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Clinical Conundrums: How Long Should We Monitor After Giving IM Epinephrine for Anaphylaxis?

RebelEM

Incidence of clinically important biphasic reactions in emergency department patients with allergic reactions or anaphylaxis. Time of Onset and Predictors of Biphasic Anaphylactic Reactions: A Systematic Review and Meta-analysis. 2015 May-Jun;3(3):408-16 Ellis A, Day J.

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EM@3AM: Traumatic Iritis

EMDocs

Dilation of conjunctival vessels resulting in hyperemia and edema (A) is the underlying pathophysiology of conjunctivitis, which can be brought on by infection or allergic reaction. 2015, www.reviewofoptometry.com/article/practical-pearls-for-managing-anterior-uveitis. EyeWiki , EyeWiki, 13 Nov. Review of Optometry , 15 Jan.

EMS 81
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Grand Rounds Recap 3.15.23

Taming the SRU

Yates Anaphylaxis Pathophysiology Type 1 Hypersensitivity Reaction IgE-mediated Mast-cell degranulation of vasoactive materials Reaction occurs in minutes Clinical Definition: Acute onset of illness with involvement of the skin, mucosal tissue or both + one of the following Respiratory compromise Reduced BP Or, acute onset of illness with at least (..)

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Subcutaneous Rehydration

Pediatric Emergency Playbook

The idea is not to tape on the growing mound itself, because the mound may pull at the anchored skin and set a nuclear chain reaction of annoyance and restlessness – and potentially a failed procedure. 2015 Jan-Mar;13(1):122-8. 2015 Feb; 50(2): 108–112. The swelling will look indurated, a pinkish red. Pediatrics. J Palliat Med.

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REBEL Core Cast 108.0 – Angioedema

RebelEM

Urticaria and pruritus = MAST CELL mediated, which is treated like a standard allergic reaction. Urticaria and pruritus = MAST CELL mediated, which is treated like a standard allergic reaction. 2015; 372(5):418-25. of people who take NSAIDs ( Nzeako 2010 ). N Engl J Med. PMID 25629740 Hassen GW et al.

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ToxCard: Crotalid Envenomation Part 2 – CroFab vs. AnaVip: What’s the Difference?

EMDocs

However, in 2015 crotalidae equine immune F(ab’) 2 (ANAVIP®) was approved by the FDA for rattlesnake envenomations, and distribution of this antivenom began in 2018. 1,2 Discussion: F(ab) vs. Table 1: Comparison of F(ab) and F(ab’) 2 antivenoms.

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Episode 20 - Emergency Department Management of North American Snake Envenomations

EB Medicine

As some background, from 2006-2015 there were almost 66,000 reported snake exposures and 31 deaths from snake envenomation in the US. Jeff: Risk factors for developing allergic reactions to FabAV include a known allergy to papaya, papain, chymopapin, pineapple enzyme bromelain, and previous allergic reaction to FabAV.