New York — Targeted Issue

Prehospital Oral Steroids for the Treatment of Status Asthmaticus in Children (POSTSAC) Study

Sept. 1, 2013 - Aug. 31, 2016

Grant Number
Project Overview
Emergency Medical Services (EMS) personnel are currently limited to nebulizer treatments among pediatric asthmatics with acute exacerbations. In addition, children who present to the emergency department (ED) frequently encounter up to two hour wait times before supplemental steroids that may hasten recovery are administered. Allowing EMS personnel to administer steroids in the prehospital setting may prevent possible health consequences for the child, including increased hospital admissions and prolonged ED visits. The goals of this project are to: (1) determine if prehospital administration of oral steroids by paramedics to pediatric patients with moderate to severe asthma exacerbations decreases time spent in the ED and the need for hospitalization and (2) determine if advanced life support (ALS) providers can successfully administer oral steroids (prednisolone) to children with moderate-to-severe asthma. Objectives include to: evaluate the efficacy of oral steroid administration and the ability of ALS units to administer oral steroids by examining: (1) prehospital treatment intervals and success of administration, (2) time spent receiving ED asthma treatments, and (3) the need for hospital admission or admission to the intensive care unit.
Hofstra North Shore-LIJ School of Medicine at Hofstra University
Main Contact
Award Amount


Name Role(s) Phone Email
Robert Silverman, MD, MS
  • Principal Investigator