CHBC and GPAC Provincial Guideline: Asthma in Children – Diagnosis and Management (Oct 2015)

This provincial guideline is a collaboration between Child Health BC (CHBC) and the Guidelines and Protocol Advisory Committee (GPAC) outlines the diagnosis and management of asthma in children 1-18 years old.

• Summary (PDF)
• Full Guideline (PDF)
• Table of Asthma Controller Medications with pictures, prices and doses (1-18 years old) (PDF)
• Asthma Patient Care Flow Sheet (PDF) (for patients <6yo)
• Asthma Patient Care Flow Sheet (PDF) (for patients 6-18 year old)
• List of community asthma clinics and pediatricians that are interested in following patients with asthma (PDF)

Emergency/urgent care resources

This provincial guideline was developed by a multidisciplinary provincial working group with representation from the Regional Health Authorities and BC Children's Hospital. It provides guidance on the management of children 1-17 years old who are diagnosed with asthma or have been treated at least 2 previous times with a bronchodilator for wheezing, who present to the Emergency Department or Urgent Care Centre with wheezing or respiratory distress.

• Link to the CHBC Provincial Emergency/Urgent Care Guideline (under Clinical Support Tools). These tools were developed to supplement the guideline.
• Pediatric Respiratory Assessment Measurement (PRAM) Initial Management Pathway (PDF)
• Pediatric Respiratory Assessment Measurement (PRAM) Scoring Table (PDF)
• Pediatric Asthma Education Checklist (PDF)

Asthma action plans

These action plans were developed as part of the CHBC and GPAC asthma guideline and provide a three zone (red/yellow/green) action plan for children and families. On the reverse side of the guideline, there is an area for families to fill in goals and triggers, as well as instructions on how to use the asthma devices suitable for that age group.

These action plans are available as fillable PDFs with dropdown menus of the medications or as printable PDFS with blank boxes for practitioners to fill in the medications by hand. They are available in three languages (English, Punjabi, Simplified Chinese). For information in other languages, please visit the University of Calgary website.

Asthma action plans ages 1-5 years (fillable)

• CHBC Asthma Action Plan - English (Ages 1-5 years, Fillable)
• CHBC Asthma Action Plan - Punjabi (Ages 1-5 years, Fillable)
• CHBC Asthma Action Plan - Chinese (Ages 1-5 years, Fillable)

Asthma action plans ages 6-18 years (fillable)

• CHBC Asthma Action Plan - English (Ages 6-18 years, Fillable)
• CHBC Asthma Action Plan - Punjabi (Ages 6-18 years, Fillable)
• CHBC Asthma Action Plan - Chinese (Ages 6-18 years, Fillable)

Asthma action plans ages 1-5 years (printable)

• CHBC Asthma Action Plan - English (Ages 1-5 years, Printable)
• CHBC Asthma Action Plan - Punjabi (Ages 1-5 years, Printable)
• CHBC Asthma Action Plan - Chinese (Ages 1-5 years, Printable)

Asthma action plans ages 6-18 years (printable)

• CHBC Asthma Action Plan - English (Ages 6-18 years, Printable)
• CHBC Asthma Action Plan - Punjabi (Ages 6-18 years, Printable)
• CHBC Asthma Action Plan - Chinese (Ages 6-18 years, Printable)

UBC Pediatric Asthma Management CPD Course

This is a short online continuing medical education course designed for BC health care providers that care for children with asthma. This course will introduce you to pediatric asthma management with the intent to provide you with the knowledge and skills to improve the care of your patients.

Designed in partnership by UBC CPD and Child Health BC and the Division of Respiratory Medicine at BC Children's.

This course is divided into four lessons:

• Diagnosis of Asthma in Children
• Primary Care Management
• Asthma Education for Family/Caregivers and Children
• Initial Management in Emergency/Urgent Care Settings

Website:UBC CPD Asthma Management module