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

RebelEM

Background: Diphenhydramine, a first-generation antihistamine, is the most common pharmacologic agent used to treat acute allergic reactions. Moreover, the FDA approved intravenous (IV) cetirizine to treat acute urticaria in 2019. 2019) Substitute for diphenhydramine , American Academy of Allergy Asthma & Immunology.

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What the Emergency Clinician Must Know about Remote Monitors in Heart Failure

EMDocs

10 This procedure has well-described rare complications including infection, blood loss, allergic reaction, arrhythmia, pneumothorax if approaching via the internal jugular vein, embolization of the device, and pulmonary artery perforation or dissection. 2019 Apr;6(2):308-18. 2019 Dec;21(Suppl M):M50-M53. 2017.05.052.

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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. 2019, wikem.org/wiki/Traumatic_iritis. Close follow-up within 48 hours with an ophthalmologist is appropriate for ongoing monitoring and care.

EMS 98
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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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Nephrotic Syndrome

Mind The Bleep

Steroid resistance Failure to achieve complete remission after 8 weeks of prednisolone at 60mg/m2/day Differentials Heart failure – would present with oedema, shortness of breath, cyanosis Allergic reaction – presents with facial oedema, pruritus. Nephrotic Syndrome in Childhood. Retrieved from Pier Network: [link] Jain, J.

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CT Angiography Head and Neck: Indications and Limitations

EMDocs

2019) argue against a minimum NIHSS score to trigger the use of CTA, instead purporting that clinical suspicion of acute ischemic stroke presenting within 24 hours of the last known well was sufficient evidence to order the study. Stroke 2019, 50 (2), 365-372. Emerg Radiol 2019, 26 (2), 139-143. Semin Neurol 2019, 39 (1), 20-26.

Stroke 105
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Gianotti-Crosti Syndrome in Children

Pediatric EM Morsels

Not an allergic reaction. 2019 Dec;15(6):521-527. Epub 2019 May 27. Has been known to occur following immunizations. Good to anticipate to avoid any additional cause of vaccine hesitancy. Leung AKC, Sergi CM, Lam JM, Leong KF. World J Pediatr. doi: 10.1007/s12519-019-00269-9. PMID: 31134587.