An 8-year-old female with a history of asthma continues to experience severe respiratory distress despite being given multiple doses of her prescribed albuterol. What should you do?

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In situations where a pediatric patient with a history of asthma is experiencing severe respiratory distress despite receiving multiple doses of albuterol, it is critical to recognize that the patient's condition is not improving and may require more advanced medical intervention.

Transporting the patient immediately while requesting Advanced Life Support (ALS) intercept is the most appropriate action in this scenario. ALS providers have additional resources and skills to manage severe respiratory distress, including the potential administration of more potent medications, access to pre-hospital intubation if necessary, and advanced monitoring capabilities. This is essential, especially in children who may deteriorate quickly.

Moreover, rapid transport ensures the patient can receive further evaluation and treatment in a hospital setting, where more comprehensive care can be provided. Initiating transport while simultaneously addressing the distress is vital to prevent any worsening of the patient's condition during transit.

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