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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.

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Annals of B Pod: Anti-Xa Overdose

Taming the SRU

She initially agreed to be transported to the hospital by ambulance, but jumped from the moving vehicle and was subsequently struck and pinned under the fuselage for 10-15 minutes. Hospital Course Based on the primary survey, no acute airway interventions were undertaken. The patient is agitated on a backboard with C-collar in place.

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Review of the ATHOS 3 trial

Northwestern EM Blog

ICU length of stay, hospital length of stay, ventilator-dependent days, or rate of renal replacement therapy: these are all things that matter to our patients and to our health systems and they are more fruitful targets when we investigate interventions. Vasopressin Versus Norepinephrine Infusion in Patients with Septic Shock.

Shock 52
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REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

High Risk Patients will need hospitalization and IV antibiotics. Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer: 2010 update by the infectious diseases society of america, Clinical Infectious Diseases, 2011, 52(4):e56-93. Neutropenic Fever: Fever (one reading of 38.3C Sepkowitz, K.

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Journal Club - Tranexamic Acid in Trauma

Downeast Emergency Medicine

We know that if administered too rapidly, it can lead to hypotension and other adverse effects including seizures, headaches, backache, abdominal pain, nausea, vomiting, diarrhea, fatigue, pulmonary embolism, deep vein thrombosis, anaphylaxis, impaired color vision, and other visual disturbances.[1]

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Episode 20 - Emergency Department Management of North American Snake Envenomations

EB Medicine

Nachi: Right, but in Australia, not only are the snakes more venomous but the hospital transport distances are much longer, so, basically they sacrifice the limb to potentially save a life. Note that antivenom will NOT reverse anaphylaxis on its own. Regardless, the treatment is the same – epinephrine.

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TXA (Tranexamic Acid) in Pediatrics 

Pediatric EM Morsels

Tranexamic Acid Use in United States Children’s Hospitals. of IV form TXA [O’Neill 2020] Inexpensive ! Crit Care Explor. 2020;2(1):e0075. Published 2020 Jan 29. doi:10.1097/CCE.0000000000000075 0000000000000075 Nishijima DK, Monuteaux MC, Faraoni D, et al. J Emerg Med. 2016;50(6):868-874.e1. doi:10.1016/j.jemermed.2016.02.004