Northwestern EM Blog

FEBRUARY 14, 2022

The ATHOS-3 trial in 2017 explored the efficacy of angiotensin II as a vasopressor for severe vasodilatory shock. The study was designed as a phase III multicenter randomized placebo control trial taking place across 75 intensive care units in the United States from 2015 to 2017.

Shock 52

Shock Resuscitation Fluid Resuscitation Sepsis 52

Taming the SRU

APRIL 17, 2023

Anaphylaxis, hypoglycemia, cardiotoxicity, and neurotoxicity can all be seen following exposure to poisonous plants. 2017 Sep-Dec;21(3):101-104. Thankfully, some of the more common and/or dangerous plant poisonings have been well-categorized, and are summarized below. General Management Manage airway, breathing, and circulation.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Anaphylaxis Pediatrics 52

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.

Pediatrics 52

Pediatrics Anaphylaxis Administration Hospitals 52

EB Medicine

SEPTEMBER 1, 2018

Both are at the University of Florida Jacksonville, and they reviewed a total of 120 articles from 2006-2017, in addition to reviews from both Cochrane and Dare. Note that antivenom will NOT reverse anaphylaxis on its own. Side effects to NACSA include dermal reaction as the most common -- and anaphylaxis as the most severe.

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

Downeast Emergency Medicine

APRIL 26, 2021

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]

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

Taming the SRU

SEPTEMBER 16, 2024

Mild Reactions Transfusion Reaction Frequency Timeline Presentation Management Allergic - 1-3% with platelet and plasma components - 0.1-0.3% Adverse reactions to transfusion of blood products and Best Practices for Prevention.” Critical Care Nursing Clinics of North America , vol. 271–290, [link] Garraud, O.,

Blood Transfusions 89

Blood Transfusions Anaphylaxis Emergency Department Sepsis 89

RebelEM

MAY 15, 2024

Epub 2017 Nov 22. 2017 Jun;69(6):755-764. Default to using whichever score your oncologist is more comfortable with. Comparison of the MASCC and CISNE scores for identifying low-risk neutropenic fever patients: analysis of data from three emergency departments of cancer centers in three continents. Support Care Cancer. Clarke, R.

Infectious Diseases 105

Infectious Diseases Administration Sepsis Anaphylaxis 105