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

RebelEM

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. Updated Anaphylaxis Guidelines (2020) References Lieberman P. His vital signs are normal. The patient is given 0.5

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REBEL Core Cast 108.0 – Angioedema

RebelEM

These chemicals can recruit other cells, like eosinophils, and may lead to anaphylaxis. 2015; 372(5):418-25. 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. 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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SGEM#188: Icatibant Bites the Dust – For ACE-I Induced Angioedema

The Skeptics' Guide to EM

He is also part of REBEL EM, The Teaching Course, […] The post SGEM#188: Icatibant Bites the Dust – For ACE-I Induced Angioedema first appeared on The Skeptics Guide to Emergency Medicine. He is also part of REBEL EM , The Teaching Course , EMRAP and CoreEM. display_podcast] Date: September 12th, 2017 Reference: Sinert et al.

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Vasopressor Nonresponse

Northwestern EM Blog

And for most forms, EM physicians are not typically shocked by shock. Anaphylaxis Anaphylaxis may present as hypotension alone. Thus, it may easily be confused with a different form of shock and treated with vasopressors such as norepinephrine and vasopressin, which are not first line for anaphylaxis. California Medicine.

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Grand Rounds Recap 3.15.23

Taming the SRU

of emergency medicine residents report 1 or more dimensions of burnout (Lin Annals Emerg Med 2019) Moral Injury with COVID “We pushed aside our fear and frustration to focus on saving the patients in front of us; we kept our eyes open, and our feelings closed.

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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. If EMS has placed bandages, leave them in place until antivenom and resuscitative equipment is ready. Note that antivenom will NOT reverse anaphylaxis on its own. Jeff: What a team!