Ultrasound-Guided Intercostal Nerve Block

🚨 TMC PRACTICE QUESTION (PEDS) 🚨 A 6-year-old with a history of asthma is brought to the ER RR 40, nasal flaring, intercostal retractions SpO₂ 91% on room air High-pitched expiratory wheezing ❓ What’s the BEST initial treatment? A️⃣ Racemic epinephrine B️⃣ Albuterol nebulizer C️⃣ IV corticosteroids D️⃣ Chest physiotherapy ⏸️ Pause the video—think like the NBRC ✅ Correct answer: B — Albuterol nebulizer 💡 NBRC logic: Pediatric asthma = lower airway bronchospasm First-line = short-acting beta-ag