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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. Article: Abella BS et al. Patients were randomized in a 1:1 ratio. Allergy Asthma Proc.

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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

A 32-year-old man presents to the emergency department with eye pain. 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. Overview of Eye Injuries in the Emergency Department.”

EMS 98
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CT Angiography Head and Neck: Indications and Limitations

EMDocs

The use of CTA (computed tomography angiography) in the emergency department (ED) has increased dramatically in the past 20 years. Pearls and Pitfalls CT Angiography has become a more readily available tool for diagnosis in the emergency department though requires an understanding of its specific uses and indications.

Stroke 105
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Gianotti-Crosti Syndrome in Children

Pediatric EM Morsels

Not an allergic reaction. Rashes will always find their way to your emergency department! 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. Become comfortable with what makes you uncomfortable.