Remove 2010 Remove Anaphylaxis Remove EMS
article thumbnail

REBEL Core Cast 108.0 – Angioedema

RebelEM

of people who take NSAIDs ( Nzeako 2010 ). These chemicals can recruit other cells, like eosinophils, and may lead to anaphylaxis. This can cause an abundance of leukotrienes and other pro-inflammatory mediators and precipitate angioedema ( Nzeako 2010 ). Pro-inflammatory mediators then act on the mucosa and cause angioedema.

article thumbnail

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

RebelEM

Despite being highly effective in treating acute allergic reactions, first-generation H1 antihistamines cross the blood-brain barrier and bind to H1 receptors, which can lead to undesirable side effects, including drowsiness, sedation, fatigue, and decreased cognition (Church MK 2010). 2010 Apr;65(4):459-66. Epub 2010 Feb 8.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

Vasopressor Nonresponse

Northwestern EM Blog

And for most forms, EM physicians are not typically shocked by shock. 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. 2007; 25: 309-331.

article thumbnail

Grand Rounds Recap 3.15.23

Taming the SRU

of emergency medicine residents report 1 or more dimensions of burnout (Lin Annals Emerg Med 2019) Moral Injury with COVID “We pushed aside our fear and frustration to focus on saving the patients in front of us; we kept our eyes open, and our feelings closed.

article thumbnail

Episode 20 - Emergency Department Management of North American Snake Envenomations

EB Medicine

If EMS has placed bandages, leave them in place until antivenom and resuscitative equipment is ready. Jeff: Hypotension should be treated with isotonic fluids and, as usual, anaphylaxis should be treated with the usual cocktail of antihistamines and epinephrine at first IM and then via infusion if refractory. Position statement) 10.

article thumbnail

REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

Read More: Infectious Disease Society of America 2010 Clinical Practice Guidelines Life in the Fast Lane: Febrile Neutropaenia Uptodate: overview of neutropenic fever syndromes EMRAP: Risk stratification of neutropenic fever MDCalc: MASCC Score MDCalc: CISNE Score References: Ahn S, Rice TW, Yeung SJ, Cooksley T. 2011 Jun;153(6):773-9.

article thumbnail

TXA (Tranexamic Acid) in Pediatrics 

Pediatric EM Morsels

2022.01.069 The post TXA (Tranexamic Acid) in Pediatrics appeared first on Pediatric EM Morsels. of IV form TXA [O’Neill 2020] Inexpensive ! Effectiveness and safety of tranexamic acid in pediatric trauma: A systematic review and meta-analysis. Am J Emerg Med. 2022;55:103-110. doi:10.1016/j.ajem.2022.01.069