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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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emDOCs Podcast – Episode 91: Marine Envenomation and Trauma

EMDocs

link] Published December 30, 2018. Goldfrank’s Toxicologic Emergencies, 11e. McGraw Hill; 2019. Accessed August 28, 2022. link] Yip K. TOXCard: Stingray injuries. emDOCs.net – Emergency Medicine Education. Accessed August 28, 2022. Berling I, Isbister G. Marine envenomations. Australian Family Physician. 2015;44(1-2):28-32.

Poisoning 105
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Cetirizine Vs Diphenhydramine For the Treatment of Acute Urticaria in the ED

RebelEM

Second-generation H1 antihistamines (cetirizine, loratadine, and fexofenadine) do not cross the blood-brain barrier as easily (Bernstein J 2018). antibiotics, NSAIDs) Acute urticaria with angioedema or anaphylaxis provided that urticaria was still present after initial treatment and alleviation of anaphylaxis symptoms.

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Vasopressor Nonresponse

Northwestern EM Blog

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. 2018; 44(5): 652-655. 2018; 22(1):215. Understanding adrenal crisis. 3) Farkas J.

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emDOCs Podcast – Episode 94: GLP-1 Agonist Complications

EMDocs

Anaphylaxis and angioedema have been reported, primarily with exendin-based therapies such as exenatide and lixisenatide. 2018 Apr 17;319(15):1580-1591. Hypersensitivity/dermatologic: GLP-1 agonists are synthetic peptides; may lead to antibody formation and allergic reaction/injection site reaction. Monami M, Marchionni N, Mannucci E.

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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. Efficacy and safety of adding rivaroxaban to the anti-platelet regimen in patients with coronary artery disease: a systematic review and meta-analysis of randomized controlled trials. BMC Pharmacol Toxicol. May 2; 19(1): 19. Schulman, S et al. J Thromb Haemost.

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Grand Rounds Recap 3.15.23

Taming the SRU

massive bee envenomation - R4 Capstone - Hydrocephalus - cpc: brain tumor - hyperviscosity syndromes - the language of being well & embracing fear in emergency medicine tamingthesru: Massive bee envenomation WITH dr. Yates Anaphylaxis Pathophysiology Type 1 Hypersensitivity Reaction IgE-mediated Mast-cell degranulation of vasoactive materials Reaction (..)