RT Journal Article SR Electronic T1 BET 1: Efficacy of different techniques using a metered-dose inhaler with Spacer to relieve symptoms in children with acute asthma JF Emergency Medicine Journal JO Emerg Med J FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine SP 697 OP 698 DO 10.1136/emermed-2019-209162.2 VO 36 IS 11 A1 Ben Kerr Winter A1 Edward Carlton YR 2019 UL http://emj.bmj.com/content/36/11/697.2.abstract AB A shortcut review was carried out to establish which inhaler with spacer technique provides the greatest improvement in symptoms in children with acute asthma. Four relevant papers were identified for inclusion using the reported search strategy. The author, date and country of publication; group studied; study type; relevant outcomes; results and study weaknesses of these papers are tabulated. It is concluded that a ‘tidal breathing’ technique, with a minimum of three breaths per inhaler activation, is likely equivalent in efficacy to a ‘single breath and hold technique’, and easier for a breathless child to perform.