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We sought to assess whether current protocols are in line with published evidence and guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a cross\u2010sectional survey done in paediatric ER units located in Finnish municipalities with more than 10\u00a0000 inhabitants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 100 units contacted, 50% responded. More than 50% of the units used nebulisers. Only 13% of the units administered salbutamol in single puffs. More than 30% of the units lacked criteria on face mask use. Poor co\u2010operation had no effect on the dose of salbutamol in 62% of the units. Ensuring tight mask\u2010to\u2010face seal was included in the training in 20% of the units. A written action plan was provided to the caregivers in 28% of the units.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>ER treatment guidelines for preschool children with wheezing are poorly endorsed. Research is needed to identify approaches to guideline implementation that are specific for primary care. Clinical research should focus on strengthening recommendations that are currently not embraced. ER treatment protocols need to be updated and adherence to guidelines should be re\u2010evaluated.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.15915","type":"journal-article","created":{"date-parts":[[2021,5,14]],"date-time":"2021-05-14T06:15:55Z","timestamp":1620972955000},"page":"2448-2454","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Heterogeneity of emergency treatment practices in wheezing preschool children"],"prefix":"10.1111","volume":"110","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0819-7875","authenticated-orcid":false,"given":"P\u00e9ter","family":"Csonka","sequence":"first","affiliation":[{"name":"Centre for Child Health Research Tampere University and Tampere University Hospital Tampere Finland"},{"name":"Terveystalo Healthcare Tampere 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