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Clinical Conundrums: How Long Should We Monitor After Giving IM Epinephrine for Anaphylaxis?

RebelEM

How Long Should We Monitor After Giving IM Epinephrine for Anaphylaxis? mg of intramuscular (IM) epinephrine for anaphylaxis. What The Evidence Says: Prompt recognition of anaphylaxis is imperative. up to 23% ( Lieberman 2005 , Rohacek 2014 , Tole 2007 , Grunau 2014 ). A naphylaxis – Emergency Medicine Updates 2.

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Cetirizine Vs Diphenhydramine For the Treatment of Acute Urticaria in the ED

RebelEM

antibiotics, NSAIDs) Acute urticaria with angioedema or anaphylaxis provided that urticaria was still present after initial treatment and alleviation of anaphylaxis symptoms. Exclusion: Presented with acute anaphylaxis, and their acute anaphylactic symptoms had not yet been treated. 2007 Jul-Aug;28(4):418-26.

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Vasopressor Nonresponse

Northwestern EM Blog

Anaphylaxis Anaphylaxis may present as hypotension alone. Thus, it may easily be confused with a different form of shock and treated with vasopressors such as norepinephrine and vasopressin, which are not first line for anaphylaxis. Emergency Medicine Clinics of North America. 2007; 25: 309-331. Arch Surgery.

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Approach to Shock

Pediatric Emergency Playbook

If so, treat the cause – perhaps this is a distributive problem due to anaphylaxis. Pulmonary embolism in the pediatric emergency department. 2007; 35:64-8. After assessing the heart rate, optimizing volume status, evaluating contractility, is the cause of the shock peripheral vasodilation? Treat with epinephrine.

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