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A 4-year-old girl asthmatic child is brought to casualty. She is not speaking and has fast shallow breathing with pulsus paradoxsus. ABG shows respiratory acidosis. What is the next best step in management of this patient?
Urgent endotracheal intubation
Hyperbaric oxygen therapy
MDI with salbutamol and coicosteroids
Terbutaline subcutaneous with aminophylline drip
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