Asthma Exacerbation Clinical Pathway
Clinical Pathways promote evidence based, safe, and high-value care for patients by providing clinical recommendations and standard processes. They are developed by multidisciplinary committees of subject matter experts, informed by a methodical review of available evidence and consensus among committee members.
Clinical Pathways:
- Asthma Exacerbation - Ambulatory Algorithm
- Asthma Exacerbation - Urgent Care Algorithm
- Asthma Exacerbation - Emergency Department Algorithm
- Asthma Exacerbation - Inpatient Algorithm
- Asthma Exacerbation Synopsis - provides care standards employed for this clinical pathway
Inclusion and exclusion criteria
- Inclusion:
- Patients experiencing asthma exacerbations.
- Signs and symptoms: acute onset of wheezing, coughing, and/or breathlessness with known or suspected asthma.
- Exclusion:
- Patients less than two years of age.
- Patients with other chronic pulmonary conditions aside from asthma.
- Long-term care of asthma without current exacerbation.
Asthma Exacerbation Revision Representation:
- Jade Tam-Williams, MD | Pulmonology | Committee Chair
- Katie Macmillan, MD | Critical Care Medicine | Committee Member
- Cara Holton, MD | Critical Care Medicine | Committee Member
- Kate Kyler, MD, MSc | Hospital Medicine | Committee Member
- Jesi Neuhart, MD, FAAP | Hospital Medicine | Committee Member
- Kylie Smith, BS, RRT-NPS, AE-C | Asthma Program Coordinator | Committee Member
- Madison Buchanan, BHS, RRT-NPS | Respiratory Care | Committee Member
- Grace Arends, MD | Emergency Medicine | Committee Member
- Erin Scott, DO | Emergency Medicine | Committee Member
- Michelle DePhillips, MD | Emergency Medicine | Committee Member
- Stephanie Duehlmeyer, PharmD, BCPPS, AE-C | Ambulatory Pharmacy | Committee Member
- Celtina Reinert, PharmD, CSP | Ambulatory Pharmacy | Committee Member
- Nikita Raje, MD | Allergy, Asthma, and Immunology | Committee Member
- Amanda Nedved, MD | Urgent Care | Committee Member
EBP Department Members:
- Kathleen Berg, MD, FAAP | Evidence Based Practice
- Jarrod Dusin, PhD, RD, CPHQ | Evidence Based Practice
Publication dates:
- Finalized date: 09/2025
- Next expected revision date: 09/2028
If you have any question regarding this content, or identify a broken link, please email evidencebasedpractice@cmh.edu.
These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.