Table 1

 Hospital management of severe asthma: the problems

Poor assessment with resulting lack of recognition of life-threatening asthma•Inadequate history and examination
•Lack of lung function measurements
•Misuse and misinterpretation of arterial blood gas measurements and chest radiographs
Poor management with suboptimal outcome•Insufficient use of systemic steroids
•Over-reliance on inhaled bronchodilators
•Misuse of intravenous bronchodilators
Poor follow-up•Long-term management not addressed
•Poor communication with GP
•Inadequate follow-up arrangements