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emDOCs Podcast – Episode 91: Marine Envenomation and Trauma

EMDocs

McGraw Hill; 2019. McGraw Hill; 2019. link] Blohm E, Brush D. Marine Envenomations. In: Nelson LS, Howland M, Lewin NA, Smith SW, Goldfrank LR, Hoffman RS. Goldfrank’s Toxicologic Emergencies, 11e. Accessed August 25, 2022. link] Fisher E, Chen A, Lei C. Disorders Caused by Venomous Snakebites and Marine Animal Exposures.

Poisoning 105
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52 in 52 – #36: Randomized Trial of Three Anticonvulsant Medications for Status Epilepticus

EMDocs

2019; 381(22): 2103-2113. If the adult patient has failed to stop seizing with two doses of benzodiazepines, rapid control of the seizure with either high dose propofol or ketamine can result in seizure cessation. Reference: Kapur J, Elm J, Chamberlain JM, et al. Randomized Trial of Three Anticonvulsant Medications for Status Epilepticus.

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

RebelEM

Moreover, the FDA approved intravenous (IV) cetirizine to treat acute urticaria in 2019. antibiotics, NSAIDs) Acute urticaria with angioedema or anaphylaxis provided that urticaria was still present after initial treatment and alleviation of anaphylaxis symptoms. Article: Abella BS et al. J Allergy Clin Immunol. PMID: 14767453.

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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. 2010; 36: 2019-2029. 2019; 155(1): 242. Intensive Care Medicine.

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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. The mechanism of action of rivaroxaban--an oral, direct Factor Xa inhibitor--compared with other anticoagulants. Thromb Res. Jun; 127(6): 497-504. Cohen, AT and Bauersachs, R. Rivaroxaban and the EINSTEIN clinical trial programme. Blood Coagul Fibrinolysis. Apr; 30(3): 85–95. Nov 26; 10.

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Fearsome Foliage - An Overview of Toxic Plants

Taming the SRU

Anaphylaxis, hypoglycemia, cardiotoxicity, and neurotoxicity can all be seen following exposure to poisonous plants. Tapia López, Rosalinda (23 August 2019). Thankfully, some of the more common and/or dangerous plant poisonings have been well-categorized, and are summarized below. Address life-threats. Decontaminate. ISSN 2045-7758.

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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.