RebelEM

SEPTEMBER 13, 2023

patients that take ACE inhibitors (but 20-30% of all angioedema presentations to the Emergency Department) 3 times more common in Black Americans ( Kostis 2005 ) 0.01 These chemicals can recruit other cells, like eosinophils, and may lead to anaphylaxis. Angioedema in the Emergency Department: An Evidence Based Review.

Allergic Reactions 105

Allergic Reactions Airway Management Anaphylaxis Emergency Department 105

The Skeptics' Guide to EM

JANUARY 20, 2024

Ellie Hill is a pediatric emergency medicine physician at Children’s National Hospital in Washington, DC and Assistant Professor of Pediatrics and Emergency Medicine at George Washington University School of Medicine and Health Sciences. Case: A 4-year-old girl comes to the emergency department complaining of pain with urination.

Pediatrics 71

Pediatrics Anaphylaxis Emergency Department Outcomes 71

Taming the SRU

FEBRUARY 12, 2024

HISTORY OF PRESENT ILLNESS A female in her 30s arrives to the emergency department via emergency medical services. She arrives in the emergency department agitated and unable to answer questions appropriately. The patient is agitated on a backboard with C-collar in place. N Engl J Med. Sep 8; 365(10): 883-91.

Administration 79

Administration Fractures Anaphylaxis Head Injuries 79

Taming the SRU

SEPTEMBER 1, 2023

for detecting major injuries Abnormal CXR Rapid deceleration mechanism Presence of a distracting injury Chest wall tenderness Sternal/thoracic spine/scapular tenderness There are limited decision-making rules for thoracic spine imaging Yet a study (Inaba et al., 2015) reported a sensitivity of 98.9%

Sepsis 95

Sepsis Documentation/Coding Fractures Administration 95

Pediatric Emergency Playbook

JUNE 1, 2016

If so, treat the cause – perhaps this is a distributive problem due to anaphylaxis. Pulmonary embolism in the pediatric emergency department. 2011; Apr 26;123(16):1788-830. 2011; 39:450. Treat with epinephrine. The diagnosis of exclusion in trauma is neurogenic shock. Pediatrics. 2013 Oct;132(4):663-7. Circulation.

Shock 40

Shock Sepsis Pediatrics Ultrasounds 40

RebelEM

MAY 15, 2024

Comparison of the MASCC and CISNE scores for identifying low-risk neutropenic fever patients: analysis of data from three emergency departments of cancer centers in three continents. 2011 Jun;153(6):773-9. Epub 2011 Apr 22 Coyne CJ, Le V, Brennan JJ, Castillo EM, Shatsky RA, Ferran K, Brodine S, Vilke GM. Ann Emerg Med.

Infectious Diseases 104

Infectious Diseases Administration Sepsis Anaphylaxis 104