title: The ability of A&E personnel to demonstrate inhaler technique.
abstract: OBJECTIVE
  To determine the ability of accident and emergency (A&E) personnel to demonstrate metered dose inhaler technique.
  
  
  METHODS
  25 senior house officers and 25 nurses working in A&E were individually interviewed and assessed on their knowledge of inhaler technique and competence in demonstrating the correct use of a metered dose inhaler.
  
  
  RESULTS
  Demonstration of inhaler technique was generally poor by the staff assessed. Although 22 (88%) of the senior house officers were aware of the British Thoracic Society guidelines, only 10 (40%) routinely checked inhaler technique when discharging asthmatic patients.
  
  
  CONCLUSIONS
  The A&E department offers an important opportunity for patient assessment and reinforcement of metered dose inhaler technique. Staff should be made aware of the British Thoracic Society guidelines and be competent at assessing and teaching inhaler technique.
authors.affiliation: University Department of Emergency Medicine, Hope Hospital, Salford, United Kingdom.
authors.forename: J
authors.initials: J
authors.lastname: O'Donnell
authors.forename: R
authors.initials: R
authors.lastname: Birkinshaw
authors.forename: V
authors.initials: V
authors.lastname: Burke
authors.forename: P A
authors.initials: PA
authors.lastname: Driscoll
mesh_terms: D018927:Anti-Asthmatic Agents / Q000008:administration & dosage; D001249:Asthma / Q000188:drug therapy; D001993:Bronchodilator Agents / Q000008:administration & dosage*; D002983:Clinical Competence; D004636:Emergency Service, Hospital; D006801:Humans; D007407:Interviews as Topic; D008505:Medical Staff, Hospital / Q000193:education; D009330:Nebulizers and Vaporizers; D009741:Nursing Staff, Hospital / Q000193:education; D010351:Patient Discharge; D010353:Patient Education as Topic; D017410:Practice Guidelines as Topic; D016037:Single-Blind Method; D000078329:Workforce
chemical_list: D018927:Anti-Asthmatic Agents; D001993:Bronchodilator Agents