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SGEM #425: Are You Ready for This? Pediatric Readiness of Emergency Departments

The Skeptics' Guide to EM

Her research focuses on prehospital care of children with anaphylaxis. […] The post SGEM #425: Are You Ready for This? Her research focuses on prehospital care of children with anaphylaxis. Two previous studies conducted assessing the state of nationwide pediatric readiness were conducted in 2003 and 2013.

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REBEL Core Cast 108.0 – Angioedema

RebelEM

These chemicals can recruit other cells, like eosinophils, and may lead to anaphylaxis. J Emerg Med 2013; 44 (4): 764-772. Pro-inflammatory mediators then act on the mucosa and cause angioedema. IgE Independent Reactions Mast cells are activated directly by certain medications (i.e. N Engl J Med. 2015; 372(5):418-25. 2013;24:53-66.

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Annals of B Pod: Anti-Xa Overdose

Taming the SRU

The patient is agitated on a backboard with C-collar in place. Rivaroxaban and the EINSTEIN clinical trial programme. Blood Coagul Fibrinolysis. Apr; 30(3): 85–95. Cohen, AT et al. Rivaroxaban for Thromboprophylaxis in Acutely Ill Medical Patients. N Engl J Med. Feb 7; 368(6): 513-23. J Am Coll Cardiol. Sep 16; 64(11): 1128-39. Lu G, et al.

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Approach to Shock

Pediatric Emergency Playbook

If so, treat the cause – perhaps this is a distributive problem due to anaphylaxis. 2013 Oct;132(4):663-7. 2013; 41:580-637. 2013; 17:R246. After assessing the heart rate, optimizing volume status, evaluating contractility, is the cause of the shock peripheral vasodilation? Treat with epinephrine. Pediatrics.

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ACMT Toxicology Visual Pearl: The Bark with Some Bite

ALiEM

However, most adverse reactions from willow bark supplements have been associated with people who have aspirin allergies, with numerous cases of anaphylaxis [6]. 2013 May;5(5):330. Cases of toxicity have been reported following ingestion of supplements as well as ingestion of willow bark tea [4,5]. Phytotherapy Research.

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REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

Pathogens ( Gudiol 2013 ) : The pathogens responsible for neutropenic fever have changed over time. Clin Microbiol Infect 2013; 19:474 Klastersky J. Antibiotics are effectively the only thing standing between these patients and overwhelming sepsis. Gudiol C, Bodro M, Simonetti A, et al. Why empirical therapy? J Antimicrob Chemother.