RebelEM

DECEMBER 5, 2023

How Long Should We Monitor After Giving IM Epinephrine for Anaphylaxis? mg of intramuscular (IM) epinephrine for anaphylaxis. What The Evidence Says: Prompt recognition of anaphylaxis is imperative. up to 23% ( Lieberman 2005 , Rohacek 2014 , Tole 2007 , Grunau 2014 ). His vital signs are normal.

Anaphylaxis 81

Anaphylaxis Allergic Reactions Emergency Department EMS 81

EMDocs

FEBRUARY 7, 2024

Anaphylaxis and angioedema have been reported, primarily with exendin-based therapies such as exenatide and lixisenatide. 2014 Fall-Winter;11(3-4):202-30. FDA Approves New Drug Treatment for Chronic Weight Management, First Since 2014. Reactions are usually minor: transient warmth, pruritis at injection site that resolves.

Allergic Reactions 97

Allergic Reactions Anaphylaxis Dehydration Wellness 97

Taming the SRU

FEBRUARY 12, 2024

The patient is agitated on a backboard with C-collar in place. Laboratory assessment of the anticoagulant activity of direct oral anticoagulants: a systematic review. Jan; 151(1): 127-138. Cuker A, et al. Laboratory measurement of the anticoagulant activity of the non-vitamin K oral anticoagulants. J Am Coll Cardiol. Sep 16; 64(11): 1128-39.

Administration 80

Administration Fractures Anaphylaxis Head Injuries 80

Northwestern EM Blog

FEBRUARY 14, 2022

Source control timely antibiotics, rational fluid resuscitation, and ruling out other causes of vasopressor refractory shock to include anaphylaxis, hemorrhage, adrenal insufficiency, LVOT obstruction, and any other cause of cardiogenic shock need to be ruled out and addressed. Crit Care 2014; 18(5): 534. References Chawla LS et al.

Shock 52

Shock Resuscitation Fluid Resuscitation Sepsis 52

RebelEM

MAY 15, 2024

2014 Aug 21;124(8):1251-8; quiz 1378. doi: 10.1182/blood-2014-02-482612. Epub 2014 May 28. 2014, November 10). 2014 Jul; 58(7): 3799–3803. Neutropenic Fever: Fever (one reading of 38.3C Raad, II, et al., Gibson C, Berliner N. How we evaluate and treat neutropenia in adults. Gorschlüter M, Mey U, Strehl J, et al.

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

EMDocs

DECEMBER 19, 2023

Philadelphia: Elsevier Saunders; 2014:805-807. Venomous Marine Animals. In: Marx JA, Hockenberger RS, Biros MH, et al., Rosen’s Emergency Medicine: Concepts and Clinical Practice (2 Volumes). Dustin Taliaferro, Dustin, Cynthia Santos, MD, Alex Koyfman, MD, and Brit Long. 2020, September 26) EM@3AM: Marine Animal Bites and Stings.

Poisoning 105

Poisoning Seizures Anaphylaxis Burns 105

EM Guide Wire

NOVEMBER 2, 2020

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 mg inhaled over the first hour of therapy Followed by 0.5 mg may be nebulized Q4-6 hours. 2015 Oct-Dec; 27(4): 390–396.

Pediatrics 52

Pediatrics Anaphylaxis Emergency Department Administration 52