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REBEL Core Cast 108.0 – Angioedema

RebelEM

These chemicals can recruit other cells, like eosinophils, and may lead to anaphylaxis. Both conditions can range in severity from benign to life threatening (Wilkerson 2012). 2012; 14(11). Pro-inflammatory mediators then act on the mucosa and cause angioedema. J Allergy Clin Immune Tract 2017; 5(5): 1402-9. EBMedicine.net.

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Severe Asthma Management in the ED

EM Guide Wire

mcg/kg/min Can increase dose q30 min to max dose of 10 mcg/kg/min Can cause elevations in troponin If there hasn’t been improving, consider IM epinephrine instead Same as anaphylaxis dose 0.01 2012 Cochrane Review - aminophylline is not significantly better than other bronchodilator drugs, and has more adverse effects.

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Grand Rounds Recap 3.15.23

Taming the SRU

Charon, Academic Med 2012) embracing fear in emergency medicine WITH dr. arlene chung What is fear? Narratives trigger changes of many kinds in both the teller and the listener, yielding meanings that are reciprocally produced by each teller-listener dyad.”

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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] Arch Surg 2012; 147:113-119.[

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Approach to Shock

Pediatric Emergency Playbook

If so, treat the cause – perhaps this is a distributive problem due to anaphylaxis. Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012. After assessing the heart rate, optimizing volume status, evaluating contractility, is the cause of the shock peripheral vasodilation?

Shock 40
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TXA (Tranexamic Acid) in Pediatrics 

Pediatric EM Morsels

2012 Feb;147(2):113-9. of IV form TXA [O’Neill 2020] Inexpensive ! 2011 Mar26;377(9771):1096-101, 1101.e1-2. PubMed: 21439633] Morrison JJ, Dubose JJ, Rasmussen TE, Midwinter MJ. Military Application of Tranexamic Acid in TraumaEmergency Resuscitation (MATTERs) Study. PubMed: 22006852] Nishijima DK, VanBuren JM, Linakis SW, et al.