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EasyPaediatrics / EmergencyAcute severe asthma in childca-mccqe1ca-rcpsc-em

A 7-year-old girl with a history of recurrent wheeze presents with acute severe asthma exacerbation: she is speaking in single words, RR 36, accessory muscle use, oxygen saturation 90% on room air. What is the most appropriate immediate management?

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