TY - JOUR T1 - BET 1. NEBULISED HYPERTONIC SALINE SIGNIFICANTLY DECREASES LENGTH OF HOSPITAL STAY AND REDUCES SYMPTOMS IN CHILDREN WITH BRONCHIOLITIS JF - Emergency Medicine Journal JO - Emerg Med J SP - 518 LP - 519 DO - 10.1136/emj.2009.076208 VL - 26 IS - 7 A2 - , Y1 - 2009/07/01 UR - http://emj.bmj.com/content/26/7/518.2.abstract N2 - Report by: Daniel Horner, ST3 Emergency Medicine/Critical CareSearch checked by: Rachel Jenner, Paediatric Emergency Medicine ConsultantInstitution: Booth Hall Childrens Hospital, Manchester, UKA short-cut review was carried out to establish whether nebulised hypertonic saline reduces length of stay and symptoms in children with bronchiolitis. One Cochrane review was found, which addressed this question. This review is summarised. The clinical bottom line is that nebulised hypertonic saline does reduce length of stay and symptoms in children with bronchiolitis.THREE-PART QUESTIONIn [children <2yrs with acute viral bronchiolitis] does [regular administration of nebulised hypertonic saline] lead to reduction in [mortality/morbidity rates or length of hospital stay]CLINICAL SCENARIOA 3-month-old books in to the emergency department with a 4-day history of a coryzal illness followed by breathing difficulties and decreased oral intake. It is December. Inwardly, you sigh … ER -